If you are a parent or guardian, then you know what it's like to worry about your children's health, whether it's concern about illnesses, unhealthy environments, or risk for future disease. This worry is natural, and even rational, as early childhood experiences can have an effect your children's long-term health.
Childhood is a particularly vulnerable time for young lungs, in fact, which are much smaller, narrower, and more susceptible to injury compared to adult lungs. Because of this, children's lungs need extra protection from illness and airborne hazards like pollution and smoke.
Unfortunately, lung damage sustained during childhood can significantly increase a child's risk for asthma and lung problems later in life. It can even set the stage for more serious lung conditions that appear in older adulthood, including COPD.
Fortunately, there are a variety of different precautions you can take to minimize your child's risk for lung damage and disease. But in order to do so, you first need to understand children's lung sensitivities and how to recognize a variety of different substances and activities and that are hazardous to their lungs.
That's why we created this guide specifically for parents who want to know how to keep their children's lungs safe and healthy as they grow. It includes dozens of practical tips for reducing the number of respiratory hazards in your child's lives and helpful strategies for creating a more lung-healthy home.
We'll start by explaining how illnesses, environment, and lifestyle can affect your children's lungs and even pre-dispose them to lung problems later in life. Then, we'll explain how to make some simple changes to household habits and routines in order to minimize your children's exposure to respiratory irritants at home.
Finally, we'll discuss what you can do to prepare your children with the knowledge and values they need to take care of their lungs for the rest of their life. In these sections, you'll find helpful advice (curated from experts) for talking to your kids about smoking, as well as additional tips for teaching them the skills they need for good respiratory health.
Why Worry About Lung Disease So Young?
Most serious lung diseases, like COPD, begin in older adulthood, which is usually when the first major symptoms start to appear. Because of this, it might seem strange to start worrying about lung disease so early in your child's life.
However, it's important to understand that COPD is caused by lung damage, and lung damage that leads to COPD usually happens much earlier in life. However, because COPD tends to develop very slowly over the course of many years, the results of that damage might take decades to show.
Most cases of COPD are caused by smoking, but research shows that many other factors besides smoking can contribute to the disease. These factors include early childhood experiences, including respiratory infections and exposure to environmental hazards like smoke.
Because children's lungs are small and still developing, they are even more sensitive to these hazards than adults. This makes them more likely to sustain lung damage from breathing toxic substances, and also increases the risk that this damage will result in long-term effects.
This is also one of the reasons why children develop asthma during childhood, and sometimes later as adults. After all, experts have long known that a child's risk for asthma is strongly influenced by illnesses and harmful substances in their environment.
Because of this, it's particularly important to protect children from lung-damaging substances early in life. Doing so can reduce their risk for lung problems in adulthood, both minor (e.g. reduced overall lung function) and severe (e.g. COPD).
If you are a parent who has COPD, or if you know a loved one with the disease, then you probably have an idea of how terrible and painful it can be. Fortunately, if you are willing to take action in your home and in other areas of your children's lives, you can significantly reduce their risk for lung problems both now and later in life.
Is Your Child At Risk for Lung Disease?
Now that we've established that children's lungs are vulnerable at an early age, let's take a closer look at what specific kinds of things can put their respiratory health at risk. Researchers have identified a number of early childhood risk factors for asthma, COPD, and other lung diseases, most of which you can prevent.
Exposure to Air Pollution and Respiratory Irritants
There are many different kinds of substances that can damage the lungs when you breathe them in, including noxious chemicals, gases, and small airborne particles. Unfortunately, we encounter many of these substances every single day both outdoors and inside our own homes.
Because of this, it's not realistic to avoid respiratory irritants entirely; however, you can take steps to minimize how much and how often your children breathe them in. This is particularly important if your child has asthma or another respiratory condition that makes their lungs extra sensitive to irritation.
Fortunately, there are many things you can do to reduce the amount of air pollution and other respiratory irritants your children are exposed to at home. In fact, we'll show you a variety of practical tips and techniques later in this guide to help you make your house a safer environment for developing lungs.
Common respiratory irritants include:
- Air pollution (both indoors and outdoors)
- Fumes from wood-burning fireplaces and stoves
- Chemical fumes from cleaning solutions and household chemicals
- Volatile Organic Compounds (or VOC's) found in products like paints, solvents, perfumes, pesticides, and chemically treated lumber
- Smoke and second-hand smoke
This list covers only a few of many potential respiratory hazards that could affect your children's lungs. We'll go over many more examples, including specific household sources of respiratory irritants, all throughout this guide.
Childhood Asthma
If your child suffers from asthma, that factor alone can make them more likely to develop COPD later in life. In fact, research has established a very strong link between asthma and COPD, especially severe and persistent childhood asthma.
This connection is at least partially caused by chronic inflammation in the lungs and airways, a symptom that both asthma and COPD share. Over time, the inflammation caused by asthma can cause irreversible changes to lung tissues, resulting in airway obstruction and permanent lung function loss.
In other words, asthma can cause the exact same type of lung damage that leads to COPD.
This is known as Asthma-COPD Overlap Syndrome, and it's more common in children who experience severe and frequent asthma symptoms. The risk is much lower for children whose symptoms are mild or well controlled.
Unfortunately, having asthma also makes your child's lungs more susceptible to the damaging effects of respiratory irritants (also known as asthma triggers) like allergens, cooking fumes, and smoke. This means that a child with asthma has a higher risk for COPD if they are repeatedly exposed to these hazards.
Respiratory Infections
Research shows that children who have severe respiratory infections—such as pneumonia and bronchitis—in early childhood are more likely to develop COPD in adulthood. The reason for this is that lung infections can damage the delicate, under-developed tissues in a child's lungs, resulting in respiratory decline and sensitivity that can last for the rest of their lives.
One study, for example, found that people who had a serious respiratory infection before the age of five were more likely to have reduced lung function and asthma in adulthood. It also made them more susceptible to the negative effects of second-hand smoke, which can cause severe asthma symptoms and permanent lung function decline.
The risk for for respiratory problems is higher for children whose infections are severe, repeated, or occur at a very early age. Unfortunately, all of the factors we've mentioned—serious lung infections, asthma, and reduced lung function—are all factors that can increase a child's risk for COPD.
Exposure to Smoke and Second-Hand Smoke
Repeated exposure to second-hand smoke is hard on developing lungs, and it can cause measurable, long-term damage that persists into adulthood. It can also make a child's lungs more prone to future damage, which increases the health dangers of smoking—and exposure to other respiratory irritants—for the rest of their life.
Research shows children who were frequently exposed to second-hand smoke grow up to have poorer lung function in adulthood. These children are also more likely to develop COPD decades later, even if they stay smoke-free throughout their lives.
Even smoking while pregnant (or simply being exposed to second-hand smoke during pregnancy) can affect your child's long-term health. For example, children born to mothers who smoked while they were pregnant may suffer from permanently reduced lung function and a higher risk for respiratory conditions like asthma and COPD.
However, the potential for respiratory problems is only one of many reasons why you should protect your child from second-hand smoke. Research shows that second-hand smoke exposure during childhood can lead to a variety of serious health problems later in life, including high blood pressure, heart disease, and stroke.
Here is a more extensive list of health problems caused by childhood exposure to second-hand smoke:
- Ear infections
- Tooth decay
- Illnesses like coughs and colds
- Respiratory infections like pneumonia and bronchitis
- Increased risk of developing asthma
- Increased risk of cognitive problems and learning disabilities
- Increased risk for ADHD
- Increased risk for heart disease later in life
- Increased risk of being a smoker
- Acute respiratory symptoms, including:
- coughing
- wheezing
- breathlessness
- phlegm
Negative health problems caused by smoking during pregnancy:
- Lower birth weight (which can lead to other health complications)
- Increased risk for sudden infant death syndrome (SIDS)
- Increased risk for miscarriage and stillbirth
- Increased risk for developmental problems, including learning disabilities
- Reduced lung function
- Increased risk for asthma and other lung conditions
Early Prevention is Key
It's important to realize that lung damage is cumulative, which means that repeated exposure to lung-damaging particles and environments can add up over time. Too much exposure to respiratory hazards over the course of a lifetime can trigger COPD, even if no single event or exposure can be traced back as the cause.
Most people only get COPD from smoking or from exposure to other airborne substances (e.g. chemical fumes and second-hand smoke) if it happens repeatedly over an extended period of time. But because COPD is such a slow-moving disease, it usually takes years for the long-term damage to show.
Part of the reason it takes so long is that lungs are extremely resilient; they have enough extra capacity built in to compensate for a lot of damage. You can lose a surprising amount of lung function before it begins to noticeably affect your ability to breathe.
Unfortunately, this also means that it's impossible to know whether or not you have COPD until your lungs have already been severely damaged by the disease. You have to lose a large percentage of your lung function before you can be diagnosed with COPD, and it's notoriously difficult to catch in the early stages.
Because of this—and the fact that there is no cure for COPD—prevention is absolutely key. The only true way to prevent COPD, however, is to protect your lungs from hazards like air pollution and smoke as much as possible throughout your life.
This should begin in early childhood, when the lungs are particularly vulnerable to the environment. In fact, it should begin in pregnancy, when any harmful substances a mother gets exposed to can lead to health problems after the baby is born.
How to Reduce Early Childhood Risk Factors for Lung Problems
Fortunately, most of the major childhood risk factors for asthma and COPD are preventable as long as you take the right precautions. Let's take a look at some specific actions you can take while your children are young to minimize their lung disease risks.
Quit Smoking
If you are a smoker, then quitting is—by far—the best thing you can do to keep your children's lungs healthy and safe. After all, research shows that parents are the main source of second-hand smoke exposure during childhood, and that simply living with a parent who smokes can significantly increase a child's risk for lung disease later in life.
One study, for example, found that children who live with a smoker are 31 percent more likely to die from COPD as adults. Smoking can also have an immediate effect on your child's respiratory health, increasing their risk for lung infections and respiratory illness-related hospitalizations.
According to the EPA, second-hand smoke causes up to 300,000 extra cases of lower respiratory tract infections in children under 18 months of age. As we discussed earlier in this guide, childhood respiratory infections are another major risk factor for developing COPD.
Minimize Your Child's Exposure to Outdoor Air Pollution
Outdoor air pollution is a common respiratory hazard that can cause serious damage to lungs. Air pollution is even more dangerous for children because, in addition to being more vulnerable to lung damage, children get higher doses of air pollution due to their faster breathing rate.
In fact, one major air pollution study (pdf link) found that children who grow up in areas with higher than normal outdoor pollution experienced permanent respiratory decline. Their lungs not only developed more slowly than usual, but also functioned less effectively as adults.
Children with asthma are even more sensitive to air pollution, which can exacerbate asthma symptoms and make them more likely to develop other lung problems like bronchitis and COPD. In many cases, the effects of air pollution are irreversible, which means that children who are exposed to heavy air pollution during childhood may have weakened lungs for the rest of their lives.
Because of this, it's a good to get in the habit of checking the the air pollution levels in your city, which can change significantly from day to day. Then, do your best to plan your children's outdoor activities during days when the outdoor air quality is good.
Keep in mind that things like the weather, temperature, and the even time of day can influence both the amount and the types of pollutants in the air. If you keep your children indoors on days when air quality is poor, you can minimize their exposure to the dangers of heavy pollution.
While this might seem inconvenient, limiting how much time your child spends outside breathing polluted air can make a difference in their respiratory health. In most places, you can still ensure plenty of outside playtime on low-pollution days.
However, in some cities, air pollution is so persistent and heavy that it's impossible to avoid. If you live in an area like this, you may have fewer options for protecting your children's lungs.
In some cases, the best option is to move away from the pollution to a city with cleaner air. However, moving your family somewhere new is not a cheap or easy task, and it's simply not a realistic option for many.
But even if you can't get away from polluted outdoor air, what you can do is put extra effort into protecting your children from the respiratory hazards that you do have the power to control (e.g. smoke and chemical fumes). You should also watch your children closely for persistent respiratory symptoms that could indicate a developing problem with their lungs.
Protect Your Child from Respiratory Illnesses
As we've mentioned a couple times already, serious respiratory infections can significantly increase your child's risk for asthma and COPD. That's one reason why it's important to take precaution to prevent your child from getting sick.
Most common respiratory illnesses are minor, but young children have a higher risk of developing complications. If the illness becomes serious, it has the potential to cause permanent lung damage that will follow them through the rest of their lives.
The best way to prevent the spread of illnesses is to practice proper hygiene and teach your kids to look after their own hygiene, too. You should also take care to keep your children away from other children or adults who are sick.
If your child does get sick a with respiratory illness, you should keep a close eye on their symptoms until they get better. Over time, even a simple cold or flu can turn in to a more serious infection like bronchitis or pneumonia.
Unfortunately, it can be difficult to tell the signs of a respiratory infection apart from a less serious illness like a cold, so don't hesitate to call the doctor if you are worried about your child's symptoms. You should also take them to the doctor if their symptoms become severe or if they don't start to get better after being sick for several days.
Here are some of the most common symptoms of pneumonia in children to look out for:
- Rapid breathing
- Difficulty breathing
- Exerting extra effort to breathe
- A grunting or wheezing sound with breathing
- Shaking or chills
- Pain in the chest and/or abdomen
- Vomiting
- Fatigue or reduced energy
- Loss of appetite
- Bluish or gray skin color in the lips or fingernails (this is a sign of a medical emergency)
If you notice any of the above symptoms or otherwise suspect your child might have pneumonia, you should take them to the doctor right away. You should also make sure your child is up to date with all their vaccinations, but especially those that protect against respiratory illnesses like whooping cough, pneumonia, and influenza.
You should be extra cautious with children under the age of five, whose lungs are the most sensitive to to the damaging effects of infection. After all, pneumonia is one of the leading causes of death in young children, especially children under the age of two.
How to Create a Lung-Healthy Environment at Home
Believe it or not, the place where your children are most likely to be exposed to hazardous respiratory irritants is inside their own home. There are two main reasons for this: First, children tend to spend a large quantity of their time indoors, and the majority of that time is spent at home.
Second, many homes have poor indoor air quality due to unhealthy levels of airborne particles and fumes. In fact, research shows that a large percentage of houses have air quality that's poor enough to cause noticeable respiratory effects, especially in children with asthma.
Because of this, one of the best ways to protect your child's lungs is to minimize the amount of respiratory hazards they are exposed to at home. There are many simple ways to this, including removing sources of airborne irritants and making adjustments to household habits (e.g. cooking and cleaning).
Keep Your Home Smoke Free
Tobacco smoke, and smoke in general, is one of the most dangerous respiratory hazards you can have in your home. Even long after the source of smoke is gone, dangerous gases and airborne particles can persist for days or even months indoors.
As a result, no amount of indoor smoking is ever considered safe, especially in a house with children. Even if you only smoke in the house when your kids are not around, the air will still be contaminated when they return.
Because of this, making your house 100% smoke free is a vital part of creating a safe and clean environment for your kids. That means prohibiting any kind of smoking inside your house, and also outside the house near any open windows and entrances that could allow the smoke to drift indoors.
Daily medications are a primary life-line for people with COPD, and a necessary part of life for people with asthma and other respiratory diseases. In fact, most COPD patients have to follow a strict treatment regimen and take several different medications every day just to keep their symptoms under control.
Of these medications, inhalers are perhaps the most important and are certainly the most frequently prescribed medications for people with asthma and COPD. Unfortunately, an alarmingly high number of patients don't use their inhalers as they should.
A major reason for this is the fact that asthma and COPD medication regimens can be complicated and difficult to keep track of. However, there's a new kind of tool available, known as smart inhaler technology, that is designed specifically to address this problem.
Smart inhalers can help you manage your medication by recording when you use your inhaler and reminding you when it's time to take the next dose. This makes it easier to remember to take your medication on time and helps you keep track of how well you adhere to your treatment schedule.
What is a Smart Inhaler?
A smart inhaler is, essentially, an inhaler that is designed to communicate with a mobile phone application. This application helps you keep track of important information like your medication schedule and when you are supposed to take your next dose.
A sensor on the inhaler communicates with the mobile application via bluetooth so you can track your inhaler use data in the app. The app records the date, time, and sometimes even the location of each dose you take, and then uses this information to schedule your next dose reminder.
Some smart inhalers use a built-in sensor that's integrated into the body of the inhaler itself. Others, like the Propeller sensor, are more versatile external sensors that you can attached to a variety of different inhalers, including ones you already have.
Smart inhaler technology is useful for monitoring how well you adhere to your treatment schedule over time and for identifying ways you can improve. It also serves as a useful tool for reminding yourself when you last took a dose and for easily tracking how frequently you use your rescue inhaler.
You also can instruct your smart inhaler app to alert you via a phone alarm or notification whenever it's time to take another dose. These digital reminders make it much easier to keep up with a consistent treatment schedule and keep your respiratory symptoms under control.
Some smart inhalers include other helpful features, such as high pollen and pollution alerts or the ability to sense if your forget to bring your inhaler with you when you leave home. As the technology continues to develop, the range of helpful tools and features available via smart inhaler technology will also continue to grow.
What Kinds of Smart Inhalers are Available?
The variety of smart inhalers on the market today is somewhat limited. However, the technology seems to be catching on, and there's sure to be a wider variety of smart inhaler sensors and applications available in the coming years.
It's important to note that most smart inhaler sensors are only approved for use with specific types of medications and inhaler types. Before choosing a sensor, you should double check the manufacturer's website and the device specifications to make sure that it will work with the types of inhalers you're prescribed as well as the type of mobile phone you use.
Here are the two most popular smart inhaler technologies that are approved for use in the US:
- Propeller Smart Inhaler: An external sensor that you can attach to a wide variety of inhalers. Currently available for free to most people from the Propeller website.
- Adherium Hailie Smart Inhaler: An external sensor that you can attach to the following inhalers: Ventolin, Symbicort, ProAir, and Flovent. Available from the hailie.com store.
These products are not yet available in the United States or are currently in development:
- FindAir: Currently only available to purchase in Europe, this external sensor works with more than ten different types of metered-dose rescue inhalers. You can purchase this sensor (if you live in one of the approved European countries) and check to see if it works with your inhaler by visiting their website.
- Teva ProAir: In development
- 3M Intelligent Control Inhaler: In development
Why Should People With Asthma and COPD Consider Using a Smart Inhaler?
Despite the importance of the medication, too many people with COPD and other respiratory diseases take their inhalers for granted or struggle to keep up with their daily doses. However, experts believe that smart inhaler technology can make it easier for patients to comply with treatment and keep their symptoms under control.
Your Inhaler is Your Lifeline
First of all, every person with COPD should understand how vital their inhalers are for managing their disease. Inhaled medications are quick-acting, versatile, and effective, in large part because they deliver medication directly to your lungs, and they form the cornerstone of just about every COPD treatment plan.
Most people with asthma and COPD use inhalers for both long-term symptom management and for short-term relief from breathlessness and other respiratory symptoms. When you use your inhaler as your doctor instructs you to, it can allow you to breathe better, live better, and—in the case of people with COPD—even live longer than you could without your medication.
However, better breathing and disease control isn't the only reason that medication is important. Keeping up with your treatment schedule is vital for living a healthy and fulfilling life.
When your symptoms are controlled via medication, it makes all sorts of activities easier. This includes basic tasks that are important for daily living, like cooking, cleaning, and walking to get around.
Using your inhaler as directed can also allow you to exercise better and live a more active life. This makes it easier to live a healthy lifestyle and keep your body strong, which is vital for mainting your mobility and your quality of life when you suffer from COPD.
Because of this, it's extremely important to keep up with your medications and use your inhaler exactly as your doctor instructs you to. However, while this seems simple in practice, many patients fail to use their inhalers correctly by using them improperly, inconsistently, and frequently missing doses.
Most People with COPD Do Not Use Their Inhalers As Directed
Unfortunately, an alarmingly large number of COPD patients don't use their inhaler correctly or as often as they should. This is often the result of ignorance, laziness, poor training, or a simple lack of proper diligence in keeping up with treatment.
In fact, studies show that up to 70 percent of people with COPD use improper inhaler techniques, which can significantly affect how well the medication works. Other studies estimate that only about 50 percent of people who are prescribed inhalers use them as frequently as they should.
This is important, since not using your inhaler as directed can severely affect your ability to manage your disease and your symptoms. For example, if you have COPD and don't follow your treatment plan exactly, you risk having worse symptoms, more exacerbations, and even quicker lung function loss.
Here is a list of some of the potential consequences of not adhering to your medication schedule:
- Increased risk of death
- Increased risk of quicker lung function decline (COPD)
- Increased risk for exacerbations (COPD)
- Increased risk of your medication not working
- May make it more difficult to effectively control your symptoms and manage your disease
- Makes it difficult for your doctor to evaluate your current medications and treatments accurately
Unfortunately, lackluster treatment compliance is commonplace in patients with chronic diseases like COPD who need constant, life-long treatment. It can be difficult and tiresome to adhere to a strict medication regimen for so long, which is why many people with COPD and other respiratory conditions become more careless and apathetic about about their treatment over time.
Studies also suggest that COPD patients are less likely to take their medications when they're feeling better and have fewer symptoms. However, it's not okay to skip a scheduled dose just because you feel like you don't need it; it's just as important to use your inhaler when you're feeling good as when you're feeling bad.
Many people with COPD have to manage several different types of medication at once, which is another reason why so many patients find it difficult to stick to a consistent regimen. It can be particularly difficult to manage multiple medications that vary significantly in type; for example, some COPD patients have to use supplemental oxygen, multiple kinds of inhalers, and pills you take by mouth.
Keeping all of these different medications straight can get confusing, and it can quickly get complicated when you have to remember schedules, correct dosages, and proper technique for half a dozen different types of medicine. It can be especially difficult to cope with when you're dealing with anxiety or life gets so busy that you want to avoid anything that heaps on extra stress.
That's why smart inhaler technology has the potential to be so useful for people with asthma and COPD; it can relieve some of the logistical burden that comes with managing your health. It can keep track of your medication schedule for you and remind you to take each dose so you don't have to shoulder the responsibility alone.
In this way, experts believe that smart inhaler technology can help people with respiratory conditions better adhere to their treatment plan. With the assistance of a smart inhaler app, you're less likely to miss a dose and more likely to comply with the medication schedule that your doctor prescribes.
Taking your medication on time and as instructed is vital for preventing exacerbations, keeping your symptoms stable, and living the best life that you can. Because it can help you comply with your treatment better, using a smart inhaler may even improve how effectively your medication works to manage your disease.
Research Suggests that Smart Inhaler Technology Really Works
Experts have advocated for this kind of medication tracking technology for many years as a way to improve treatment compliance. Although the technology is still new, early research on the effectiveness of smart inhalers have come up with optimistic results.
One study from the Cleveland Clinic found that people with COPD who used the Propeller smart inhaler were significantly less likely to be hospitalized, with a 35% reduction in the number of hospital visits compared to the year before. While this study was small, including only 39 patients, the results are promising and suggest that smart inhaler technology can actually improve patients' health in addition to improving medication adherence.
Additional encouraging research comes from studies of asthma patients, including one study that looked at the Adherium Smartinhaler. This study found that patients who used the smart inhaler technology had a variety of positive health outcomes, including better medication adherence, fewer hospitalizations, and fewer doctor's visits needed.
How Smart Inhalers Can Benefit People with Asthma & COPD
Now that we've explained how smart inhaler technology can help people with asthma and COPD in general, let's take a closer look at what a smart inhaler could do for you. In the next sections, we'll discuss in more detail some of the specific benefits that smart inhaler technology has to offer.
Smart Inhalers Provide Convenient, Effortless Reminders
By working in tandem with your mobile phone, smart inhalers can send alerts to you directly through your phone. That way, you can get convenient reminders you to take your medication no mater where you are.
And because the smart inhaler records your medication schedule and the last time you took a dose, you don't even have to set the reminders yourself. The smart inhaler app can schedule your next dose and set up an automatic alert to let you know when the right time comes.
These reminders follow you wherever you go and make keeping up with your medication schedule as simple and effortless as possible. This is much more convenient, and potentially much more reliable, than keeping track of your schedule on paper or having to set manual reminders on your phone.
Smart Inhalers Can Prevent Missed or Repeated Doses
It can be difficult to remember the last time you used your inhaler when you have to use it multiple times a day. When you do something so often and it becomes part of your daily routine, each instance tends to blur into the next it's hard to tell them apart.
This can make it difficult to remember on your own the exact time you took your last inhaler dose. It can put you in the difficult position of wondering, “Did I use my inhaler already today, or am I remembering the time I used it yesterday?”
It's especially easy to lose track when you have to use more than one inhaler, as many people with asthma and COPD have to do. You might find yourself wondering, “Did I already take my maintenance inhaler? Or was it my quick-relief inhaler that I used earlier this morning?”
Human memory just isn't very reliable, and mis-remembering your last dose could lead you to to take an extra dose on accident, or skip a dose because you falsely believe you've taken it already. This can be dangerous when you rely on your medication to help you breathe and manage your respiratory disease.
Fortunately, smart inhalers eliminate this uncertainty by automatically keeping a record of each and every time you use your inhaler. That way, you can always check the app to see when you took your last dose and remind yourself which inhalers you've already used that day.
This can be particularly useful for people with mild cognitive impairment, a condition that affects your memory and makes it difficult to remember small things like what you did this morning. Mild cognitive impairment is extremely common in people with COPD, and especially patients with severe hypoxemia (low blood oxygen levels).
Smart Inhalers Can Help Reduce Treatment-Related Anxiety
It can be extremely stressful to adhere to a strict medication regimen with multiple medications that you have to take at certain times each day. Having to keep multiple medication schedules in your head and remember things like when you last used a certain inhaler can take up a lot of mental space.
What's more, when you have a chronic disease that requires constant management, forgetting to take your medication can have serious consequences. Because of this, the fear or missing a dose or not being able to keep up with your treatment regimen can turn in to a major source of anxiety.
However, smart inhalers can help relieve some of that worry by doing some of that remembering and scheduling for you. By tracking your doses and reminding you when to use your inhaler, it can take some of that extra weight off your mind.
In this way, using a smart inhaler frees you from the need to arrange manual reminders and constantly keep your inhaler schedule in your head. This can free up mental energy for other important things in life and make your daily treatment regimen less stressful to manage.
Smart Inhalers Can Help Make Your Treatment More Effective
A large number of people who use inhalers find it difficult to take their medication consistently on their own. This leads to missed doses, doubled doses, and otherwise using your inhaler differently than your doctor recommends.
This can significantly reduce the success of your treatment and cause your medication to be less effective than it otherwise would be. Most personalized treatment plans are carefully designed to help you manage your symptoms in the best way possible, but they only work if you actually do what your treatment plan says to do.
Luckily, smart inhaler technology can help you keep track of your medications and how well you're sticking to your treatment plan. By helping you follow your medication schedule that your doctor prescribes more diligently, it can help you manage your symptoms better than before.
You and your doctor can also use to your smart inhaler app to review the full record of every single time you've used your medication, which is much more accurate than using your memory alone. This allows you to look back and see exactly where you've gone wrong and what you can do to better follow your treatment plan.
Smart inhaler technology is also a useful tool for monitoring how you use your as-needed rescue inhaler for short-term symptom relief. An accurate record of how frequently you use your rescue inhaler is valuable data you and your doctor can use to track the severity of your symptoms and watch out for when your symptoms get worse.
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Some smart inhaler apps also record your location when you take a dose, which can be especially valuable for tracking your rescue inhaler use. In some cases, you may even be able to use this information to pinpoint a certain place or situation that triggers your respiratory symptoms.
All of this information can give you valuable insight about your health and your inhaler use habits that you can use to learn how to better control your symptoms. It also allows your doctor to evaluate the effectiveness of your medication more accurately and make tailored adjustments to help you better manage your disease.
Conclusion
If you have asthma or COPD, doing everything you can to adhere to the medication schedule your doctor gives you is essential for your health. That means knowing how to use your inhalers, when to use each inhaler, and what he correct dose for each medication is.
While this can be a lot to manage, it can be easier when you have practical tools like smart inhaler technology to give you a hand. Smart inhalers can save you a lot of time and mental energy managing your medication, freeing you up to enjoy your life without the constant worry of missing a dose.
When you take your medication properly, it can improve your symptoms, your quality of life, and your overall well-being in a number of significant ways. It can not only make it easier to breathe, but it can also help you maintain the energy and oxygen levels you need to live an active and healthy life.
If you have COPD, your number one responsibility as a patient is to do what your doctor says and take all your medications as prescribed. This might sound simple on the surface but, in reality, it's much easier said than done.
Like most chronic diseases, COPD is not an easy condition to treat. Many COPD patients have a laundry list of medications and other treatments they have to manage every day.
These medications and treatments are life-saving; they make it easier to breathe and help keep serious COPD symptoms and complications under control. Unfortunately, far too many people with COPD don't take their medications as correctly and consistently as they should.
That's why we've created this guide to show you a variety of practical tips and techniques for managing COPD treatments. We'll show you all the steps you need to take to make sure you use your medications correctly and how to avoid common COPD treatment mistakes.
The more you know about your treatments, the more active role you can take in your health, and the better you will be able to manage your disease. That's why it's important to learn everything you can about your COPD medications and how to use them in the most correct and effective way.
Most People are Bad at Taking Their Medications
How well you take your medications and do the treatments your doctor recommends is a concept known as treatment compliance or medication adherence. Good compliance or adherence means that you follow your doctor's instructions, complete all your treatments, and take all your medications correctly and on time. Poor compliance or adherence simply means that you fail to do at least one of those things consistently.
Unfortunately, a large percentage of people in just about every health and disease category fail to take their medications properly. This is a problem that affects older adults in particular; up to 58% of seniors make mistakes when taking their medication, and more than 25% make a serious mistake.
Studies also show that as many as 63 percent of COPD patients don't take their medications correctly, and that percentage may be even higher if you include improper inhaler use. This high failure rate results in a great deal of unnecessary suffering for those who don't take their medication as prescribed.
In many ways, these statistics are understandable, even as they are still a major cause for concern. COPD treatment regimens can be confusing, time-consuming, and involve many types of medications, which makes them particularly challenging to get right.
COPD Treatment Plans are Complex
COPD is not a static disease; the symptoms get steadily worse over time and they can vary from day to day. What's more, the risk of exacerbation is always around the corner, especially in the later stages of the disease.
Because of this, COPD treatment plans usually change several times over the course of the disease. Many people with COPD also have to follow dynamic treatment plans that involve adjusting their daily treatment according to certain symptom changes.
This type of treatment plan—known as a COPD action plan—helps you keep your symptoms under control when they flare up. However, it also makes treatment more complex and introduces more opportunities to do things wrong.
COPD patients also have a high risk of making mistakes simply because of the sheer number of treatments they have to manage. It's not uncommon for someone with severe COPD to have to take half a dozen medications in addition to supplemental oxygen therapy.
It's Easier to Mess Up Than It Is to Do it Right
When it comes to taking medications, there's a lot that can go wrong. It's easy to make mistakes without realizing it, such as taking the wrong dose or using an empty inhaler.
Every step and instruction for taking your medication is important, and there can be a lot of them to remember. But skipping even one of them can have dangerous consequences that range from worsened symptoms to life-threatening complications.
Unfortunately, people with COPD tend to take medications that are particularly difficult to use, including inhalers, nebulizers, and supplemental oxygen therapy. Doing these treatments correctly can be a difficult skill to master, requiring several steps and precise technique.
Keeping up with these complex treatments is even more challenging for those who are struggling with serious physical or mental symptoms caused by COPD. When you are struggling just to get out of bed, go up the stairs, or remember things, having to adhere to a strict schedule of multiple medications and treatments can be a lot to handle.
What Happens When You Don't Use Medications Correctly: Does it Really Matter?
At this point, you might be wondering if it's really that big of a deal if you don't follow your treatment or medication instructions exactly. The answer is yes, it is a big deal if you don't adhere to your treatment consistently.
You shouldn't mistake the fact that poor treatment compliance is so common for meaning that it's nothing to worry about. It's actually a major issue, which is why COPD doctors and researchers have dedicated so much time and effort to understanding and solving this problem.
However, nobody is perfect, and there's usually no reason to worry if you only make a mistake every once in a while. On the other hand, you should always make it a top priority to take your medications on time and adhere to all the other treatments your doctor prescribes.
If you don't comply with treatment or forget to take your medication too often, it can make it much more difficult to control your symptoms and manage your disease. This leads to worsened breathing problems, exacerbations, and other COPD complications that can hurt your quality of life.
For instance, one study showed that COPD patients who didn't use their inhalers correctly had worse symptoms, including coughing and more severe shortness of breath, than patients who practiced proper inhaler technique.
Other research shows that poor medication adherence can have a variety of serious consequences, including:
- Less ability to control COPD symptoms
- Increased shortness of breath
- Increased risk for COPD exacerbations
- Increased risk of death (poor treatment adherence can double or triple your mortality risk)
- More frequent hospitalizations
- Increased health care needs and disease-related costs
- Reduced quality of life
Even things that seem minor, like skipping a step when you use your inhaler, can have a major effect on how well your medication works. You could end up getting too small a dose, too large a dose, or not getting any medication at all.
In some cases, using medications incorrectly can cause dangerous side effects or life-threatening complications. If your supplemental oxygen flow is not set right, for example, it can lead to dangerous breathing problems, including severe hypercapnea (high blood carbon dioxide levels) and death in the most extreme cases.
Are You a Compliant Patient?
When you're taking several medications and have a complex disease, it's normal—and even expected—to make small mistakes here and there. However, those mistakes should be few and far between, and overall you should be following your treatments exactly as prescribed.
Unfortunately, many people don't even realize how poorly they are complying with treatment or how frequently they make mistakes. You might make more mistakes than you realize, which is why it's important to give it some serious consideration.
You can get a better idea of your overall compliance by answering a few yes or no questions about your medication habits. The following questions are part of the Medication Adherence Questionnaire (PDF link), a scale that is used often by doctors and researchers to measure how well a patient is adhering to their medication.
To use this scale, choose either “yes” or “no” as an answer to each question or statement. Choose the answer that is most accurate based on your actions and beliefs during the past week.
Medication Adherence Questions:
- Do you ever forget to take your medication?
- Are you careless at times about taking your medication?
- When you feel better, do you sometimes stop taking your medication?
- Sometimes if you feel worse when you take the medication, do you stop taking it?
If you answered yes to any of these questions, then you probably aren't taking your medication as consistently and correctly as you should. The more questions you respond “yes” to, the poorer your medication adherence is.
You can use these questions to help you identify where things are going wrong, and use that insight to find solutions. You should also tell your doctor if you're having trouble taking your medications as prescribed for any reason; this will not only help your doctor make better decisions about your treatment, but will also give your doctor the opportunity to offer solutions and advice.
Common COPD Medication Mistakes to Avoid
We've talked already about how poor treatment adherence is alarmingly common among people with COPD. However, we haven't talked much about what kinds of mistakes patients are making and what exactly they are failing to do.
Research shows that there are several specific areas of treatment that tend to be the most problematic, including taking medication consistently and using proper inhaler technique. If you or someone you love has COPD, it's important to be aware of these common problems so you can avoid making the same mistakes.
Taking Medications Based on How You Feel
One common, yet dangerous, mistake that patients make is stopping their medication when their COPD symptoms start to get better. Some people think that, because they feel fine, they don't need to continue taking their medication.
However, this is not true; you should always take your medication exactly as your doctor tells you to, regardless of how good or bad your COPD symptoms are. If you notice your symptoms improve, you should take it as a sign that your medication is working, and continue to take it as prescribed.
It's important to trust your doctor's advice and remain diligent about your treatment, even if you sometimes feel like it's not necessary to take your medication. If you have any problems or concerns, bring them up with your doctor instead of trying to take things into your own hands.
You need to take your medications consistently every day in order to keep your symptoms under control. Reducing your dose, stopping your medication, or taking it inconsistently will only make it more difficult to manage your disease.
Not Reading the Instructions
When you pick up your medication from the pharmacy, it usually comes with a packet of papers with detailed information about your medicine. Many people simply ignore this packet or throw it in the trash as soon as they get home.
However, this packet contains all kinds of valuable knowledge meant to help you take your medicine correctly and avoid dangerous mistakes. While it might seem like a lot to go through, you should take the time to read through the whole packet for each medication you take.
If you don't, you could miss vital health warnings or important information about dosages, side-effects, drug interactions, and more. It's also a good idea to keep these information packets in a file at home in case you need to reference them later.
Medical stuff can be tricky, however, and reading about your medication will only help you if you understand what it means. That's what your doctor and pharmacist are there for; they can help you go through the information and explain anything else about the medication that you need to understand.
Not Using Your Inhaler Correctly
Even though inhalers are the main line of treatment for COPD symptoms, the vast majority of people don't actually use them correctly. The numbers are actually quite alarming: up to 90% of COPD patients fail to use proper inhaler technique.
Research also shows that improper inhaler use can significantly affect how well the medication works. It can worsen respiratory symptoms, increase your risk of being hospitalized, and may even double your chances of developing a COPD exacerbation.
Here is a list of some of the most common inhaler mistakes you should avoid (note that some only apply to certain types of inhalers):
- Not using the spacer correctly
- Using an empty inhaler (e.g. not checking the dose counter or making sure there is a spray)
- Not priming the inhaler before use
- Not exhaling before taking a dose
- Not inhaling at the correct time when taking a dose
- Inhaling too quickly
- Not aiming the inhaler correctly (it should spray toward the back of your throat)
- Not holding your breath after taking a dose
- Not using correct head and body posture
- Not rinsing out your mouth after using a steroid inhaler
All of these mistakes can affect your dosage and how well your medication works. That's why it is vital to learn how to use your inhaler correctly and avoid making blunders like these.
Not Using Oxygen As Often As You Should
Poor treatment compliance is a major issue among people with COPD who use supplemental oxygen therapy. This is often due to inconvenience, discomfort, and worries about how it might look in public.
Research shows that a large percentage COPD patients who use long-term supplemental oxygen therapy use oxygen for fewer hours per day than their doctor prescribed. Another 23% of patients refuse to ever use their oxygen outside their homes, in spite of their doctor's instructions to do so.
But even though oxygen therapy can be difficult and uncomfortable, it's very important to use it exactly as you're supposed to. If your doctor prescribes it, then you need it to keep your blood oxygen levels from dropping dangerously low (a condition known as hypoxemia).
Failing to use oxygen correctly will worsen hypoxemia, which can lead to serious health conditions including heart problems, cognitive impairment, respiratory failure, and even death. That's why it's imperative to use your oxygen, and use it correctly, despite how challenging it might be.
It's easy to focus on the negatives, but you should instead try to focus on the fact that oxygen is a life-saving medication that can make your life better rather than worse. It's not always easy to integrate oxygen therapy into your life, but for many people it is a necessary part of treating COPD.
Not Using a COPD Action Plan
Any person who takes medication for COPD should have a proper COPD action plan. This ensures that you always have a clear set of instructions to guide you when taking your daily medications and treatments.
COPD treatment is rarely simple, which is why verbal instructions from your doctor and basic medication schedules aren't enough; you need a clear and thorough written plan. If you don't have a proper COPD action plan to guide you, you will be much more likely to take your medication incorrectly and make other risky mistakes.
Unlike a simple medication schedule, an action plan is dynamic; it tells you how to treat your symptoms based on how severe they are that day. It is essentially a set of several medication schedules with instructions for how and when to use each one.
For example, you would have a plan for typical days, when your symptoms are at baseline, and a different plan for atypical days when you feel worse than you usually do. Each plan tells you which medications—and how much—to take, as well as how you should adjust your activity level and other treatment-related advice.
Once you have an action plan, it's important to make sure you understand it and remember to follow it every day. That means means paying close attention to your symptoms, knowing how to choose the right plan, and knowing what the instructions in each plan mean.
To learn about COPD actions plans and see some examples of what they look like, take a look at our guide on the topic here.
Important Things to Know About Your Medications
In order to take your medications properly, you should have a thorough understanding of each medication and treatment you use. That includes basic things like the correct way to take your medications and how much you're supposed to take, and more detailed information like any interactions they have with other drugs and medications.
Ideally, most of the practical information you need to know about your medication should be included in your COPD action plan. However, your action plan is simply an overview of your treatment, and it won't give you all of the detailed information you need to use your medications responsibly.
The more you learn about your medications, the less likely you are to make errors that could affect your medication or put your health at risk. Here's a quick overview of what you should know and where to get the information you need.
Know the Name and Purpose of Your Medication
First of all, it's important to know the name and the general purpose of each medication you take. In other words, you should be able to answer the following questions: What is your medication called, what do you take it for, and what is it supposed to do?
You need this knowledge to understand your treatment plan and why you need to take your medications. It will also help you better communicate with your doctor and others about your treatment.
Fortunately, this kind of basic information is generally easy to find. You can get it from your doctor, your pharmacist, your prescription info packet, or the information printed on medication bottle or packaging.
However, it's best to get this information first hand from your doctor, who can explain the purpose of your medication in easy-to-understand terms. He can also help you understand how the medication benefits your specific condition, and what kinds of outcomes you can expect.
Know Your Dosage and Frequency
Dosage is everything in medicine; if you get too much or too little of a medication, it can significantly change its effects. That's why, in order to take your medication correctly, you need to know exactly how much medicine you're supposed to take.
This is known as your dosage, and getting it right is vital for ensuring your medication works as it should. Your dose frequency is also important, which simply means you need to know how long you're supposed to wait between each dose.
For example, your medication instructions might say to take a dose every certain number of hours, or give you a maximum number of doses you can take in a 24-hour period. Your doctor might also give you more specific instructions for how often you should take your medication every day.
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Know When to Take Your Medications
In many cases, you should take your medication at a specific time every day. For example, your doctor might tell you to use your daily inhaler right after you get up in the morning.
These time-based instructions are important to know and follow, because when you take your medication can affect how well it works. It's also important to keep the dose schedule for each different medication straight; that's where having a detailed medication schedule really comes in handy.
You also need to know when to take medications that are reserved for specific circumstances, such as when your symptoms get worse. You'll likely have a set of medications to take every day (e.g. long-acting bronchodilators), medications you can use as-needed (e.g. a short-acting rescue inhaler), and a set of medications you're only supposed to use when you notice the signs of an oncoming exacerbation (e.g. antibiotics and corticosteroids).
Make sure you know the differences between all these different medications, and know when to use them per your COPD action plan. Pay special attention to as-needed medications like rescue inhalers (and sometimes supplemental oxygen), which can be particularly tricky to use correctly.
Know What to Do if You Miss a Dose
No matter how careful you are, you're bound to accidentally miss a dose sooner or later. Whenever that happens, you'll need to know what to do next.
For example, let's say you just realized that you forgot an inhaler dose that you were supposed to take earlier. Should you go ahead and take the missed dose now, or wait until the next dose you have scheduled?
The answer will likely depend on a variety of things, including the type of medication and how long it's been since the missed dose. If you ask your doctor, he can tell you what to do in a specific case, and how to handle similar situations in the future.
The information that comes with your medication may also give you advice for what to do when you miss a dose. Whatever you do, it's b
The lungs are one of five vital organs in the human body along with the brain, heart, kidneys, and liver. Every breath you take helps to produce and distribute nutrients in the bloodstream that provide you with energy, heal your wounds, and maintain every other organ throughout the body. And while most people understand the basics of maintaining healthy lungs i.e., getting enough exercise, eating healthy foods, and not smoking, many people aren’t aware of how specific lung diseases differ from one another and how they’re diagnosed by medical professionals.
There are many lung diseases, but each one affects a different part of the respiratory process. For example, one condition may affect your physical ability to take in air while another could affect your lung’s ability to absorb oxygen from that air. While the symptoms you experience may be similar in these two situations, the way they’re diagnosed and treated could be very different.
If you’re diagnosed with a lung disease, it’s important that you’re educated about its unique characteristics because, while your doctor will provide you with medication and information regarding your disease, your body’s ability to heal will inevitably depend on the lifestyle changes you make.
In the following sections, we’re going to break down each category of lung disease to help you demystify them and eliminate any confusion you may have. Then, we’ll take a look at how exactly respiratory diseases are diagnosed by doctors. Keep in mind that if you have any questions or concerns about your respiratory health, don’t hesitate to discuss them with your pulmonologist or in one of the many online forums designed to support those suffering with respiratory disease.
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The Importance of Respiratory Health
Despite lung disease being one of the leading causes of death worldwide, many people are unaware of the role their lungs play in their overall health. While asthma and lung cancer are household names in the health world, they are far from the only conditions you should be aware of or concerned about.
Unfortunately, as we age, most things become more difficult and that includes breathing and maintaining healthy lungs. If you’ve smoked in the past or lived in a polluted area, you’re going to be at a much higher risk for a variety of different respiratory conditions so the best way to stay healthy is to get started as soon as possible with protecting your lungs.
Generally, raising awareness is a great way to stress the importance of lung health and prevent many diseases before they take hold. Simply discussing the topic with a friend and striking up a conversation on a blog, online forum, or among your friend group will get people talking and cause them to be more conscious about their lung health.
How The Lungs Work
The lungs are one piece of the respiratory system and are responsible for bringing oxygen into the body and removing carbon dioxide. The respiratory process begins when the diaphragm (the muscle between the lungs and the abdomen) contracts, expanding the lungs and causing air to flow down the windpipe to the trachea where it is divided into the bronchial tubes and into the lungs.
As air enters the lungs it’s divided into smaller air passages called bronchioles. At the ends of these bronchioles are alveoli, tiny air sacs with blood vessels and capillaries on them. The walls of the alveoli absorb oxygen where it passes into the blood. Simultaneously, carbon dioxide is released from the blood and sent out of the body when you exhale.
Your red blood cells need oxygen to complete a process called metabolism. This is where nutrients taken from the food you eat are broken down using oxygen to create usable energy for your body. The heart then pumps this blood throughout the body reaching every organ in the body.
Your respiratory system has a number of “defense mechanisms” that it uses to prevent irritants and harmful substances from entering the lungs and bloodstream. Tiny hairs in the nose called cilia help to prevent larger particles from entering your lungs. Additionally, mucus in the bronchial tubes and trachea help prevent viruses and bacteria from reaching the lungs. However, if these impurities do reach the lungs, they can sometimes be brought up through mucus.
The Different Types of Respiratory Disease
The majority of lung disease in the United States are the result of smoking, infections, and genetics. They can be classified into six different categories. Each category impacts a different part of the lungs. Because each of these categories can overlap in terms of symptoms, causes, and risk factors, it’s often difficult to diagnose them without the appropriate diagnostic tests and a thorough examination of symptoms. Read on to learn more about each category of respiratory disease.
Diseases Affecting the Airways
The airways are all parts of the respiratory system that transport air from one point to another. It starts at the nose and mouth, passes through the pharynx and larynx, and into the trachea. After reaching the trachea, it passes into the left and right bronchi and then the three lobes in each lung.
Asthma
Asthma is one of the most common respiratory diseases affecting the airways. It’s characterized by persistent inflammation and spasms that result in shortness of breath and wheezing. During an asthma attack, muscles near the airways contract and they become swollen causing the bronchial tubes to narrow. 1 in 13 people have moderate to severe asthma according to the Centers for Disease Control (CDC).
Asthma is classified into two different categories: allergic asthma (extrinsic) or non-allergic asthma (intrinsic). Allergic asthma is caused by external factors or irritants that come from outside the body such as pollution, cigarette smoke, pollen, exhaust, or airborne chemicals. Non-allergic asthma is the result of internal triggers such as bacterial and viral inflammations of the airways. Emotional or physical stress can also induce an asthma attack.
Chronic Obstructive Pulmonary Disease (COPD)
COPD is one of the leading causes of death in the United States. It’s an umbrella term that includes emphysema (damage to the alveoli) and chronic bronchitis (damage to the bronchial tubes). 90 percent of instances of COPD are the result of smoking.
COPD isn't a disease that takes hold overnight; it develops gradually over years like many lung conditions. As a result, many people don't realize they have COPD until their symptoms get bad enough for them to see a doctor. Like an asthma attack, a COPD exacerbation is a sudden onset of symptoms. These symptoms include:
- Breathlessness - especially during physical activity
- Chronic cough that tends to get worse over time
- Wheezing or other breathing sounds
- Coughing up mucus (phlegm)
- Symptoms that get worse with sickness such as a cold or the flu
Acute Bronchitis
Also known as a chest cold, acute bronchitis is the temporary inflammation of the bronchi. This is usually accompanied by a fever, shortness of breath, wheezing, and excess mucus production. While acute bronchitis is not usually a huge health concern, combined with other more serious respiratory conditions, it can cause an exacerbation that could be fatal. This is why it's so important to avoid getting sick if you have any type of lung disease.
Cystic Fibrosis
Cystic fibrosis differs from the above conditions in that it’s genetic. Someone with with cystic fibrosis will have difficulty clearing mucus from the airways because the disease causes it to become sticky and thick. These people typically have frequent lung infections and a chronic cough and it's often detected in childhood so it can be treated early on.
Cystic fibrosis alters a protein in the body called the cystic fibrosis transmembrane (CFTR). This protein manages the flow of salt and water in and out of cells in the body. Because the balance of salt and water is altered, mucus becomes thicker which can affect a number of systems throughout the body, especially the respiratory, digestive, reproductive systems, and sweat glands.
Diseases Affecting the Air Sacs (Alveoli)
There are millions of alveoli in the lungs. Each balloon-shaped air sac is only one cell thick and are the “endpoint” of the respiratory system where oxygen enters the bloodstream. There are a number of disorders affecting the alveoli that can result in inflammation, overdistention, or surfactant which prevents the alveoli from deflating entirely between breaths.
Pulmonary Edema
A pulmonary edema occurs when the alveoli begin to fill with fluid preventing the exchange of oxygen and carbon dioxide. This disease can often occur as a result of congestive heart failure and can be deadly.
In situations where pulmonary edemas are not caused by the heart, this is called noncardiogenic pulmonary edema. This results when the capillaries in the lungs become leaky or more permeable. This may happen as a result of high-altitude pulmonary edema (HAPE), acute respiratory distress syndrome (ARDS), a viral infection or more.
In order to prevent pulmonary edemas, you should focus on your cardiovascular health. Eat a heart-healthy diet low in salt, sugar, and solid fats, exercise regularly, and never smoke. Pulmonary edemas can be fatal so it's important that you visit a cardiologist and pulmonologist regular to monitor your heart and lung health.
Pneumonia
This condition results when the alveoli become inflamed and infected, usually filling with pus and making it difficult to breathe. While pneumonia can range from mild to life-threatening, it's more dangerous for people with a weakened immune system or people with other health problems.
Pneumonia can be acquired from a number of sources including hospitals, long-term care facilities, or other healthcare facilities. In order to prevent pneumonia, you should get vaccinated, practice good hygiene, and keep your immune system strong by eating right and not smoking.
Tuberculosis
Tuberculosis is a contagious disease resulting from a bacteria called mycobacterium tuberculosis. This disease begins in the lungs but bacteria is known to travel to other parts of the body like the spine, brain, and kidney. People who have active tuberculosis may experience symptoms like shortness of breath, fatigue, and coughing up blood-tinged phlegm. To some, tuberculosis is known as the "disease of poverty" because it is far more common in developing countries that are often overcrowded.
Lung Cancer
While lung cancer can occur in any part of the lungs, it occurs more frequently in or around the alveoli. Lung cancer is the most common form of cancer but it's also the most preventable with up to 90 percent of all cases being caused by smoking. While there are more than 20 different types of lung cancer, the two most common are small cell and non-small cell lung cancer.
Acute Respiratory Distress Syndrome (ARDS)
ARDS occurs when the alveoli in the lungs begin to fill with blood from surrounding blood vessels. Because ARDS leads to low blood oxygen levels and breathing failure, it can often be a fatal disease and while two thirds of ARDS patients survive, some may never fully recover from their symptoms.
Diseases Affecting the Interstitium
Between the alveoli in the lungs, there is a thin lining containing blood vessels that are responsible for the exchange of oxygen and carbon dioxide between the blood and the air sacs. This delicate layer is called the interstitium.
Diseases that affect the interstitium are classified under the umbrella term “interstitial lung disease” (ILD) and include things like autoimmune disease, sarcoidosis, and idiopathic pulmonary fibrosis. Other diseases that can affect the interstitium include pulmonary edema and pneumonia.
Diseases Affecting Blood Vessels
It’s important to remember that what affects one part of the body often has an effect on another party of the body — this is often the case with diseases affecting blood vessels. When the right side of the heart receives deoxygenated blood, it goes to the lungs through the pulmonary arteries. These arteries may become damaged by disease as well.
Pulmonary Hypertension
Idiopathic pulmonary arterial hypertension (high blood pressure in the lungs) can result in chest pain and shortness of breath. The primary concern with pulmonary hypertension is heart failure as it puts a strain on the right ventricle of the heart.
High blood pressure usually results when capillaries and pulmonary arterioles are damaged, clogged, or narrowed in some way. When this happens, the right side of your heart will have a harder time pumping blood through the lungs. Eventually, the patient will experience heart failure.
Pulmonary Embolism (PE)
Also known as a blood clot, a PE may be pumped into the lungs resulting in low blood oxygen levels and difficulty breathing. It can also result in damage to the lungs or other organs within the body and can even be fatal. Common signs of a pulmonary embolism are a chronic cough, chest pain, and shortness of breath. Treatment options for PE include blood thinners, compression clothing, and physical activity.
Diseases Affecting the Pleura
The pleura is the outer lining of the lungs made up of the parietal pleura and the visceral pleura. The pleura as a whole assists the lungs as you inhale and exhale by producing a fluid that lubricates them and allows them to move easily.
Pleural Effusion
Heart failure or pneumonia can sometimes result in what’s called a pleural effusion. This is when an excess amount of fluid builds up in the space between the chest wall and the lung. Draining the fluid can help the patient regain their breathing.
The two types of pleural effusion are exudative and transudative. Exudative pleural effusions are the result of an excess of white blood cells that have reached the pleural fluid. Cancer, infection, and inflammation are usually the cause of this type of pleural effusion. On the other hand, transudative effusion is usually caused by kidney disease, liver disease, and cardiac failure. It's usually pale and yellow in color.
Pneumothorax
Pneumothorax, also known as a collapsed lung, results when air leaks into the area between the lung and the chest wall (pleural cavity). There are a number of things that can cause pneumothorax like chest injury, lung disease, or lung procedures. Depending on how severe the event was, pneumothorax can fix it self or it may require medical attention. To treat it, doctors insert a needle or tube between the ribs and remove excess air.
Mesothelioma
This is a rare type of cancer that’s typically caused by exposure to asbestos, a fibrous mineral often used in the building and construction industry. Years of exposure can significantly damage the lungs and can be life threatening. In order to prevent mesothelioma, it's a good idea to have the air quality in your home tested regularly.
This cancer attacks mesothelial cells found in the abdominal cavity and membranes lining the chest. This forms a tissue called mesothelium which lubricates organs and prevents them from becoming damaged as they move up against one another. Peritoneal mesothelioma occurs in the abdomen while pleural mesothelioma occurs in the chest cavity.
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Diseases Affecting the Chest Wall
In order to take in as much air as possible, your lungs, diaphragm, and chest wall need to be as flexible as possible. When any one of these is obstructed it can result in difficulty breathing and other respiratory disorders.
Obesity Hypoventilation Syndrome
Obesity is common and can have numerous adverse effects on the body. Extra weight on the abdomen and chest, however, can lead to serious breathing problems, especially if other respiratory diseases are involved. In most cases, respiratory patients will undergo some form of exercise in order to prevent fat from building up in the chest.
Neuromuscular Disorders
Myasthenia gravis and amyotrophic lateral sclerosis are two neuromuscular disorders that may affect the lungs. These conditions affect the nerves that control the muscles in your chest wall resulting in difficulty breathing. This can’t be cured but it can be managed and treated.
Diagnostic Tests for Lung Conditions
Because so many lung conditions have overlapping symptoms, it can be difficult to diagnose them. According to WebMD, between 25 and 50 percent of people in the United States visit a doctor with a concern about shortness of breath every year. Lung diseases are by no means uncommon, but they can range in severity from mild to life-threatening.
While your doctor will likely ask you about the symptoms you’ve been having, he/she will likely have to perform some type of test to accurately diagnose your condition. A physical examination is usually where they will start along with studying your medical history. If these bring up any concerns, your doctor will have a better idea of what test to perform.
Spirometry
If your doctor believes you are exhibiting signs of COPD, asthma, or pulmonary fibrosis, he may perform a spirometry test. These tests can also be used if you already have a lung disease in order to see how well your treatment is working.
During a spirometry test you will exhale into a tube that’s attached to a spirometry device. This will result in two measurements: forced vital capacity (FVC), the amount of air you can exhale, and forced expiratory volume (FEV), the amount you can exhale in one second.
Chest X-Rays
A chest X-ray can reveal a number of things about your pulmonary health. Because they produce images of your heart, lungs, blood vessels, and airways, your doctor will be able to see how your lungs are functioning with the rest of the body. Your doctor will be able to identify cancer, emphysema, pneumonia, collapsed lungs, and heart issues that could be affecting your lungs.
Blood Gas Tests
This is a type of blood test used to determine your blood oxygen levels. Blood gas tests or blood gas analysis will provide your doctor with crucial information about the function of your lungs and can be used to diagnose a wide range of respiratory diseases. It will measure your oxygen saturation level, partial pressure of oxygen and carbon dioxide, bicarbonate, and arterial blood pH. If you already have a lung disease, pulse oximetry is a quick and noninvasive way to check your blood oxygen levels. Your doctor may recommend this, especially if you are using supplemental oxygen like an oxygen tank or oxygen concentrator.
Chest CT Scan
A CT Scan is a more advanced form of X-ray allowing your doctor to see more detailed images of the chest and its internal organs. A CT scan can be used to reveal tumors and evaluate heart and lung diseases. The main benefit of a CT scan over a traditional X-ray is that it’s much easier to see subtle details in the internal organs which could be crucial for accurately diagnosing a lung diseases like pneumonia, tuberculosis, interstitial diseases, and detect inflammation of the pleura covering the lungs.
Bronchoscopy With Biopsy
A bronchoscopy is a procedure where a thin tube with a camera on the end is inserted through the nose or mouth in order to view the airways and the lungs. The biopsy part involves taking a small amount of tissue for testing which is not always necessary depending on what your doctor is testing for. Bronchoscopies are typically used to look for blockages in the airways, diagnose shortness of breath or a chronic cough, or to follow up on a CT scan that revealed a lung infection.
Electrocardiography (EKG)
Electrocardiography is a noninvasive test that can help your doctor determine if blood flow to the heart is being impaired. During this procedure, several electrodes will be attached to your chest and monitor your heart rhythm which is displayed on a screen. This type of test can be used to diagnose lung disorders that affect the blood vessels and heart.
How To Maintain Healthy Lungs
Respiration is one of the most important processes that your body performs and your lungs are at the center of it. Fortunately, you don’t have to leave your lung health up to chance. According to the Centers for Disease Control and Prevention, 39 percent of chronic lower respiratory diseases cases (the fourth leading cause of death in the U.S.) are preventable. What this means is that making healthy lifestyle choices will significantly decrease your chance of being diagnosed with a lung disease.
What’s more, many of the lifestyle changes you can make are very simple and will have far reaching effects beyond just your respiratory health. Heart health is very closely linked to lung health, so chances are, if you’re taking good care of your heart, you’re also helping your lungs. Let’s take a look at some simple things you can do to improve your health.
Avoid Airborne Pollutants
The scary thing about airborne pollutants is that we’re surrounded by them constantly, sometimes without us even knowing.
Medical terminology can be very challenging to understand sometimes. Even with the abundance of resources we have nowadays in order to research and understand these terms, there are always certain things that will be lost in translation. The oxygen industry, for example, is rife with terms that many people don’t entirely understand. This can lead to a lot of confusion when it comes to discussing them with your friends, family, or doctor.
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In this post, we’ll take a look at some of the most commonly misused respiratory terms including but not limited to respirators, ventilators, and oxygen concentrators. Whether you’re someone with a respiratory condition like chronic obstructive pulmonary disease (COPD) or asthma, or you’re just interested in this topic, you should find this guide useful. If you have any questions about what you read, be sure to leave them in the comment section so that we can help clarify.
What is a Respirator?
A respirator is a type of mask that covers the user’s nose and mouth. They’re designed to reduce the wearer’s risk of inhaling hazardous substances that could damage the lungs and body in general. All respirators must be certified by the Centers for Disease Control and Prevention (CDC) or the National Institute for Occupational Safety and Health (NIOSH).
Respirators are used in both medical and industrial settings. In a medical setting, respirators are used by healthcare professionals to filter infectious diseases out of the air that they breathe. Since we first discovered coronavirus 2 (SARS-CoV-2), you’ve likely heard the term “N95 masks” thrown around. This refers to a type of respirator that’s specifically designed to filter out viruses. N95 filtering facepiece respirators (FFR) remove 95% of very small particles (0.3 microns).
Industrial respirators, on the other hand, are designed to protect the wearer against harmful airborne particles found in an industrial setting. Airborne particles are divided into three different groups: small, medium, and large. Small particles are less than 1 micron in diameter, medium particles are between 1 and 100 microns in diameter, and large particles are greater than 100 microns in diameter.
Generally speaking, respirators are used by healthcare workers and industrial workers. Many national and local laws require these people to use NIOSH-certified masks while they’re on the job in order to prevent the spread of infectious disease and to prevent long-term lung damage. Most people need to be trained on how to use respirators correctly because there can’t be any air leaks. What’s more, respirators may be hazardous for people with chronic respiratory conditions like COPD or asthma.
Respirators should not be confused with surgical masks. A surgical mask is a very loose-fitting piece of cloth that’s only designed to filter out very large particles. Surgical masks are worn by the general public to help prevent the spread of COVID-19 as well as other infectious diseases, but they are not an all-in-one solution. If preventing the spread of disease is your goal, you will still need to follow all of the guidelines outlined by the World Health Organization (WHO) like maintaining 6 feet of distance from the nearest person and staying home if you feel sick.
What is a Ventilator?
Ventilators have an entirely different function than respirators. A ventilator is a machine that helps patients with the mechanical act of breathing. It helps push breathable air into the lungs and removes carbon dioxide-rich air from the lungs. Ventilators are typically used in hospitals and they’re designed to help patients who have severely impaired lungs or diaphragmatic muscles and are unable to breathe on their own. They’re also used in patients who have suffered brain trauma.
There are two different types of ventilation: non-invasive ventilation and invasive ventilation. Non-invasive ventilation can be done at home via a special machine and face mask, however invasive ventilation requires a medical professional. During invasive ventilation, a tube will be inserted into the airways either via the mouth or a surgical incision in the neck. There are two different methods used to administer ventilation to a patient: positive-pressure ventilation and negative-pressure ventilation.
Positive pressure ventilation was invented in the 1950s and it’s considered the standard, however, negative-pressure ventilation is rarely used today. CPAP, BiPAP, and APAP are all types of non-invasive ventilation that can be done at home.
What is an Oxygen Concentrator?
Simply put, an oxygen concentrator is an electronic device that supplies patients with medical-grade oxygen. Unlike ventilators, an oxygen concentrator does not force air into the lungs. It simply releases oxygen that can be inhaled by the user. Oxygen concentrators are used to treat a variety of conditions, but chronic obstructive pulmonary disease (COPD) and cystic fibrosis (CF) are among the most common.
Oxygen concentrators work by taking in ambient air and removing nitrogen dioxide, argon, and other impurities. It then concentrates the oxygen and outputs it through a nasal cannula that’s attached to the patient’s face. There are two different methods of delivery for oxygen concentrators: continuous flow and pulse flow. The former is a constant stream of oxygen and the latter is the delivery of oxygen in puffs called “boluses” only when the user inhales.
Since oxygen therapy is often prescribed for 14 hours or more every day, most patients prefer to have a portable option so that they can get out of the house. Fortunately, there are portable oxygen concentrators available, and they’re very lightweight and reliable. The Caire FreeStyle Comfort, for example, is one of the lightest and most powerful portable oxygen concentrators ever produced. It weighs just 5 pounds, provides up to 16 hours of battery life on one charge, and has a maximum oxygen output of 1,050 milliliters per minute (ml/min) of medical-grade oxygen.
The FreeStyle Comfort isn’t the only outstanding POC on the market, however. Another popular pulse dose unit is the Inogen One G5. This machine weighs in at just 4.7 pounds with a maximum oxygen output of 1,260 ml/min of medical-grade oxygen, and 13 hours of battery life on one charge. For its weight, the G5 puts out more oxygen than any other POC ever produced and its battery life is nothing to joke about either. Inogen also has a long history of customer satisfaction.
The last POC we need to mention is the Respironics SmplyGo. This one differs from the last two in that it’s a continuous flow portable oxygen concentrator. In fact, it’s the lightest continuous flow POC ever produced. If your doctor prescribes you continuous flow oxygen, this will likely be your best option because it’s only 10 pounds which is significantly lighter than any other option on the market. There are many things to look for in an oxygen concentrator, so be sure to check out this guide before making your decision.
What are Nebulizers and Inhalers?
Nebulizers and inhalers are respiratory devices used to administer medication to the lungs. If you have a chronic respiratory ailment like COPD or pulmonary fibrosis, sometimes it is more effective to administer medication directly to the lungs, rather than taking an oral tablet which will need to go through the bloodstream. Nebulizers and inhalers are similar, but they’re used in different scenarios.
A nebulizer is a tabletop machine that takes liquid medication and turns it into a fine mist called “aerosol.” This aerosol is then inhaled through a mouthpiece. An inhaler does the same thing, but it’s much smaller and lighter so you can take it anywhere. The problem with inhalers, however, is that they require you to precisely time your inhalation in order for them to be effective. Nebulizers allow you to inhale the medication at your own pace.
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Most people with COPD, asthma, or pulmonary fibrosis will use some combination of nebulizer and inhaler therapy. You’ll likely use your nebulizer for long-term treatment and your inhaler can be used while you’re out of the house as a “rescue Inhaler.” In other words, you’ll use fast-acting bronchodilators that open your airways in the event that you experience an exacerbation.
What are CPAP, BiPAP, and APAP Machines?
CPAP, BiPAP, and APAP are all different types of positive airway pressure (PAP) therapy. They’re used exclusively by people with sleep disorders, especially obstructive sleep apnea (OSA). This is when the muscles in the throat relax during sleep causing breathing to stop momentarily. Complications of sleep apnea include cardiovascular problems, daytime fatigue, eye problems, and more.
Essentially, positive airways pressure is designed to keep the airways open during sleep and prevent any disruptions. If a patient has both a chronic lung disease and obstructive sleep apnea, a continuous flow oxygen concentrator can be bled into the PAP therapy device to ensure they are able to maintain their blood oxygen levels. There are three different types of PAP therapy machines, so it’s important to understand how they differ.
Much like a continuous flow oxygen concentrator, constant positive airway pressure (CPAP) machines put out a consistent stream of high-pressure air. For many OSA patients, CPAP machines will work just fine because you simply need to turn the device on before you sleep and it will run all night. However, the problem with CPAP therapy is that the same air is being applied when you’re exhaling. If this causes difficulty exhaling, it could lead to a buildup of CO2 in your system.
BiPAP machines are an alternative to CPAPs which have two different pressure settings: one for inhalation and one for exhalation. This will afford you more comfort as you exhale and reduce the risk of you retaining CO2 as you exhale. An auto-adjustable positive airway pressure device (APAP) takes this one step further with an array of pressure settings to account for fluctuations in your sleep patterns. These are the most advanced type of PAP therapy device, but they’re also the most expensive. Be sure to consult with your doctor to determine which one is best for you.
Conclusion
While all of the above medical devices are concerned with respiratory health, they all have very different functions. Respirators filter out harmful particles, ventilators help patients with the mechanical act of breathing, oxygen concentrators supply medical-grade oxygen, and PAP machines prevent the airways from collapsing during sleep.
Whether you’re someone with COPD, asthma, sleep apnea, or any number of other conditions that affect the respiratory system, it’s important to be clear about the differences between the devices above. If you have any questions about what you read here, don’t hesitate to leave them in the comment section below.
The novel coronavirus has completely reshaped the way that we view sanitation. Over the past year, organizations and individuals alike have taken steps to control the spread of disease, and the population as a whole has become more aware of the impact of infectious disease. Another thing that people have become more aware of is the impact of chronic respiratory diseases such as COPD, asthma, and pulmonary fibrosis. Studies have shown us that these people are “high risk” when it comes to infectious disease, so we need to take steps to protect their health.
Unfortunately, simply telling someone to “clean more often” or “clean more thoroughly” is bad advice. These statements fail to acknowledge that cleaning products themselves can actually put our health at risk. Many household cleaning products are filled with toxic chemicals that can irritate the eyes, skin, and throat. And in the worst cases, they can even contribute to COPD symptoms by exacerbating chest pain, difficulty breathing, and chronic coughing.
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In this post, we’re going to provide you with a comprehensive list of steps for cleaning your home as a COPD patient. We’ll give you advice on choosing cleaning products, how often you should clean, and other things you should take into consideration. If you have any questions, feel free to leave a comment. And if you find this information helpful, don’t hesitate to share it to help us get the word out about safe cleaning habits.
How to Choose Cleaning Products With COPD
The first step in cleaning your home is to choose the cleaning products that you will use. While this may sound like the easiest step, it’s actually the hardest. Cleaning products are rife with volatile organic compounds (VOCs). These are compounds that have a high vapor pressure and low water solubility. Many VOCs are artificial meaning they’re man-made, and they contain chemicals such as methyl tert-butyl ether (MTBE), trichloroethylene, oxygenates, and other industrial solvents.
According to the Environmental Protection Agency (EPA), concentrations of VOCs are up to ten times higher indoors than they are outdoors. This is largely due to the fact that VOCs are found in many household cleaning products and many homes are not ventilated well enough to rid them of harmful chemicals. But VOCs aren’t the only harmful ingredients found in home cleaning supplies. Many of them also contain carcinogens, chemicals that are known to cause cancer.
As a COPD patient, your goal should be to eliminate all hazardous cleaning products from your home. However, it’s especially important to avoid cleaning products that can exacerbate your respiratory symptoms. Products like air fresheners are particularly harmful to COPD patients because aerosol droplets can remain suspended in the air for long periods of time, meaning they can be inhaled. Generally speaking, “scented” cleaning products should be avoided at all costs. While we may enjoy a fresh smell and equate it with a clean home, most of these products contain harmful chemicals.
Before heading out to the store, create a list of ingredients that you should avoid. The ingredients below are commonly used in cleaning products and should be avoided:
- Perchloroethylene (PERC)
- Formaldehyde
- 2-Butoxyethanol
- Ammonia
- Sodium Hydroxide
- Chlorine
Some common cleaning products you should avoid include:
- Bleach
- Spray cleaners
- Fragrance sprays
- Carpet fresheners
- Fabric softeners
- Varnishes
-
Drain cleaners
Another thing to note is that you should be wary of anything labeled “green,” “organic,” or “eco-friendly.” Just because something is “organic” does not necessarily mean that it is healthy or safe. However, you may see products labeled as “safer choice.” These cleaning products are actually regulated by the Environmental Protection Agency (EPA) and they’re aimed at reducing, eliminating, or preventing pollution at its source. In many cases, these cleaning products can be a safer alternative for COPD patients but many of them still contain chemicals.
How to Make Safe Cleaning Products at Home
Believe it or not, homemade cleaning products can be extremely effective and they can also be much safer to use than store-bought items. When you make your own cleaners, you’ll know exactly what’s in them and you won’t have to worry about reading through and researching a long list of ingredients.
According to Healthline, some of the safest and most effective ingredients you can use to make homemade cleaning products include white vinegar, lemon juice, methylated spirits (denatured alcohol, and baking soda. Unlike the harsh chemicals found in store-bought products, COPD patients typically don’t have any reactions when exposed to these ingredients.
If you want to clean your floor or countertops, combine boiling water with either lemon juice, white vinegar, or methylated spirits. This will make a great degreaser and prove much more effective than a wet rag. If you want to clean a mirror, vinegar and water is a great combination. For removing stains, soda water is your best bet.
Keep Your Home Well Ventilated
Ventilation is imperative when it comes to keeping your home clean. Simply put, ventilation refers to the healthy exchange of air between the inside of your home and outdoors. This prevents harmful chemicals, moisture, and other allergens from concentrating in your home and posing a serious health risk. One of the best ways to ventilate your home is to simply crack a window when you’re cleaning.
If you’re worried about allergens making it into your home through the window, you can install a screen. While this won’t block out all allergens, it will prevent some of the larger particles from entering your home. Another thing you can do is change up the air filters on your HVAC system. The air filter or “particle filter” is designed to remove allergens from the air as it’s circulated throughout your home. However, over time, these filters can become very dirty. Not only will this start spiking your utility bills, but it won’t filter airborne pollutants correctly.
Choose the Right Tool for the Job
Aside from choosing the right cleaning products, you also need to choose the right tools for cleaning your home. COPD is a debilitating condition so you may need to find creative ways of doing things that won’t add any unnecessary strain on your lungs and the rest of your body. For example, if you need to clean in a hard-to-reach area, be sure to use a cleaning device with an extendable handle. This way, you won’t have to strain yourself or risk falling just to clean your home.
If you’ve been prescribed long-term supplemental oxygen therapy, another thing that can help is a portable oxygen concentrator. If you already use a stationary oxygen concentrator or oxygen tank for your oxygen needs, a portable oxygen concentrator will provide you with much more freedom to navigate your home with ease. Rather than having to be plugged into a wall outlet, POCs operate off of powerful lithium-ion batteries so you won’t be relegated to one room of the house.
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Portable oxygen concentrators like the Caire FreeStyle Comfort and Inogen One G5 are very lightweight and compact, so you can carry them around all day without feeling exhausted or out of breath. The FreeStyle Comfort even has an ergonomic curve design that will prevent the unit from sliding around at your side while you’re cleaning the house. Once you’re ready for a break from cleaning, simply plug your device into the wall and by the time you’re ready to go again, you’ll have a full battery.
If you’re someone who needs more oxygen to keep you going, the Respironics SimplyGo may be the portable oxygen concentrator for you. This is a continuous flow unit meaning it puts out a constant stream of oxygen rather than “boluses” of oxygen like the FreeStyle Comfort and the Inogen G5. While the Respironics SimplyGo is a bit heavier than these two, it will provide you with more options including the ability to use your POC with your CPAP or BiPAP machine while you sleep.
Don’t Forget to Declutter Your Home
While you’re up and about cleaning your home, it’s also a good idea to spend some time decluttering your home. “Decluttering” simply means reorganizing or getting rid of some of your belongings in order to make your home more comfortable and easy to navigate. This is very important if you’re a COPD patient because having to navigate a messy home can be very challenging and dangerous.
We briefly discussed decluttering in our post about COPD and balance issues, but the basic idea is that you want to create a living space that’s accommodating of your lung condition. First and foremost, you should remove any belongings from the floor that could be a tripping hazard such as clothing, cables, and even furniture. Taking the time to move these things out of the way of where you walk in your home can go a long way toward making your home safer and more accommodating for you and your guests.
If you want to go the extra mile, you might want to consider installing a medical alert system in your home. This consists of a receiver that’s plugged into the wall and a small button that can be worn around your neck. If you take a fall or experience a COPD exacerbation in your home, simply press the button and medical personnel will immediately be sent to your home. These are a must-have for any COPD patient, especially if you don’t have friends or caretakers who visit your home regularly.
Get Outside When You Can
According to the EPA, indoor air pollution can be 2 to 5 times greater than outdoor air pollution. The reason for this is because indoor air pollutants are concentrated in a small area whereas outdoor air pollution can dissipate. While you can and should take the time to clean your home, you should be going outside as much as possible to get some fresh air.
AirNow.gov has a great air pollution map that will give you a good idea of how clean the air is in your area. Simply visit their site and type in your ZIP code. You’ll be given a number anywhere between 0 and 500 with 0 being the least polluted and 500 being the most polluted. It’s recommended that COPD patients avoid going outside if the air quality index (AQI) is over 100. However, people with severe COPD may only want to go outside when it’s below 50 AQI.
While the AQI is a good indication of the air quality in your area, it’s not 100% accurate. If you live in a very urban area with a lot of traffic, the air quality may be lower than what the website tells you. As such, it’s important to use your best judgment before going outside. Try going out when traffic has settled down and try to stay away from the roads as much as possible.
The temperature is another important factor to consider before going outside. Extreme conditions of any kind can lead to exacerbation of COPD. Low temperatures can be particularly difficult for COPD patients because inhaling cold air can thicken your mucus making it more difficult to breathe. Hot temperatures can cause you to feel exhausted more quickly and also exacerbate respiratory problems.
Schedule a Home Inspection
If you want to take the extra step towards making your home as accommodating as possible for your COPD, you should consider scheduling a home inspection. This is when a professional safety inspector walks through your home and performs a variety of tests designed to determine the safety of your home. While you may think of a home inspector as someone who examines the structural integrity of a home, they also play an important role in determining its cleanliness as well.
One important thing your home inspector will do is evaluate your HVAC system. This includes things like your heater, air conditioner, air ducts, and air filters. He/she will check to ensure that there are no leaks and that your system is circulating clean air throughout your home. The inspector will also look for water damage or plumbing leaks throughout the home that could lead to the growth of mold. Several types of mold, like black mold, can be very hazardous to your health. Black mold poisoning is associated with a chronic cough, fatigue, and irritation in the throat and eyes.
Home inspectors won’t fix these issues within your home. Rather, they provide you with a list of potential problems in your home and advise you on what to do or who to call to get the issues resolved. However, hiring a home inspector is still a very important step because you may be exposed to harmful airborne irritants unknowingly. Many people live with health issues for years only to find out they had a mold or HVAC problem that they were unaware of.
Recruit Help With Cleaning
There’s no doubt about it, cleaning can be exhausting. If you feel like you have a lot to clean and not a lot of time to do it, you may want to start outsourcing work to friends, family, or even a caretaker. While physical exercise is a must for any COPD patient, too much exercise or overexertion can lead to a flare-up in your symptoms, most notably chest pain, breathlessness, and fatigue.
There’s no shame in asking for help with cleaning your home, especially when your well-being is at stake. However, if you decide to recruit help from a friend or family member be sure to let them know about your safe cleaning routine. Let them know that you’re concerned about the chemicals in common store-bought cleaning products and show them how to make the homemade cleaning products we discussed earlier in this post.
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Conclusion
Maintaining a healthy living environment is one of the most important things you can do as a COPD patient. Poor air quality in your home will not only irritate your skin and eyes, but it can damage your lungs and lead to flare-ups in your respiratory symptoms. COPD patients who do not breathe clean air are more likely to experience exacerbations that can lead to hospitalization.
Unfortunately, simply cleaning more often or more thoroughly is not the solution. You need to be careful about what cleaning products you’re using and how they affect the quality of air within your home. You should also take additional steps like ensuring your home is well-ventilated and that you’re keeping dust and mold in check.
If you found this post useful, don’t forget to bookmark it so you can refer back to it in the future. And if you have any questions or concerns, please don’t hesitate to leave them in the comment section below