I have just been to see my grandma today. She is 83 and a heavy smoker, largely housebound. She has severe COPD; she uses (or is supposed to use) Symbicort 400/12, Atrovent 20mcg, and Salamol 100mcg, and has been offered home O2 multiple times and always refused.
(I don't have COPD and I do not smoke either, and never have, never will. I do however have brittle asthma).
She's in denial, my mum and I believe. She continues to smoke, despite DVT, PE, the COPD, Crohn's, multiple hospitalisations…I think she has given up. She says every Christmas how she is sure that Christmas will be her 'last one', and I think she knows full well that giving up smoking would benefit her and she would have more energy and less difficulty breathing, but she won't give up, and she doesn't take her meds properly. She doesn't use a spacer with her inhalers, and she doesn't take the Symbicort. Doctors and nurses have, countless times, explained her meds to her but she just doesn't seem to take it on board, and she isn't a very good personal advocate so she was given a Volumatic spacer which she hated (way too big; I hate those things too) but she won't ask for an AeroChamber spacer. She doesn't really know that the Symbicort contains a steroid, or what each of her meds does, or any of that. I don't think she realises that home O2 would help her energy levels either.
This is hard for me. With anyone else, if they chose to continue smoking despite a lung condition, I would have zero sympathy. But she's my grandma; it's different.
We need her to give up smoking. But how, when she's so stubborn?