Home Care for CoPD - Emphysema and Chronic Bronchitis

What is COPD?

COPD is a chronic disease of the lungs that causes blocking of the airways. The most common type is a combination of chronic bronchitis and emphysema. In bronchitis the airways are narrow and partly clogged. In emphysema, some of the air sacs deep in the lung have become damaged.

COPD almost always results from smoking. Occupational exposure such as chemical fumes and organic dusts (grain, cotton, or wood) can also cause COPD.

Signs and Symptoms of COPD

  • Coughing and sputum
  • Shortness of Breathe
  • Recurrent chest infections or bronchitis
  • Wheezing
  • Fluid build-up (swelling at ankles and bluish skin)
  • Barrel-shaped chest
  • Fever

Instruction on Preventative Management

  • Avoid tobacco and alcohol
  • Maintain proper weight
  • Treat infection early
  • Use respiratory devices properly
  • Reduce exposure to environmental hazards
  • Get a flu vaccination


  • Fever
  • Change is sputum color, consistency and amount or change in cough pattern
  • Increased shortness of breath

Home health care can assist with coping strategies:

  • Instruct to avoid fatigue
  • Thin secretions with: increased fluids, using a humidifier and using effective breathing methods
  • Instruct to exhale during strenuous activity and teach purse lip and abdominal breathing
  • Instruct on conservation techniques / organize time and space
  • Instruct on exercise program per doctor’s orders
  • Instruction on stress management and relaxation exercises
  • Instruction on good nutrition: small frequent meals, eating slowly, resting before eating

What can home health care do to assist patients with chronic COPD?

  • Observation and assessment
  • Cardiac assessment
  • Home safety evaluation
  • Pulse Oximetry
  • IV antibiotics
  • Pain Management
  • Disease process education
  • Diuretic therapy
  • Electrolyte replacement
  • Breathing techniques
  • Monitoring Oxygen/nebulizers/inhalers
  • Lab work
  • Instruction percussion
  • Ambulation techniques
  • Postural drainage
  • Energy conservation
  • Suction
  • Transfer techniques
  • Weight monitoring
  • Assistance with ADLs
  • Fluid intake education
  • Trach care
  • Instruction in medication regimen
  • Enteral feedings
  • Physical/speech/occupational therapy
  • Social service evaluation
Offices Located in:
214 W. Moore Ave.
Terrell, TX 75160
972-524-9200 fax
2944 Motley, Suite 410
Mesquite, TX 75150
972-686-6485 fax
500 Turtle Cove Blvd., Suite 150
Rockwall, TX 75087
972-771-4288 fax
600 East Lennon, Suite 130
Emory, TX 75440
903-473-4403 fax
American Home Hospice
216 W. Moore Ave
Terrell, TX 751260
Associated Medical Equipment
211 W. Moore Ave
Terrell, Texas 75160
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