Skip to content

Asthma Health Center

Font Size

Coping With Chronic Illness: What Goes Wrong

When it comes to self-managing chronic conditions, patients often make mistakes.

WebMD Feature

The symptoms range from mild nuisances to crippling pain. Even if these less-than-pleasant reminders recede, the underlying conditions don't. Why? Because they're chronic, which means they cannot be cured. And they strike one in 10 Americans. Despite the incurable nature of chronic conditions, proper self-management can help ease associated symptoms and prevent complications. Why, then, do so many chronic conditions go uncontrolled?

"People tend to deny they have a chronic illness," says Kate Lorig, DrPH, RN, professor of medicine at Stanford University. And no wonder. Oftentimes, along with the diagnosis of a chronic condition, shocking in and of itself, comes the mandate to make several significant lifestyle changes -- immediately. Such news can overwhelm patients. Hence, this reaction: "Some people figure, 'I'm going to continue to do everything I did before,'" Lorig tells WebMD. Or they pick and choose elements of the regimen their doctors prescribe.

Recommended Related to Asthma

Aspirin and Other Drugs That May Trigger Asthma

Many people with asthma have sensitivities to certain drugs that can precipitate an asthma attack . If you have asthma, you need to be aware of which medications may be triggers. You do not need to avoid these medications unless you know they are asthma triggers for you. If these medications have never triggered your asthma, it is still best to take the medications with caution because a reaction can occur at any time. Below is a list of the most common medications known to trigger...

Read the Aspirin and Other Drugs That May Trigger Asthma article > >

Common Mistakes in Self-Management

Experts on prevalent chronic conditions share with WebMD common self-management mistakes that patients make.


Tolerating less-than-optimal control happens all too frequently among people with asthma. "They accept discomfort and activity limitation rather than pushing their doctors for better control," says Norman Edelman, MD, dean of Stony Brook University's School of Medicine.

Improper use of inhaled asthma medication also ranks high on the list of asthma self-management mistakes. "Studies suggest that only about one-third of patients use them [inhalers] improperly," Edelman tells WebMD. This includes improper timing, or they may administer the medicine incorrectly. To help avoid these scenarios, Edelman urges patients to receive instruction from a qualified person on how to use inhalers before taking them home.

Many patients don't realize that once their asthma is under control they can work with their health care provider to possible reduce the need for certain drugs they take to get the disease under control.

Inadequate environmental control of allergens is another common faux pas. "Patients often keep furry pets despite clear allergies, and allow smoking in their homes, although smoking is a major irritant of airways," Edelman says.


Medication errors are not limited to people with asthma. Arthritis sufferers make them too, according to Hayes Wilson, MD, chief of rheumatology at Piedmont Hospital in Atlanta. "Some people get their prescription filled but never take it. Or they think to themselves, 'That sounds like an awful lot [of medicine]; maybe I'll just take it occasionally,'" Wilson tells WebMD.

1 | 2 | 3

When Is Your Asthma Worse?

When Is Your Asthma Worse?

Take the WebMD Asthma assessment to get Personalized Action Plan

Start Now

Today on WebMD

Lung and bronchial tube graphic
5 common triggers.
group jogging in park
Should you avoid fitness activities?
asthma inhaler
Learn about your options.
man feeling faint
What’s the difference?
Madison Wisconsin Capitol
woman wearing cpap mask
red wine pouring into glass
Woman holding inhaler
Man outdoors coughing
Lung and bronchial tube graphic
10 Worst Asthma Cities

WebMD Special Sections