 The protocol is individualized according to the needs identified in the monthly consultation andor weekly contact for telenursing calls. The protocol addresses the themes: information of health education about the pathology; monitoring the signs and symptoms; adherence to treatment; healthy eating and weight control; breathing exercises; cardiovascular and pulmonary risk factors; physical, occupational and sexual activity; emotional and social support. It functions as a guiding instrument for telenursing, and it is useful in the clinical management of diseases, improvement of self-care, strengthening communication and humanization in relations between professionals and users of health services. 