Kate Lorig - Living a healthy life with chronic conditions: for ongoing physical and mental health conditions

Self-Management of Heart Disease,
Arthritis, Diabetes, Depression, Asthma,
Bronchitis, Emphysema and Other
Physical and Mental Health Conditions

FOURTH EDITION

Kate Lorig, RN, DrPH Halsted Holman, MD
David Sobel, MD, MPH Diana Laurent, MPH
Virginia Gonzlez, MPH Marian Minor, RPT, PhD

Copyright 2012 Bull Publishing Company and The Board of Trustees of the Leland Stanford Junior University

All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law.

Published by Bull Publishing Company

P.O. Box 1377

Boulder, CO, USA 80306

www.bullpub.com

Library of Congress Cataloging-in-Publication Data

Living a healthy life with chronic conditions : self-management of heart disease, arthritis, diabetes, depression, asthma, bronchitis, emphysema, and other physical and mental health conditions / Kate Lorig [et al.]-- 4th ed.

p. cm.

ISBN 978-1-933503-36-3

1. Chronic diseases--Popular works. 2. Medicine, Popular. I. Lorig, Kate.

RC108.L565 2012

616.044--dc23

2012012061

Printed in U.S.A.

Fourth Edition

17 16 15 14 13 12 10 9 8 7 6 5 4 3 2

Interior design and project management: Dovetail Publishing Services

Cover design and production: Shannon Bodie, Lightbourne, Inc.

To David Bull,
who made this book possible

and Lara Noel Borowski
who taught us about living and dying

Many people have helped us write this book. Among the most important are the first 1,000 participants of the Stanford University Chronic Disease Self-Management study. These have been followed by hundreds of thousands of other workshop participants in more than 25 countries and as many languages. All of these people, along with our wonderful workshop Leaders, have told us what information they needed and helped us make adjustments as we went along. All of you have informed this new edition.

There are also many professionals who have assisted us: Sonia Alvarez, MA, MPH, Lara Borowski, MPH, Lynn Beatie, PT, MPT, MHA, Roberto Benzo, MD, Bonnie Bruce, RD, DrPH, Ann Constance, MA, RD, CDE, Nazanin Dashtara, MPH, Laurie Doyle, MPH, Robin Edelman, MS, RD, CDE, Chaplain Bruce Feldstein, MD, Karen Freimark, MEd, Margo Harris, MPH, Peg Harrison, MSW, Margaret Haynes, MPA, Mary Hobbs, MPH, Susan Kayman, PhD, Marty Klein, PhD, Patricia League, RN, John Lynch, PhD, David McCulloch, MD, Cynthia McRae, PhD, Elaine McMahon, MS, RN, Nancy Moline, RN, MEd, CDE, Cheryl Owen, RN, Katy Plant, MPH, Denise Portello, MPH, RD, Catherine Regan, PhD, Richard Seidel, PhD, Joyce Tanaka, RN, MSN, CDE, Sandra Wilson, PhD, Michelle Wong, MPH, MPP. To all of you, your help has been gratefully received.

There are also many friends, leaders, and trainers who have given us wonderful advice and added richness to our thinking: Nancy Brannigan, Mara Hernndez-Marin, Lynne Newcombe, Jim Phillips, Jean Thompson.

A special thanks to Gloria Samuel, who kept us all on track. We would also like to thank our T-Trainers, Master Trainers, and Leaders. There are now thousands of you. You have made many suggestions that have helped us with this new edition.

We would also like to thank the publishers for permission to adapt sections from The Healthy Mind, Healthy Body Handbook (also published as The Mind & Body Health Handbook) by David Sobel, MD and Robert Ornstein, PhD (published by DRx).

Finally, thanks to David Bull to whom this book is dedicated. David was our first publisher and had faith in this project that allowed us to proceed. Without him, there may never have been a book. His son Jim has continued the family tradition with support and encouragement for this fourth edition.

If you would like to learn more about our continuing research, online internet programs, trainings, and materials see our website: http://patienteducation.stanford.edu .

We are continually revising and improving this book. If you have any suggestions or comments that will make the book better, please send them to self-management@stanford.edu.