Tag: exertion

Hill over Everest

Everyone has new year resolutions, whether it be in the realms of fitness, budgets,or new behaviours. People I work with all tend to have one constant aim and that is to not lose what they have.

This could be activities, independence, to breath freely after exerting themselves, or to get back to work. In order to keep this they need to devote themselves to something  that needs repeating , may not be enjoyable and may have some level of difficulty. I think we can all relate to this.

The way to navigate towards what we want is to set a goal.

How to set a goal?

  • It must be personal and meaningful – own it  – My goal is…
  • It must be specific – detail – walk 30 min in the shopping centre, 3x per week
  • It must be measurable so you know when you’ve achieved it
  • It must be achievable – no point setting an Everest, choose a hill you can climb
  • It must be realistic – don’t look at Ferrari when Holden is a better fit for you
  • It must be timely –  don’t overload yourself

Start with one goal and go from there.

Don’t forget when you reach that goal to reward yourself for a job well done!

Scouts Motto : Be Prepared

I have such wonderful conversations with my patients that often have lessons for both patient and therapist. The best patient centred relationship is one where we learn off each other.

We were discussing relievers and spacers and how research has proven the improved dispersal of the reliever when a spacer is used. My patient then went on to say that she has taken to travelling with her reliever and the hand held fan as a kind of mini pulmonary toolkit that gives her the confidence of knowing she is prepared for every circumstance.

It reminded me of a situation I was in last week whilst travelling in Tasmania.

Cradle Mountain, world heritage area of majestic beauty but also a place of extreme weather and unpredictability. I was climbing to the Mt Marion Lookout and found that half way up in the cold and floating rain I had trouble catching my breath.

Exercise induced asthma has little warning I find. As every good explorer should do I had a snack in my pocket and my bottle of water and was rugged up in beanie and coat against the cold.

However just shy of the top things got a little uncomfortable. That need to fill the lungs but not getting as much as I’d like  coupled with the knowledge that I was literally in the middle of nowhere and my nearest reliever was , you guessed it, in the car park an hour and a half away.

There was no way I was going to turn around and miss getting to the top so I used what I had to get relief. I stopped and leaned forward, blowing out through pursed lips and took a rest break to get my breathing under control. After a few minutes rest and hydrating with my drinking water I started up again pacing myself this time, keeping up the pursed lips as I went.

I made it and with a little sprint to compete with my 13 yr old daughter I got there ahead of the family and promptly claimed the seat to lean forward and recover my breathing once more.

To say the least, my patient was wise in her preparation and a puffer in my pocket next time will be part of my good explorer ensemble.

 

The Humble Dressing Stick

Recently I met with a patient who was frustrated over her difficulty in removing a pair of trousers with ankle elastic. Breathlessness and inability to bend for sustained time was the source of anxiety. There sitting on the shelf unnoticed and looking rather understated was the dressing stick awaiting its moment of glory.

Sliding it down directly over the heel through the pant leg and with a slight raise of the bent knee was all it took to remove the offending piece of clothing.

We all like to be independent and manage things without resorting to aids but take a moment and consider the humbleness of this simple stick with a hook and give it the glory due. No matter your age, this stick can make your life just a little simpler.

Asthma Week 2018

Asthma Week this year is about busting myths and getting the facts out there as two thirds of Australians are affected by asthma!

If you:

  • have symptoms more than two days a week
  • use reliever medication more than two days a week
  • do less because of your asthma
  • have symptoms at night or on waking

Then go see your GP for a review as your asthma may not be well controlled.

For asthma support and information call the 1800 ASTHMA Helpline
(1800 278 462)

Factors Affecting Breathlessness – Take a Load Off

A fourth way to make activity easier is to lighten the load by sitting to do the task or by reducing lift and carry. Sitting uses less energy by taking the load off your body just in the same way that using trolleys can take the load off when you are moving.

Examples of this sitting to do the ironing, sitting to pot plants, leaning on the trolley in the supermarket, using a wheel barrow in the garden, a tray mobile in your living area, or a laundry trolley in the yard.

If you are struggling in getting about then try a wheelie walker that includes a seat and basket and this will assist you in staying mobile and connected with your community.

 

Factors Affecting Breathlessness: Big Tasks

We have been talking about how activity can make you breathless and ways to cope with this.

The second idea is to break up the task. This means to spread it out over several days, do a bit in the morning and then finish after lunch, or do one bit and delegate another bit to a family member or service provider.

For example, cleaning the house can be overwhelming but if you delegate the once a fortnight floor clean to a service and potter each day for 15 min to declutter or dust then the task becomes doable.

Another example is to wash your smalls in a bucket whilst you are seated  in the shower. Give them a swish round with your feet, gentle squeeze and hang on the laundry stand in the sun. Larger items can go in the machine when family drop by to help.

 

 

Factors Affecting Breathlessness: Store Smart

Everyone knows that activity increases our sense of breathlessness especially if there is bending and reaching involved. So how do we make this simpler? How to we make things easier so we can still do the things we want to do?

One idea is storage. The things we use for an activity whether its making a cup of tea or doing the laundry can often be placed in awkward positions so the effort in using the materials is what makes the job hard, not necessarily the job itself.

Store heavy items low and light items high and well used items at waist height. This is a recipe for ease and simplification around the home. this reduces lifting, bending and reaching loads within each activity that you do. For example, keep mugs on a cup rack on the bench and the tea caddy next to the kettle. In the laundry keep heavy laundry containers on a waist high bench and put your basket of wet washing on a chair when hanging on the line. This way you can get to that all important cup of tea a lot more easily.

 

 

Factors Affecting Breathlessness: Doing Less Not Always Best

Breathlessness itself is fatiguing and its easier to sit and rest and let someone else do the job at hand. This is great in the short term and having friends and family assist gives us a lovely feeling of connectedness. But its a sliding scale when we begin to delegate more and more for others to do and we are engaging in less activity than ever before.

We can lose independence sooner than what could have been as arms and legs decondition and instability and weakness prevents access to things that use to bring enjoyment and engagement outside of the home.

The solution? Delegate the hardest things that involve heavy lifting or bending and manage your breathlessness as would an athlete in training to keep the moderate tasks to maintain fitness and mobility. Work out a plan with your practitioner and family to ensure you are maintaining your ability for good quality of life.

Factors Affecting Breathlessness: Exertion

The type of exertion made in activity can be a factor in your breathlessness. Consider the energy needs of what you are doing; can I make this simpler, can I break it down into parts, can I use a piece of equipment to make it easier, can I take out the bending and reaching, can I sit whilst I do the job at hand?

 

The goal is not to stop being active but to change the way you do things in order to maintain your independence for as long as possible.