US COPD Coalition

RESOURCES

May
28

Finding & Evaluating Online Health Resources

The following information is excerpted from the National Center for Complementary and Integrative Health, a division of the National Institutes of Health.

What’s the Bottom Line?

How much do we know about online resources for complementary health approaches?

The number of Web and social media sites, along with mobile apps, offering health information about complementary and integrative health approaches (often called complementary and alternative medicine) grows every day.

What do we know about the accuracy of online health information?

  • Some online sources of information on complementary health approaches are useful, but others are inaccurate or misleading.
  • Don’t rely on online resources when making decisions about your health. If you’re considering a complementary health approach, discuss it with your health care provider.

Checking Out Online Sources of Health Information: Five Quick Questions

If you’re visiting an online health site for the first time or downloading a new app, ask these five questions:

  1. Who runs or created the site or app? Can you trust them?
  2. What is the site or app promising or offering? Do its claims seem too good to be true?
  3. When was its information written or reviewed? Is it up-to-date?
  4. Where does the information come from? Is it based on scientific research?
  5. Why does the site or app exist? Is it selling something?

Finding Health Information on the Internet: How to Start

  • To find accurate health information, start with one of these organized collections of high-quality resources:
    • MedlinePlus, sponsored by the National Library of Medicine, which is part of the National Institutes of Health (NIH)
    • healthfinder.gov, sponsored by the Office of Disease Prevention and Health Promotion in the U.S. Department of Health and Human Services.
  • If you’re looking for information about complementary and integrative health approaches:

Click here to see the full list of resources on how to find and evaluate health information.

May
26

Domestic Travel During COVID-19

The following is reprinted from the Centers for Disease Control & Prevention’s COVID-19 website.

Delay travel until you are fully vaccinated. If you are not fully vaccinated and must travel, follow CDC’s recommendations for unvaccinated people.

People who are fully vaccinated with an FDA-authorized vaccine or a vaccine authorized for emergency use by the World Health Organization can travel safely within the United States.

CDC will update these recommendations as more people are vaccinated, as rates of COVID-19 change, and as additional scientific evidence becomes available. This guidance applies to travel within the United States and U.S. territories.

Domestic Travel Recommendations for Fully Vaccinated People

  • During Travel
    • Wearing a mask over your nose and mouth is required on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States and in U.S. transportation hubs such as airports and stations.
    • Follow all state and local recommendations and requirements, including mask wearing and social distancing.
  • After Travel
    • Self-monitor for COVID-19 symptoms; isolate and get tested if you develop symptoms.
    • Follow all state and local recommendations or requirements.

You do NOT need to get tested or self-quarantine if you are fully vaccinated or have recovered from COVID-19 in the past 3 months. You should still follow all other travel recommendations.

Domestic Travel Recommendations for Unvaccinated People

If you are not fully vaccinated and must travel, take the following steps to protect yourself and others from COVID-19:

  • Before you travel:
    • Get tested with a viral test 1-3 days before your trip.
  • While you are traveling:
    • Wear a mask over your nose and mouth. Wearing a mask is required on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States and in U.S. transportation hubs such as airports and stations.
    • Avoid crowds and stay at least 6 feet/2 meters (about 2 arm lengths) from anyone who is not traveling with you.
    • Wash your hands often or use hand sanitizer (with at least 60% alcohol).
  • After you travel:
    • Get tested with a viral test 3-5 days after travel AND stay home and self-quarantine for a full 7 days after travel.
      • Even if you test negative, stay home and self-quarantine for the full 7 days.
      • If your test is positive, isolate yourself to protect others from getting infected.
    • If you don’t get tested, stay home and self-quarantine for 10 days after travel.
    • Avoid being around people who are at increased risk for severe illness for 14 days, whether you get tested or not.
    • Self-monitor for COVID-19 symptoms; isolate and get tested if you develop symptoms.
    • Follow all state and local recommendations or requirements.
  • Visit your state, territorial, tribal or local health department’s website to look for the latest information on where to get tested.

Do NOT travel if you were exposed to COVID-19you are sick, you test positive for COVID-19, or you are waiting for results of a COVID-19 test. Learn when it is safe for you to travel. Don’t travel with someone who is sick.

Apr
19

Pulmonary Rehab is Severely Underutilized – Help Spread the Word!

Over 16 million people in the US have COPD and up to 60% of COPD cases go undiagnosed. According to the World Health Organization, COPD is the third leading cause of death globally. COPD continues to be a leading cause of disabling symptoms and suffering. Pulmonary Rehabilitation (PR) is the standard of care for persons with COPD and is associated with improved physical function, symptoms, mood and quality of life. Although PR is well established as a highly effective treatment for COPD and other chronic respiratory diseases in the United States only 3–4% of Medicare beneficiaries with COPD receive pulmonary rehabilitation! Similarly low estimates exist for the rest of the world.

A recent study by Peter Lindenauer and colleagues found that, in persons hospitalized due to acute exacerbation of COPD, PR within three months of discharge vs. later or no PR, was associated with a highly significant lower risk of mortality at one year (hazard ratio, 0.63; i.e., a 37% lower risk of death over the year following discharge). The study utilized claims data of 197,376 Medicare beneficiaries discharged after hospitalization for COPD.8 The findings support PR as a high priority following hospitalization for COPD.

Patients suffering from COPD should know that PR not only has potential for helping them feel better and being more independent, but also to live longer. We are asking for your support in communicating these important findings of improved survival after PR to providers and patients.

Click on the link below to view or download an infographic that you can use to help spread the word.

Apr
6

Are You Caring for Someone Living with COPD?

Join the Caring for COPD Caregivers Study

Respiratory Health Association is seeking caregivers of people living with COPD to participate in a new study, Caring for COPD Caregivers!

WHAT WILL PARTICIPANTS BE ASKED TO DO?

As a project participant, caregivers wll receive a free copy of the COPD Caregiver’s Toolkit, a resource designed to ease the caregiving process. The toolkit is based on caregiver, patient, and provider input.

We ask that participants:

  • Use the Toolkit for one year.
  • Give updates every few months on how it is being used, which sections are most helpful, and if the Toolkit is helping in the caregiving role.
  • Complete a brief survey at the start and end of the project.

WANT TO LEARN MORE OR SIGN UP?

CONTACT THE COPD TEAM AT: 312-229-6186 or COPDToolkit@resphealth.org

Click on the link below to view or download a shareable PDF of the above information

Jan
12

What to Expect After Getting a COVID-19 Vaccine

The following is reprinted from the Centers for Disease Control & Prevention’s coronavirus website.

COVID-19 vaccination will help protect you from getting COVID-19. You may have some side effects, which are normal signs that your body is building protection. These side effects may affect your ability to do daily activities, but they should go away in a few days.

Common side effects

On the arm where you got the shot:

  • Pain
  • Swelling

Throughout the rest of your body:

  • Fever
  • Chills
  • Tiredness
  • Headache

Helpful tips

If you have pain or discomfort, talk to your doctor about taking an over-the-counter medicine, such as ibuprofen or acetaminophen.

To reduce pain and discomfort where you got the shot:

  • Apply a clean, cool, wet washcloth over the area.
  • Use or exercise your arm.

To reduce discomfort from fever:

  • Drink plenty of fluids.
  • Dress lightly.

When to call the doctor

In most cases, discomfort from fever or pain is normal. Contact your doctor or healthcare provider:

  • If the redness or tenderness where you got the shot increases after 24 hours
  • If your side effects are worrying you or do not seem to be going away after a few days

If you get a COVID-19 vaccine and you think you might be having a severe allergic reaction after leaving the vaccination site, seek immediate medical care by calling 911. Learn more about COVID-19 vaccines and rare severe allergic reactions.

Scheduling your second shot?

If you need help scheduling your vaccine appointment for your second shot, contact the location that set up your appointment for assistance. For questions or if you are having trouble using vaccine management or scheduling systems, reach out to the organization that enrolled you in the system. This may be your state or local health department, employer, or vaccine provider.​

About your second shot

Both COVID-19 mRNA vaccines will need 2 shots to get the most protection. The timing between your first and second shot depends on which vaccine you received. You should get your second shot:

  • for the Pfizer-BioNTech 3 weeks (or 21 days) after your first shot,
  • for the Moderna 1 month (or 28 days) after your first shot.

You should get your second shot as close to the recommended 3-week or 1-month interval as possible. However, there is no maximum interval between the first and second doses for either vaccine. You should not get the second dose earlier than the recommended interval. ​

Remember

  • Side effects may feel like flu and even affect your ability to do daily activities, but they should go away in a few days.
  • With most COVID-19 vaccines, you will need 2 shots in order for them to work. Get the second shot even if you have side effects after the first shot, unless a vaccination provider or your doctor tells you not to get a second shot.
  • It takes time for your body to build protection after any vaccination. COVID-19 vaccines that require 2 shots may not protect you until a week or two after your second shot.

It’s important for everyone to continue using all the tools available to help stop this pandemic as we learn more about how COVID-19 vaccines work in real-world conditions. Cover your mouth and nose with a mask when around others, stay at least 6 feet away from others, avoid crowds, and wash your hands often.​

Click here to learn more about COVID-19 vaccines.

Dec
16

Información de Salud en Español

The National Institutes of Health’s National Center for Integrative and Complementary Health offers information on complimentary health and other important healthcare topics in Spanish:

Esta página brinda enlaces a recursos del NCCIH en español sobre medicina complementaria e integral. Además, incluye enlaces a otros recursos en español relacionados con la salud.

Si usted utiliza medicina complementaria e integral, recuerde mencionárselo a su médico o al profesional de la salud que lo atienda. Algunos métodos de medicina complementaria e integral pueden afectar los tratamientos médicos convencionales. Hable con su médico para asegurarse de que el uso de medicina complementaria e integral con métodos de medicina convencionales está coordinado y es seguro.

Nov
19

Considerations for Wearing Masks

The following article is reprinted from the Centers for Disease Control & Prevention’s Coronavirus Disease 2019 (COVID-19) website.

Evidence for Effectiveness of Masks

Your mask helps protect those around you

COVID-19 spreads mainly from person to person through respiratory droplets. Respiratory droplets travel into the air when you cough, sneeze, talk, shout, or sing. These droplets can then land in the mouths or noses of people who are near you or they may breathe these droplets in.

Masks are a simple barrier to help prevent your respiratory droplets from reaching others. Studies show that masks reduce the spray of droplets when worn over the nose and mouth.

You should wear a mask, even if you do not feel sick. This is because several studies have found that people with COVID-19 who never develop symptoms (asymptomatic) and those who are not yet showing symptoms (pre-symptomatic) can still spread the virus to other people. The main function of wearing a mask is to protect those around you, in case you are infected but not showing symptoms.

It is especially important to wear a mask when you are unable to stay at least 6 feet apart from others since COVID-19 spreads mainly among people who are in close contact with one another (within about 6 feet).

Your mask offers some protection to you

A cloth mask also offers some protection to you too. How well it protects you from breathing in the virus likely depends on the fabrics used and how your mask is made (e.g. the type of fabric, the number of layers of fabric, how well the mask fits). CDC is currently studying these factors.

Who should or should not wear a mask

Who should wear a mask

Everyone 2 years of age and older should wear a mask in public settings and when they are around people who do not live in their household.

Wear a mask when caring for someone who is sick with COVID-19 (whether at home or in a non-healthcare setting). If you are sick with COVID-19 or think you may have COVID-19, wear a mask when you need to be around other people or animals, even in your own home.

CDC recognizes there are specific instances when wearing a mask may not be feasible. In these instances, consider adaptations and alternatives.

Who should not wear a mask

Masks should not be worn by

  • Children younger than 2 years old
  • Anyone who has trouble breathing
  • Anyone who is unconscious, incapacitated or otherwise unable to remove the mask without assistance
  • Wearing masks may be difficult for some people with sensory, cognitive, or behavioral issues. If they are unable to wear a mask properly or cannot tolerate a mask, they should not wear one, and adaptations and alternatives should be considered

Types of masks

Some masks work better to help stop the spread of COVID-19 outside of healthcare settings. Medical masks and N-95 respirators should not be used because they should be conserved for healthcare workers.

Cloth masks

The most effective fabrics for cloth masks are

  • Tightly woven fabrics, such as cotton and cotton blends
  • Breathable
  • Two or three layers

Less effective fabrics for cloth masks are

  • Loosely woven fabrics, such as loose knit fabrics
  • Difficult to breathe through (like plastic or leather)
  • Single layer

CDC is currently studying the effectiveness of various cloth mask materials. We will update this guidance as we learn more.

Non-medical disposable masks

Disposable face masks are single-use masks. They are sold online and through large retail stores. These are not the same as surgical or other medical masks.

You may prefer using disposable masks in situations where your mask is likely to get wet or dirty. As with cloth masks, make sure your disposable mask fits close to your face without large side-gaps and completely covers your nose and mouth. Bring extra disposable masks with you in case you need to change out a dirty or wet mask.

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Masks with exhalation valves or vents

CDC does not recommend using masks with exhalation valves or vents because this type of mask may not prevent you from spreading COVID-19 to others. The hole in the material may allow your respiratory droplets to escape and reach others. Research on the effectiveness of these types of masks is ongoing.

mask considerations vent mask

Surgical masks and respirators

Do not use surgical masks and respirators that are meant for healthcare workers. Currently, surgical masks and respirators are critical supplies that should be reserved for healthcare workers and other medical first responders to prevent supply shortages.

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Clear masks or cloth masks with a clear plastic panel

Clear masks or cloth masks with a clear plastic panel are an alternative type of mask for people who interact with

  • People who are deaf or hard of hearing
  • Young children or students learning to read
  • Students learning a new language
  • People with disabilities
  • People who need to see the proper shape of the mouth for making appropriate vowel sounds, e.g., in singing
mask considerations see through mask

If you use this type of mask, make sure

  • You can breathe easily
  • Excess moisture does not collect on the inside of the mask
  • You remove the mask before sleeping, since the plastic part could form a seal around your mouth and nose and make it hard to breathe

The FDA recently cleared a transparent medical mask. These transparent medical masks should be reserved for use by healthcare workers and patients who require them.

Other Types of Face Protection

CDC does not recommend using face shields or goggles as a substitute for masks. Do NOT put a plastic face shield (or a mask) on newborns or infants.

Face shields and goggles are primarily used to protect the eyes of the person wearing it. Goggles do not cover the nose and mouth. Face shields have large gaps below and alongside the face, where your respiratory droplets may escape and reach others around you. At this time, we do not know how much protection a face shield provides to people around you. However, wearing a mask may not be feasible in every situation for some people.mask considerations face sheild-goggles

Face sheilds and goggles

For example, people who interact with those who are deaf or hearing impaired may find that a face shield is better than a mask when communicating. If you must wear a face shield instead of a mask:

  • Choose a face shield that wraps around the sides of your face and extends below your chin or a hooded face shield. This is based on the limited available data that suggest these types of face shields are better at preventing spray of respiratory droplets.
  • Wash your hands before and after removing the face shield. Avoid touching your eyes, nose, and mouth when removing it.
  • Clean and disinfect reusable face shields according to the manufacturer’s instructions or by following CDC face shield cleaning instructions. If you use a disposable face shield, wear it once and throw it away according to the manufacturer’s instructions.

Mask adaptations and alternatives

CDC recognizes that wearing masks may not be possible in every situation or for some people. Those who cannot wear a mask are urged to prioritize virtual engagement when possible. For in-person activities, we have provided a few examples of what you can do to make wearing a mask more feasible and how to reduce the spread of COVID-19 if you cannot wear a mask.

Situations where wearing a mask may not be possible

  • Make sure to maintain physical distance from others when you cannot wear a mask.

Dining

  • CDC recommends wearing a mask while dining in a restaurant except when actively eating or drinking.

Water activities

  • Do not wear a mask when doing activities that may get your mask wet, like swimming at the beach or pool. A wet mask can make it difficult to breathe and may not work as well when wet.

High intensity activities

  • Masks should be used in public settings, but if you are unable to wear a mask because of difficulty breathing during high intensity activities, choose a location with greater ventilation and air exchange (for instance, outdoors versus indoors) and where you can keep at least 6 feet from others during the activity.
  • If you are able to wear a mask, remove your mask if it gets moist from sweat and replace it with a clean mask.
  • Opt for an activity that does not require using mouth guards or helmets. Wearing a mask with these types of protective equipment is not safe if it makes it hard to breathe.
  • Supervise children who are wearing a mask while playing sports.

Certain groups of people who may find it difficult to wear a mask

Some children 2 years and older, and people of any age with certain disabilities

Appropriate and consistent use of masks may be challenging for some children and for people of any age with certain disabilities, including cognitive, intellectual, developmental, sensory, and behavioral disorders.

When deciding if children and people with certain disabilities should wear a mask, determine if they can:

  • Use a mask correctly
  • Avoid frequent touching of the mask and their face
  • Limit sucking, drooling, or having excess saliva on the mask
  • Remove the mask without assistance

If children and people with certain disabilities are unable to wear a mask properly or cannot tolerate a mask, they should not wear one.

Those caring for children and people with certain disabilities who may not be able to wear a mask should

  • Ask their healthcare provider for advice about their wearing a mask
  • Ensure proper mask size and fit
  • Remove their mask before sleeping, napping, when they may fall asleep (such as in a car seat or stroller), and in situations when continual supervision is not possible
  • Consider prioritizing wearing a mask when it is difficult to keep at least 6 feet from others (for example, during carpool drop off or pick up, or when standing in line at schools or stores)

Masks should not be worn by:

  • Children younger than 2 years old
  • Anyone who has trouble breathing
  • Anyone who is unconscious, incapacitated, or otherwise unable to remove the mask without assistance

People who are deaf or hard of hearing, and those who will interact with people who are hearing impaired

If you interact with people who rely on reading lips, you may have difficulty communicating while wearing a mask.

  • Consider wearing a clear mask or a cloth mask with a clear panel
  • If you are not able to get a clear mask, consider using written communication, closed captioning, or decreasing background noise to make communication possible while wearing a mask that blocks lips

People with certain underlying medical conditions

Most people with underlying medical conditions can and should wear masks.

  • If you have respiratory conditions and are concerned about wearing a mask safely, discuss with your healthcare provider the benefits and potential risks of wearing a mask.
  • If you have asthma, you can wear a mask. Discuss with your healthcare provider if you have any concerns about wearing a mask.

Outdoor workers

If you work in a setting where masks could increase the risk of heat-related illness or cause safety concerns (for example, straps getting caught in machinery):

  • Discuss with an occupational safety and health professional about what mask would be suitable.
  • Prioritize wearing masks when in close contact with other people, like during group travel or shift meetings, and remove masks when social distancing is maintained. Some localities may require wearing masks in public outdoors, and these requirements should be followed.

Mask use and carbon dioxide

Wearing a mask does not raise the carbon dioxide (CO2) level in the air you breathe

A cloth mask does not provide an airtight fit across the face. The CO2 completely escapes into the air through and around the sides of the cloth mask when you breathe out or talk. COis small enough to easily pass through any cloth mask material. In contrast, the virus that causes COVID-19 is much larger than CO2, so it cannot pass as easily through a properly designed and properly worn cloth mask.

Nov
4

Cleaning, Disinfecting, and Sanitizing

The following is re-printed from the National Library of Medicine’s Medline Plus website:

Where are germs found?

Germs are a part of everyday life. Some of them are helpful, but others are harmful and cause disease. They can be found everywhere – in our air, soil, and water. They are on our skin and in our bodies. Germs are also on the surfaces and objects that we touch.

Sometimes those germs can spread to you and make you sick. For example, there could be germs on a tv remote. You could get infected with the germs if you touch the remote and then rub your eyes or nose or eat with your hands.

Germs are a part of everyday life. Some of them are helpful, but others are harmful and cause disease. They can be found everywhere – in our air, soil, and water. They are on our skin and in our bodies. Germs are also on the surfaces and objects that we touch.

Sometimes those germs can spread to you and make you sick. For example, there could be germs on a tv remote. You could get infected with the germs if you touch the remote and then rub your eyes or nose or eat with your hands.

How can I avoid getting germs from surfaces and objects?

To avoid becoming infected by germs from surfaces and objects, it is important to wash your hands often. But you can’t wash your hands every time you touch something. So it’s also important to regularly clean and disinfect surfaces and objects.

What is the difference between cleaning, sanitizing, and disinfecting?

Some people think that disinfecting is same thing as cleaning or sanitizing. But they are actually different:

  • Cleaning removes dirt, dust, crumbs, and germs from surfaces or objects. When you clean, you will likely use soap (or detergent) and water to physically clean off the surfaces and objects. This may not necessarily kill the germs. But since you removed some of them, there are fewer germs that could spread infection to you.
  • Disinfecting uses chemicals (disinfectants) to kill germs on surfaces and objects. Some common disinfectants are bleach and alcohol solutions. You usually need to leave the disinfectant on the surfaces and objects for a certain period of time to kill the germs. Disinfecting does not necessarily clean dirty surfaces or remove germs.
  • Sanitizing could be done by either cleaning, disinfecting, or both. Sanitizing means that you are lowering the number of germs to a safe level. What is considered a safe level depends on public health standards or requirements at a workplace, school, etc. For example, there are sanitizing procedures for restaurants and other facilities that prepare food. What you do to sanitize will vary, depending on your needs. You might be mopping a floor using a mop, a chemical, and water. You might use a dishwasher to sanitize the dishes. Or you could be using an antibacterial wipe on a tv remote.

If you both clean and disinfect a surface or object, you can further lower the risk of spreading infection. There are products that clean and disinfect at the same time.

Which surfaces and objects do I need to clean and disinfect?

To prevent the spread of infection, you should regularly clean and disinfect surfaces and objects that are touched often. For example, in your house, this would include countertops, doorknobs, faucet and toilet handles, light switches, remotes, and toys.

How can I safely clean and disinfect?

It’s important to be safe when using cleaning and disinfecting products:

  • Store them in the containers they came in. Always follow the instructions and pay attention to the warnings on the label.
  • Do not mix cleaners and disinfectants unless the labels say that it is safe to do so. Combining certain products (such as chlorine bleach and ammonia cleaners) can cause serious injury or even death.
  • Check the label to see whether you need to use gloves to protect your hands and/or eye protection when using the products
  • If you swallow, inhale, or get them on your skin, follow the directions on the label or get medical help
  • Store them out of the reach of children

Click here for more information and resources.

Oct
13

CMS Releases Updated Guide to Home Oxygen and Other Durable Medical Equipment Coverage

The Centers for Medicare & Medcaid Services (CMS) has released an updated durable medical equipment (DME) guide.

This official government booklet, Medicare Coverage of Durable Medical Equipment & Other Devices, explains:
■ What durable medical equipment is
■ Which durable medical equipment, prosthetic, and orthotic items are covered by Original Medicare
■ Where to get help with your questions

DME includes items like:
■ Home oxygen equipment
■ Hospital beds
■ Walkers
■ Wheelchairs

This booklet explains Original Medicare coverage of DME and what you might need to pay. The booklet also explains coverage for prosthetic devices (like ostomy supplies, urinary catheters, enteral nutrition, and certain eyeglasses and contact lenses), leg, arm, neck, and back braces (“orthotics”), and artificial legs, arms, and eyes. It’s important to know what Medicare covers and what you may need to pay.

If you have questions about the cost of DME or coverage after reading this booklet, call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.