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. 2014 Sep 18;24:14062. doi: 10.1038/npjpcrm.2014.62

Table 4. Patients’ self-management approaches during an exacerbation of COPD.

Self-medication and self-management strategies Self-monitoring Contact with health-care services
‘I try and do it myself if I can, manage it myself’ (HA007) ‘Well, there are very, it depends where you’re more comfortable, hanging onto the back of that armchair, is a favourite place… because it, because it stretches your lungs out. Or sitting here. Or [um] I have a lot of faith in the [uh] breathing exercises’ (RN1002) ‘well it’s gone on for quite a long time and so we’ve got fairly experienced at the way to treat it, you know’ (OC1045) ‘It's just there and so straight away I started taking the prednisolone and then … I think not the next day but the day after that I started taking the antibiotics, because they told me just have a couple of days on the prednisolone first to see if you can breathe easier but I knew that the … sputum was green and getting thicker’ (HA003) ‘Well if this chest don’t get any better, if it’s still the same tomorrow morning, I’ll start on the steroids and then phone him [GP] and get him to phone me back and say, ‘Look you should start on some…’ (HA009) ‘I take a week’s of what you’ve got. The antibiotic. But if it's getting close to the end of the week and I feel it’s not improved or its still there, you know, it might have improved a bit, but not enough,’ I said, ‘I always go then and make sure I get an appointment, so that if I’ve got to take more I can follow them on without having a break in between.’ (PR032) ‘take more steroids and me antibiotics that I’ve got at home, and obviously if it doesn’t get better then I go to the doctor again’ (HA001)