For many people fighting chronic lung diseases like COPD, the hardest battles are not the physical ones, but the ones that happen inside the mind. Coping with a disease that disrupts your breathing—a basic life function—is far from easy, and it takes a major mental toll on many people with the disease.

Though COPD is usually thought of as a disease that affects the physical body first and foremost, it's known to come with a long list of psychological side-effects and risks. These include clinically-recognized disorders like anxiety and depression as well as other forms of mental and emotional distress that are a bit more difficult to quantify and define.

Many people with COPD find themselves consumed with worry, for instance, or over-focusing on the difficulties and losses in their lives. While this is a common, natural reaction shared by many people with chronic diseases, it's not a healthy, happy, or sustainable way to go through life long term.

Luckily, there are many healthy, effective tools for coping with COPD and the sometimes overwhelming emotional challenges of living with the disease. In this post, we're going to focus on one method in particular: gratitude exercises, which are proven to help improve happiness and emotional well-being.

Though little-known and under-appreciated, gratitude exercises are backed by a great deal of research that supports the idea that gratitude—when practiced correctly and consistently—can improve a variety of different aspects of mental health. In particular, gratitude exercises can make it easier to cope with misfortune and help you find more contentment and appreciation in life in spite of your COPD.

Why Gratitude?

At first glance, gratitude practice might sound like a strange solution for people who struggle to cope with the mental and physical strain of COPD. We understand how it might sound ironic—or even condescending—to suggest that people should feel grateful while dealing with a debilitating, chronic disease.

Certainly, we're not saying the people with COPD should be grateful for their disease, nor that people with COPD should feel any obligation to be grateful at all. However, gratitude is a recognized psychological intervention, and it's something that anyone can practice by doing simple exercises at home.

Practicing gratitude also doesn't mean you're supposed to feel grateful all the time. It's not meant to invalidate your feelings, replace negative emotions, or even drown out unpleasant thoughts. Instead, gratitude practice is meant to help you access more positive emotions in addition to the negative ones, and to help you see the good things even when the bad things are hard to see past.

According to one blogger who writes about their experiences with chronic illness, "It is not easy to feel thankful when we are chronically ill; in fact, sometimes we feel cheated out of life." However, she explains, that's all the more reason to practice gratitude, which, like any skill, can be honed and improved over time.

Practicing gratitude helps you look at the world through a different lens—one that helps you see beyond your struggles and recognize the good things in your life. In this way, gratitude practice helps you build a more positive outlook on life in general, which can help you keep hope and happiness alive no matter how bad things might seem.

What Does Gratitude Have to Do With Mental Health?

Research on gratitude shows that it has a variety of mental health benefits, and many people with COPD report finding comfort and relief in gratitude. Of course, that doesn't mean gratitude practice works for everyone, but it does suggest it's a worthwhile option for people who struggle with mental and emotional health because of their COPD.

Gratitude is an important concept in the field of positive psychology, a sub-set of psychological research that focuses on identifying traits and behaviors that support positive mental well-being. This area of psychology is all about strengthening positive traits (reinforcing the things that make people happy) rather than fixing negative traits (correcting the things that make people unhappy).

In the scope of positive psychology, the purpose of gratitude is not to treat any specific mental problem or disorder, but to help people cultivate habits and perspectives that promote better general mental health. Of course, we're not suggesting that gratitude practice is a substitute for mental health treatment, or that gratitude alone is enough to overcome the (often) enormous burden of COPD-related emotional distress.

While gratitude can be a helpful tool for those struggling with mental problems, it's not enough to treat serious emotional problems or mental illnesses on its own. If you suffer from a mental illness like anxiety or depression, or you are unable to cope with the mental burden of COPD on your own, you should first seek proper treatment from a trained mental health professional.

If you'd like to learn more about mental health treatment for COPD or other coping methods to try, check out the following guides from our respiratory resource center:

• Coping with COPD
• Mental health treatment options for people with COPD
• Mind-body exercises for COPD

What Does it Mean to Practice Gratitude?

We often think of gratitude as something we show to others, but gratitude is also something you can practice all by—and for—yourself. That's what this guide is all about: how gratitude as a personal practice can help you feel better and cope better with the mental difficulties that often come with COPD.

In the simplest sense, gratitude practice is simply the act recognizing positive things in your life. It's about seeing the good things through the bad and taking time to actively look for—and spend some time thinking about—things in your life that you can be thankful for.

Personal gratitude practice is not about expressing thanks to others; it's about using gratitude as a personal tool to improve your mental well-being.

More specifically, however, “gratitude practice” can mean doing structured gratitude exercises that help you “practice” gratitude in a more deliberate, goal-oriented way. These gratitude exercises (also known as “gratitude interventions”) are designed to help you harness the benefits of gratitude to improve your psychological health.

Gratitude exercises come in many shapes and forms, including written activities (such as gratitude journaling) and more abstract thought-based techniques (such as gratitude meditation) We'll show you how to practice these and other effective gratitude exercises a bit later in this guide.

Of course, it's possible to practice gratitude on your own without a strategy; however, studies suggest that you're likely to get more from your gratitude practice if you do it in a structured way. Gratitude exercises provide a framework to help you practice gratitude consistently and put the practice to work in your life.

As the authors of one study put it (PDF link), “relatively simple intentional changes in one’s thoughts and behaviors can precipitate meaningful increases in happiness.” That's what gratitude practice is all about: improving your mental well-being by taking deliberate actions to recognize and reflect on the things you have to feel thankful for.

How to Find Gratitude Under the Shadow of Chronic Disease

So far we've discussed the meaning of personal gratitude and what gratitude exercises are, but we haven't yet discussed what it really means to feel grateful, or what kinds of things you should feel thankful for when yo have COPD. These are personal questions that form the core of gratitude practice, and the answers depend on your depend on your experiences, your circumstances, and what you value in life.

Unfortunately, many people with COPD and other chronic diseases have faced so much misfortune that that they lose touch with what it's like to grateful. When your life is full of health problems and hardship, it can even feel impossible to find anything that you could feel thankful for.

However, times like these are often when you need the gratitude the most. Even if it seems like you don't have much to appreciate, doing gratitude exercises can help you fine-tune your gratitude senses and teach yourself how to recognize the good things, both big and small.

You'll likely be surprised at all the positive things you can find when you're actively looking for them instead of focusing on the problems and hardships in your life. With practice, you can learn to find joy and contentment in even the most mundane and unexpected places, like the pleasure of taking your first sip of morning coffee or the satisfaction of practicing self-care.

This is especially important for people with COPD, many of whom live with constant reminders of their disease and what their body can't do. Gratitude practice can teach you to love and appreciate your body more by helping you acknowledge all of the amazing, helpful things that your body can do.

That's what gratitude practice is all about—getting in the habit of looking out for the good things no matter how grim and hopeless your circumstances might seem. Sometimes it just takes some time to build up your gratitude muscle before you can break outside the box of negative thinking and explore the full positive potential in your life.

Just know that there is no right or wrong way to feel personal gratitude, and there's no right or wrong thing to feel grateful for. What matters most is what you think is worthy of gratitude, and how you can put those feelings of gratitude to work in your life.

The Benefits of Gratitude for People with COPD

The psychological sciences have long recognized the potential of gratitude to improve mental well-being, and it's been the topic of a great deal of studies over the years. In fact, there's a wide body of academic research on gratitude that spans the fields of positive psychology, mental health treatment, and quality-of-life improvements for people with chronic diseases.

Before we go on, however, it's important to clarify that there's an important distinction between looking at the benefits of gratitude (as an existing feeling or trait) versus the benefits of gratitude interventions (exercises that focus on gratitude and appreciation). Both are important for understanding how gratitude effects well-being, but they tell very different stories about what the benefits of gratitude mean.

Studies on the benefits of gratitude itself essentially describe the differences between people with different gratitude tendencies; they compare the well-being of people who have more gratitude to the well-being of people who have less. However, studies on the benefits of gratitude interventions actually measure how people's well-being changes in response to gratitude exercises, and how gratitude can be used to increase people's well-being.

In other words, the benefits of gratitude alone may only apply to those who are already grateful people; they don't tell us much—if anything—about what gratitude exercises can do. The benefits of gratitude exercises, however, can apply to anyone who completes a gratitude intervention, regardless of natural gratitude tendencies or baseline gratitude levels.

It's also important to note that, in general, the size of gratitude benefits tends to be modest; however, that doesn't mean that gratitude can't still have a significant positive effect on people's lives. Gratitude isn't exactly a game-changer, but it is an effective tool for building healthier mental habits and introducing more positive feelings and perspectives into your life.

Improved Emotional and General Well-being

Two things that research consistently finds about gratitude is that it tends to foster positive emotions and that people who feel more gratitude tend to have better mental health. Research also shows that gratitude exercises are associated with a variety of other benefits related to personal well-being.

Numerous studies, for example, have found that people who participate in simple, structured gratitude exercises—such as writing down what they're thankful for every day—tend to experience more positive emotions and fewer negative emotions than people who don't. Studies also show that gratitude interventions can increase people's general happiness and satisfaction with their lives.

One large meta-review that analyzed 38 high-quality gratitude studies offers a great summary of the effects of gratitude interventions, including how well they work and what their benefits are. The study identifies nearly a dozen specific benefits of gratitude practices, including:

• Increased gratitude
• Increased happiness
• More positive feelings
• Fewer negative feelings
• Reduced depression
• Increased well-being
• Increased life satisfaction
• Increased optimism
• Increased relationship quality

The meta-review also confirms that these positive effects aren't just temporary; in fact, they seem to be just as strong when measured at 6 months after the gratitude intervention as when they're measured just two weeks after the exercise is done. One study on older adults, for example, found that a two-week gratitude intervention resulted in improved well-being that persisted for at least 30 days.

This emotional boost is is something that many people with COPD could benefit from, particularly those who tend to feel hopeless or pessimistic about their condition. By helping you learn how to think and feel more positively, gratitude practice can help you break free from the cycle of negativity and despair that so often plagues people living with chronic diseases.

Increased Resilience

Research shows that gratitude is an effective tool for coping with hardship, including the hardship of living with chronic illness. One study, for example, found that feelings of gratitude are associated with a reduced risk of depression in people with chronic disease.

This is likely due to the the fact that gratitude fosters positive feelings, and positive feelings make it easier to cope when things get tough. This is part of the “broaden and build” model in psychology, which suggests that experiencing positive emotions creates a kind of “reserve” of positive feelings that you can use to help yourself feel better in times of need (PDF link).

In other words, doing activities (like gratitude exercises) that generate positive emotions now can make you more resilient to hardships in the future. This is particularly helpful for people with COPD and other chronic diseases whose lives are often filled with struggles big and small, both in the context of daily living (e.g. chronic discomfort and gradual physical decline) and in the context of managing their disease (e.g. hospitalizations and unpleasant treatments like oxygen therapy).

Gratitude exercises can help you build up the mental fortitude you need to cope with these struggles and get the most out of life. The stronger your mental health and skills in positive thinking, the better you'll be able to deal with whatever troubles that life (and COPD) throws your way.

Improved Relationships

Another benefit of gratitude that's worth mentioning is improved relationships. Several studies have shown that gratitude interventions can improve relationship quality and satisfaction, in part helping you appreciate your bonds with other people more.

This is an important benefit for people with COPD, who often feel isolated at a time when they need other people the most. Who knows? Practicing gratitude could help bring you closer to your loved ones or help you discover new sources of love and support that you didn't even know you had before.

Improved Sleep

A number of studies have investigated the impact of gratitude on physical health measures like blood pressure or sleep quality, but results so far are inconclusive at best. Unfortunately, there is very little research in this area, since most studies (understandably) focus on the mental health benefits of gratitude rather than physical health.

However, several studies suggest that gratitude interventions can improve sleep quality. This makes sense, since we know that gratitude can have a variety of psychological benefits, and research shows that sleep quality is closely connected to psychological health.

Other studies suggest that gratitude interventions might be able to improve other physical factors such as blood pressure, asthma control, or eating behaviors. However, based on the evidence found so far, many researchers doubt that these benefits are substantial, if they exist at all.

Improved Quality of Life for People with COPD

Unfortunately, very few studies have looked at the implications of gratitude and gratitude interventions for COPD patients specifically. Those that have, however, have come up with similar results to those found in other gratitude studies.

One study, for example, found that people with COPD who are predisposed to feel gratitude tend to have a better quality of life than those who don't share that trait. Researchers from one study specifically recommended gratitude exercises as a means for COPD patients to "work toward more flexible, positive thinking through the use of concrete tools."

This suggests that gratitude is not only beneficial for people with chronic diseases, but that gratitude exercises can be an effective tool for coping with COPD specifically. This is echoed in the personal testimonies of COPD patients (on sites like copd.net) who have found and hope and healing through gratitude.

To sum it all up, gratitude helps you appreciate what you have and feel more satisfied with your life and relationships, even when things are difficult because of your COPD. Doing activities that foster gratitude and other positive emotions can also also make you more resilient to adversity, making it easier to cope with health-related misfortunes such as hospitalization or COPD-related physical decline.

Potential Drawbacks of Gratitude Practice

While gratitude can be a helpful tool for good, it can sometimes backfire if used in the wrong way. For example, focusing on too much on gratitude—or letting it become a rigid way of thinking—can undermine other valid thoughts and emotions you have.

You might start to think “I shouldn't think these negative thoughts, I should feel grateful!” which can just make you feel guilty for feeling bad. That's why gratitude isn't supposed to be used to replace negative feelings, but rather to add more positive feelings and thoughts into your life.

You shouldn't ever feel pressured to feel grateful; it's okay to feel how you feel, even if you feel bad, and even if you have lots of things to be grateful for. In fact, it's important to let yourself experience unpleasant emotions without judgment or shame, and to make peace with your negative feelings rather than wishing them away.

According to the psychotherapist Katie Willard Virant, "to be thankful for what one possesses does not mean that one cannot simultaneously feel grief for what one has lost.” She explains how her experiences have taught her that gratitude does not necessarily put a stop to mourning, but rather “[places] it into a context that [makes] it more bearable.”

Another thing you should avoid during gratitude practice is comparing yourself to other people, which often leads to unnecessary judgment and guilt. For example, you might end up thinking, “Some people have illnesses that are worse than mine, so I shouldn't feel so depressed about having COPD!”

It's important to remember that your feelings—whatever they are—are valid, no matter whether or not other people have it better or worse than you. In fact, there's no need to pass any judgment at all about what you “should” or “shouldn't” feel grateful for. Whatever you can find to appreciate within yourself and your own circumstances is worthwhile, no matter what other people's circumstances might be.

As you practice gratitude, it's important to check in every once in awhile to make sure it's helping and working for you. Gratitude practice isn't for everyone, and it's only worth doing if it actually helps you feel better, not worse.

How to Practice Gratitude

Now that we've discussed the merits and reasoning behind using gratitude as a coping method for COPD, let's take a closer look at some different techniques for practicing gratitude. In the following sections, we'll introduce you to several simple gratitude exercises along with some helpful tips for how to get started on your own.

Like most types of mental health and coping techniques, everyone's experience is different, and different methods tend to work for different people. So, if you're new to gratitude practice (and even if you're not), you might need to try out more than one method before it sticks.

Gratitude works best when you practice it frequently; ideally, you should try to do a gratitude exercise every day or at least a few times per week. You might find it easier to make it a habit if you integrate the exercises into an existing daily routine, such as your usual self-care regimen or bedtime preparations.

Also keep in mind that none of these practices are set in stone; feel free to tweak, adjust, and combine these exercises—and any others you come up with—however you see fit. What's important is to find a technique that feels meaningful and resonates with you.

Daily Gratitude Reflections

Doing daily gratitude reflections is probably the easiest way to practice gratitude: all you have to do is spend a few minutes at the end of every day to think back on good experiences and the things you have to appreciate. It's a great place to start if you're new to gratitude practice since it's quick, simple, and doesn't take any special skills or supplies.

The goal of these reflections is to put yourself in a mindset of positivity and gratitude long enough to come up with at least a few specific things that you feel thankful for. Those things can be just about anything: something good that happened to you, something that's made you happy recently, or just about anything positive you've might have noticed or experienced throughout the day.

You might find these gratitude reflections more difficult some days than others, such as when you feel sick or things just aren't going your way. However, it gets easier to access feelings of gratitude—even on the bad days—over time as you practice putting yourself in the mindset of actively seeking out the good things in your life.

Gratitude Journaling

Gratitude journaling is one of the most common and well-studied methods for practicing gratitude. It's basically just like gratitude reflection but with one extra step: you have to write down the things you are thankful for, or at least write down your thoughts about good things you've noticed or experienced throughout the day.

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Keeping up with healthy habits is not an easy task; for many, it's a lifelong process—and sometimes a lifelong struggle—to stay on track. If you have a chronic health condition like COPD, it can feel downright overwhelming to shoulder the pressure of having to live a healthy lifestyle while also managing your disease.

If you don't have a solid plan and an organizational structure to guide you, it's nearly impossible to handle all those moving pieces on your own. That's why every person with COPD needs some kind of self-management system, and keeping a personal health diary is one of the easiest ways to establish such a system.

A health diary is simply a written or digital system for collecting, tracking, and analyzing all kinds of useful information about your health. Depending on how you use it, it can be a powerful tool for building new, healthier habits and staying on top of your COPD treatment routine.

In this post, we're going to show you how to create your own health diary from scratch, using an assortment of simple tools and health tracking techniques. We'll also show you plenty of ways you can utilize your health diary for practical purposes, such as motivating yourself to stick to an exercise schedule or remembering to take all of your medications on time.

The goal of this guide is to explain everything you need to get a functional health diary started, including how to collect useful data for your journal using a variety of different health measuring tools and data recording methods. We'll even walk you through the process of designing your own health tracking charts, spreadsheets, graphs, and other approaches to organizing and analyzing the information you collect.

What is Health Tracking, and Why Should You Do It?

Health tracking is a general term that refers to recording information about your body or actions you take regarding your health over a period of time. The system you use to record this data can take many forms, but is often referred to as a personal health diary or health journal.

You can make a health diary out of just about any medium that can store information: a blank notebook, a series of digital documents, a spreadsheet, a mobile app, and more. There's no single “right way” to do it, and there's a wide range of health-tracking methods you can choose from (many of which we'll teach you how to use throughout this guide).

You can use your personal health journal to track and store just about any information you want to, and it can be as brief, detailed, creative, or minimalistic as you'd like. The specific techniques and organizational methods your use are less important than finding a system that works for you and that suits the subject matter in your journal.

You can adapt a health journal to just about any disease or purpose, and different people keep them for all sorts of different personal and functional reasons. Doctors often recommend health diaries as self-management tools for patients with chronic health problems, especially those that are difficult to manage, like COPD.

In research and healthcare settings, health diaries are sometimes referred to as “clinical diaries,” “patient diaries,” or “self-management diaries.” These are used by doctors, researchers, and other healthcare professionals, too, to collect specific health data on their patients and closely monitor their conditions.

What's the Point of Tracking Your Health?

At its core, health tracking is all about collecting data that helps you (and/or your doctor) learn more about your health. This data can include objective health readings, like your weight, or subjective analyses like how energetic you feel throughout the day.

These records can give you and your doctor a clearer picture of what you're tracking than you could get from memory alone. In fact, some degree of health tracking is all but required for people who need to keep a close eye on a chronic disease like COPD.

Another key part of tracking your health is finding ways to actually use the data you collect to improve your health in some way. Most of the time, this involves looking for patterns and trends in the data and using what you've learned to adjust your habits and plan for the future.

For example, you could use a food diary to keep better track of your diet so you can look back over it later to find areas you can improve. Or, you could use a medication tracker to record when you take your COPD medications so that you can look at those records later to know when you should take your next dose.

Recording your choices in your journal is also a form of accountability that can push you to make the kinds of choices that you'd feel proud to write down. In this way, a health journal can be a powerful motivational tool if you're trying to change your habits or improve your health in a specific way.

Why Should People with COPD Keep a Health Diary?

Anybody can benefit from tracking their health, but it's especially useful for people who need to manage chronic health problems like COPD. A health diary can help you with just about any aspect of COPD management, including monitoring COPD symptoms, keeping your treatment schedules straight, and making healthy changes like exercising more, quitting smoking, and reaching a healthy BMI.

If you have COPD, your ability to succeed in all of these areas can have a huge impact on your quality of life and the course of your disease. This makes it all the more important to have a dedicated health tracking system to help you manage your well-being.

Here are a few of the major benefits that keeping a health journal can have for people with COPD.

It eases the burden of managing your health

Just like using planners and lists can help you manage your work routine, tracking your health and your COPD treatments in a journal makes it easier to manage your COPD. It can also help ease some of the mental burden of COPD management, especially if you tend to have a lot of worry or anxiety about your health.

Having a place to write things down and easily reference them later frees up time and mental energy that you'd otherwise be using to keep track of it all in your head. It also makes it easier to detect problems that might cause you worry, such as signs of exacerbation and worsening disease.

A health diary lets you know what's going on with your body so you can spend less time stressing about what might be happening. All of this can help you feel more secure and more in control of your health; this is especially important during uncertain times like the current COVID-19 pandemic, which is particularly scary for people with COPD and other conditions that make them vulnerable to serious disease.

It can help you set and track your health goals

Keeping a health journal doesn't just help you learn about your health; it can also be a powerful tool for improving your health and reaching your COPD treatment goals. In fact, health and habit trackers are an integral part of effective goal-setting, and they can make all the difference when you're trying to make a healthy lifestyle change.

Your health journal not only helps you asses you where you are at now, but also where you're going and how things change over time. It provides a practical framework to help you organize your objectives, visualize your progress, and make sure you're on the right track to reach your goals.

Because of this, health tracking is a particularly valuable tool for people with COPD, who often need to make major health and lifestyle changes because of their disease. For some people, this means completely overhauling their current routine, something that's incredibly difficult to do without a well-structured plan.

That's where your health journal comes in; when you're making a major habit adjustment, you need a place to write down your goals, record your progress, and keep track of all the steps you need to take along the way. While this might sound like an obvious strategy, it takes a lot of planning and work to get it right, and a reliable health tracking system can be your key for success.

It can help your doctor monitor your treatment

Unless you have a miraculous memory, it's impossible to remember all the little details about your health, habits, symptoms and other important things your doctor might need to know. Human memory is notoriously unreliable, especially when it comes to details, which isn't ideal when your doctor needs correct information to properly treat you and your COPD.

However, you won't need to rely on memory if you have a health journal to record that information (e.g. your daily COPD symptoms) as you go. Then, you'll have accurate records that you can reference or bring to your doctor so he'll have more precise and nuanced information with which to evaluate your health.

It can help you recognize the signs of lung infections and COPD exacerbations

Keeping a close eye on your symptoms is the best way to catch COPD exacerbations, which often start with a slight uptick in respiratory symptoms. Unfortunately, this change is often subtle; many people don't notice it at first and, as a result, miss the opportunity for early treatment.

This is why many doctors encourage COPD patients to keep a written log of their symptoms and how they fluctuate over time. This makes it much easier to track subtle changes in your symptoms that can help you identify—and more accurately pinpoint the start of—a COPD exacerbation.

How to Use a Health Diary if You Have COPD

One of the great things about a personal health diary is that it can be essentially whatever you want it to be. It could be a simple log book, a planner, a habit-tracking chart, all of these things together, or anything in between.

It all depends on which health attributes you (or your doctor) are interested in tracking, and what you plan to do with the data you store. However broad or narrow your focus, you can tailor your personal journal to fit just about any particular need.

For example, your diary could help you manage healthy habits and work toward healthy goals, like eating healthier, exercising more, and taking your medications on time. You could also use a health diary to track and monitor certain aspects of your health, such as your weight, your physical activity, or your energy level from day to day.

You might also have specific health concerns that you want to monitor, such as your oxygen levels, blood pressure, or intake of specific nutrients. It's also a great way to keep track of your COPD symptoms and watch for patterns and triggers that could help you learn how to better manage your disease.

In the next sections, we're going to show you how you can use a health diary for a wide range of practical purposes, with a special emphasis on your diary can help you monitor and improve your COPD. We'll also introduce you to a variety of different tools and methodologies that can help you gather all kinds of useful data to record in your journal.

What To Record in Your COPD Health Diary

Information About Your Diet

An integral part of a healthy diet is keeping track of what you eat, and sometimes memory just isn't good enough to do the job. It's easy to underestimate unhealthy food choices or guess your calories wrong, which is why recording what you eat in a diary is one of the best ways to get an accurate picture of your dietary health.

This is especially important if you're trying to make changes to your diet, whether you're trying to lose weight, make healthier choices, correct a nutrient imbalance, or limit certain foods. These are changes that many people with COPD have to make after their diagnosis, since weight and diet can have a significant impact on your ability to breathe.

Because of this, doctors often prescribe special diets (e.g. low-salt or low-carbohydrate diets) and set target weight goals for COPD patients as part of their treatment. Unfortunately, people with COPD often have an extra hard time maintaining a healthy weight and diet, and often need extra help to succeed.

A health diary can provide that extra support by helping you track your food choices and manage a diet plan. This helps you understand your eating habits better, which is the first step to finding ways to improve it. It also forces you to think about your dietary choices more often, which helps you stay accountable to yourself and mindful about what you eat.

You can also use your health diary to schedule your diet and coordinate your meal routine. It can help you with everything from making shopping lists and meal planning to food prep and ingredient management.

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Used right, your health diary can help you develop dietary discipline and establish long-term habits that can not only help you reach your diet goals, but also maintain those healthy habits once you get there. Over time, this can make a huge difference in your overall health and your quality of life with COPD.

Here are some different ways you could use your health journal to track and manage your diet:

• Keep a simple food diary: Keep a log of the types and approximate amounts of all the foods and beverages you eat and drink throughout the day.
• Track your micro/macro-nutrient intake: This requires a more detailed log of what you eat and drink that includes nutritional information and precise portion sizes. Luckily, free food tracking applications can do most of the work for you (e.g. nutrient calculations, daily/weekly totals, trend analysis, etc.) as long as the information you enter is accurate and complete.
• Make a weekly meal schedule: Plan your diet ahead of time by working up a meal schedule for the coming days or weeks, either on your own or with the help of a doctor or dietitian. It could be as simple as a list of meal options to choose from or a detailed chart specifying exactly what you plan to eat for every meal each day.
• Track specific nutrients over time: Determine which nutrients you want to keep track of (e.g. things you're trying to limit, like saturated fat or salt) and keep a running total of how much of that nutrient is in the foods you eat throughout the day. Then, you can map the totals you're interested in (e.g. from each meal, each day, each week, etc.) onto a simple chart or graph to get a better picture of how your intake of that nutrient varies over time.

Information About Your Medication

People with COPD often take several medications and have complicated treatment schedules that require a great deal of discipline every day. This is a major source of stress for many COPD patients, and often results in occasional missed doses and other treatment mistakes.

Unfortunately, poor medication management can have serious and lasting health consequences for people with COPD, including worsened breathing problems and more frequent COPD exacerbations. That's why, if you have COPD, it's absolutely vital to have a system in place to help you keep track of your medications and take them correctly every day.

This is a perfect job for your health diary, which can be an invaluable tool for scheduling, remembering, and managing complex treatment plans. Whether you use a pen and paper or a mobile medicine tracking application, keeping a medication diary can reduce treatment errors and help you keep your schedule straight.

In fact, research shows that patients who keep medication diaries, even very simple ones, are more likely to take their medication correctly. Studies also show that health diaries can be valuable tools for patient-doctor coordination; it can help your doctor learn more about how you're using your medications (e.g. how often you need to use your rescue inhaler), how well you're adhering to prescribed treatments (e.g. how often you miss doses), and what—if any—changes need to be made to your treatment plan.

A medication diary can also relieve a great deal of stress associated with having to keep track of all your treatment details in your head. It gives you a reliable place to offload it all—your treatment schedules, coordinating difficulties, and any other details you stress about—so you don't need to worry or keep it in the back of your mind all the time.

Here are some ideas for how you can use your health diary to track and manage your medications:

• Make a minimalistic medication tracker: Make a simple list or chart of all of your doses of medication for the day or week, and mark them with the corresponding date at time after you take each dose. This helps you keep track of which medications you have and haven't taken already so you're less likely to skip or double up on doses. (We'll give you more detailed step-by-step instructions for how to make a medication tracker later on in this guide).
• Keep an oxygen therapy log: Keep a running total of the number of hours you use supplemental oxygen in your journal every day. You can also record more detailed information, like the time when you start and stop using oxygen, to get a fuller picture of how you utilize oxygen throughout the day.
• Make a basic medication log: Write each of your medications across the top of a page or chart, and mark down the the date and time you take each dose under the name of the corresponding medication. This can be particularly helpful for tracking your usage of as-needed medications (like rescue inhalers) that require spacing doses a certain length of time apart.

To learn more tips and techniques for managing your COPD medications, check out our guide on the topic here.

Your Physical Symptoms

As most COPD patients know, keeping close track of your symptoms is a key part of monitoring and managing COPD effectively. In fact, many doctors recommend using a logging system to record what symptoms you have and how severe they are every day.

Keeping a symptom log in your health diary can help you get to know your baseline COPD symptoms better and learn more about how—and possibly why—your symptoms change over time. This information is useful for several different reasons, including for gauging the pace of COPD progression (as indicated by worsening symptoms) and for evaluating how your symptoms respond to different treatments and medications.

Tracking your symptoms can also help you identify COPD exacerbations and monitor their course over time. Your records can also yield additional insight into the length, cause, and the nature of your COPD exacerbations, information that could help you and your doctor determine the best course of treatment.

Here are some ideas for how to use your health journal to track your COPD Symptoms:

• Keep a minimalistic daily symptom diary: At the end of every day, write down the date and some basic information about the symptoms you've experienced that day: e.g. describe them in a couple of sentences, rate them using descriptors like mild, moderate or severe, or jot down a couple bullet points.
• Make a daily symptom tracking chart: Decide on a scale to use for rating the overall severity of your COPD symptoms (e.g. via a numerical scale from 1-5, or a color-coded marking) and record your daily ratings in in a pre-made chart or graph.
• Track your symptoms individually: Make a list of all the symptoms you tend to experience regularly, and (separately) rate the severity of each one every day. Alternatively, you could simply mark a “yes” or “no” for each symptom or only list the the symptoms you experienced that particular day.
• Record your symptoms during everyday activities: Rate your symptoms and/or write down some notes about how you feel after everyday activities like cleaning, taking a walk, cooking a meal, etc. This can help you better understand the impact your COPD symptoms have on your life and identify ways to reduce or eliminate the burden caused by the most difficult tasks.

Instead of making your own, you can use a variety of pre-made symptom tracking templates available online, like this minimalistic tracker or this printable weekly symptom tracker (PDF link) from alnursing.org.

Your Exercise and Physical Activity

Getting plenty of exercise is an important part of COPD treatment, but it's one of lifestyle changes that people with COPD tend to struggle with the most. And that's not just because COPD symptoms make doing physical activities difficult, but also because building new exercise habits is hard thing for anyone to do—especially in older adulthood, which is when most people get diagnosed with COPD.

Unfortunately, the stakes are much higher for COPD patients, who have to maintain an active lifestyle to live a good quality of life. Getting regular exercise can make the difference between staying physically independent as your COPD progresses, and not having the endurance to do even light household tasks on your own.

Because of this, any tool that can help you stay active is worth using, and anything is better than giving up. You're much likely to succeed if you have a system—like a health journal—to guide you and help you overcome the additional physical challenges caused by COPD.

For example, you could use your journal plan out your exercise goals, your strategy for reaching them. You can also log your physical activities in your journal so you can track your progress and improvement, which can help you stay accountable and motivated to keep working toward your goals.

Here are a few ideas for how you can use your health journal to track your exercise habits:

• Keep an exercise log: Every day, take some time to write down any exercise or physical activities you've done throughout the day.
• Make a basic exercise planner: Make a chart or calendar in your health journal to keep track of when you need to work out as well as what type of workout you plan to do.
• Create an exercise habit tracker: Make a simple chart or graph to track information about your activity, such as the types of physical activities you do, your dedicated work-outs, or the number of minutes/hours of exercise you do throughout the week.

Your Mood and General Mental Well-being

Using your health journal to track your mental well-being is a great way to get more in tune with your emotions, including how you're coping mentally with COPD. It's also a great way to keep tabs on mental illnesses like anxiety and depression, which tends to affect people with COPD more often than people without the disease.

There's a wide range of mental health journaling methods to choose from, ranging from simple diary entries to complex mood and emotion-tracking spreadsheets. The simpler and briefer techniques make it easy to find trends and patterns quickly, while the more open-ended methods allow you to explore and express your thoughts in a deeper way.

A simple daily mood tracker, for example, can help you find patterns and possibly even identify triggers that affect your emotional well-being. You could also use your diary to keep tabs on specific feelings and psychological symptoms, such as anxiety, anger, or feelings of hopelessness and despair.

Of course, there's always the traditional personal diary format where you simply write down your thoughts however feels best to you at the time. Any technique will do as long as you have an idea of what kinds of personal struggles or mental traits you'd like to monitor or explore.

One of the most difficult parts of living with COPD is coming to terms with the ways it can change your life and limit your activities. This is especially true for working adults, who often have to make difficult decisions about how to continue working—and if they should continue working—while managing their COPD.

While the answer to this question varies significantly from person to person, many people with COPD are able to continue working for many years after their COPD diagnosis. However, coping with work and a chronic disease can be a major challenge, and it only gets harder in the later, more serious stages of the disease.

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That's why we created this guide all about how to overcome those challenges and maintain a healthy, balanced work life with COPD. In it, you'll learn how to address some of the most common difficulties that people with COPD face in the workplace and how to prioritize your mental and physical well-being while keeping up with the demands of your job.

In the sections below, we cover everything from how to deal with health-related absences and minimize COPD symptoms at work to what kinds of accommodations you can request from your employer to make your job easier to manage. We also discuss how to how to evaluate and make adjustments to your work-life-health balance to make sure that it's working for you.

Whether you're a person with COPD who is currently working or considering working in the future, it's important to know your options and what kinds of difficulties you're likely face. Every person's path will be different, but everyone can benefit from strategies for coping with COPD in the workplace and making adjustments along the way.

Can You Work When You Have COPD?

It's only natural to worry about your ability to continue working and keeping your job after you've been diagnosed with COPD. Certainly, COPD symptoms can interfere with many aspects of daily life, and they can reduce or eliminate your ability to do work activities you could do before.

Of course, COPD symptoms and physical abilities vary significantly from person to person, and so does the ability to work a steady job. For instance, mild COPD symptoms might not affect your everyday life much at all, while very severe COPD symptoms can make it difficult to endure even light activities, like walking up stairs or getting ready for work.

How Does COPD Affect Your Ability to Work?

How much COPD affects your work life depends largely on the severity of your COPD symptoms and the demands of your particular job. It also depends on how, and how quickly, your COPD progresses, as well as what kinds of complications (like COPD exacerbations) you experience along the way.

For example, you might be able to work a physically-demanding job in the early stages of the disease, but it's likely to get much more difficult—and eventually too difficult—to endure those physical tasks as the disease gets worse. If you have a sedentary desk job, however, you might be able to handle the work even with moderate to severe COPD.

According to the CDC, nearly fifty percent of people with COPD reported having some kind of physical activity limitation related to their health, and nearly forty percent said they have serious difficulty walking or climbing up stairs. It's not hard to imagine how such limitations could impair your working ability in general and significantly reduce the types of physical work you can do.

Another problematic COPD symptom for working adults is fatigue, which can sap your energy and make it incredibly difficult to bear the strain of working for hours and hours day after day. This is true even for work that doesn't require any major activity; it doesn't take much to overtax yourself when you're living with chronic disease.

One study on COPD patients in Canada found that 64 percent of participants with COPD reported working at a slower pace than usual and 36 percent reported having to postpone work. A significant percentage also experienced problems with concentration (64%) and decision-making (57%) at work.

COPD can also affect your sleep, your diet, your mental endurance, and other aspects of your life that can, in turn, affect your energy level and your ability to cope with stress. This can make it especially difficult to keep up with the demands of long working hours or of fast-paced jobs.

How Common is it for People with COPD to Work?

Unfortunately, there's not a lot of detailed data about working adults and COPD, or how long COPD patients usually work after diagnosis. However, research does shed some light on a few key ways that COPD affects patients' working lives.

One study, for example, found that about 62% of US adults with COPD between the ages of 55 and 75 were still employed, and concluded that people with COPD “had an elevated risk for leaving work prior to age 65” compared to adults without chronic respiratory conditions. Other studies have found that working ability among people with COPD is strongly associated with airflow limitation and shortness of breath, as patients with more severe breathlessness are less likely to be employed.

One of the most comprehensive analyses of COPD and working ability was conducted by the CDC in 2013 and explored the types of “employment and activity limitations” experienced by adults with COPD. It found that nearly one quarter (24.3%) of adults with COPD in the US report being unable to work, compared to only 5.4% of adults without COPD.

Other studies confirm that people with COPD tend to retire earlier, on average, and are even less likely to be employed than people with other chronic health conditions like heart disease, diabetes, hypertension, and cancer. This results in an average lifetime loss of about $7,365 per person from early retirement, and—among adults still working—a loss of about $880 per year due to absences from work.

But even though employment numbers are lower than average among people with COPD, it's important to note the significant number of people with COPD who do have jobs. At least 38 percent of US adults with COPD are able to continue working beyond the age of 55, and about three quarters report that they still have the ability to work (even if they are not currently employed).

Can You Get Fired for Having COPD?

Many people with chronic diseases like COPD worry that their health problems could cause them to get fired from their job. Whether or not this can happen is a complicated questions that depends on a lot of legal definitions and case-by-case determinations.

In general, you can't be fired just for having COPD, especially if your COPD is severe enough to cause you to be disabled. However, your employer might be able to fire you if your COPD symptoms (or another medical condition) makes you unable to do your job.

Who can get fired for what reasons is a tricky issue that depends on a whole web of regulations and legal definitions. If you have questions about whether or not you can be fired for your health condition, or if you believe you've been fired unlawfully, it's best to talk to a lawyer that specializes in wrongful termination.

Should You Work with COPD?

Ultimately, whether or not you continue working is a personal decision that only you and your doctor can make. Whatever you choose to do, it's important to follow your doctor's advice and make sure that your decision doesn't interfere with your ability to take care of your health.

Is Your Current Work-Health Balance Sustainable?

All working adults can benefit from pausing once in awhile to take a good, close look at their work-life balance. This gives you the chance take stock of where you are and where you're going, and to re-evaluate your goals and expectations for your career.

This kind of self-examination is even more important for people with chronic diseases like COPD, who have to balance their working life, their personal life, and their special health needs. On top of that, they have to deal with the strain of chronic health problems that make them even more susceptible to the negative health effects of working, including mental burnout and physical fatigue.

If you are a working adult with COPD, asking yourself some key questions about your work life can help you evaluate whether or not what you're doing right now is working for you. As we go through some of these questions in the following sections, think about what your ideal work-life-health balance might look like, and consider how closely your current balance aligns with the one you'd like to achieve.

Your answers to these questions can also help you identify areas of your life that might need to change in order to establish a healthier equilibrium that's more in line with your needs. Then, in the following sections we'll introduce you to a variety of practical tools and strategies that can help you make those changes, get better support in the workplace, and maintain your ability to work as long as possible.

If you'd like to skip straight ahead to those tips now, you can do that by clicking here.

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Does your work expose you to anything that could be harmful to your lungs?

People with COPD are particularly vulnerable to respiratory irritants, which can worsen COPD symptoms and do additional damage to your lungs. That's why it's important to minimize your exposure to these hazards as much as possible—especially in places like your workplace, where you spend a great deal of time.

Unfortunately, there are many different jobs that expose you to respiratory hazards like dust, heavy air pollution, noxious chemical fumes, and smoke. Some of the more obvious culprits include jobs in fields like construction and manufacturing, but they're far from the only ones; simply working with common cleaning chemicals like ammonia and bleach, for example, can expose you to toxic fumes that are known to both cause COPD and exacerbate COPD symptoms.

Here are some additional questions to help you identify your level of exposure to respiratory hazards at work:

• Do you experience worsened respiratory irritation, coughing, or shortness of breath at work?
• Do you often handle hazardous chemicals (e.g. pesticides, solvents, adhesives, etc.) or cleaning products at work?
• Do you work around vehicles or machinery that release smoke or exhaust fumes?
• Does the air at your workplace smell like smoke or contain visible amounts of smoke, dust, or other airborne substances?
• Does your workplace provide appropriate safety equipment (e.g. dust masks, respirators, or fume hoods) in situations that could exposure to respiratory hazards on the job?

Does your job exacerbate your COPD symptoms?

Effective symptom control is a key part of COPD treatment that can even reduce your risk for serious health complications like COPD exacerbations and rapid lung function decline. That's why it can be dangerous to work a job that triggers your COPD symptoms or makes them more difficult to control from day to day.

This can happen if your work tasks require physical exertion that's beyond what you can handle or makes you feel so exhausted that it saps all your energy for the day. Even if you your job tasks themselves don't cause you any particular trouble, working in an of itself can still cause a great deal of stress and fatigue, both of which can have a particularly detrimental effect on your health if you have COPD.

Here are some additional questions to help you evaluate how your work affects your COPD symptoms:

• Are your COPD symptoms usually worse at work than they are at home?
• Does your job require you to do activities that are more strenuous than your doctor recommends?
• Do you feel significantly more fatigued or breathless on days that you work (including after work) compared to days that you do not work?
• Does work-related fatigue interfere with your ability to exercise or do other activities that are beneficial to your health?

Does your work inhibit your ability to manage your COPD symptoms?

Even if your COPD symptoms aren't a major problem at work, they're bound to affect you on the job from time to time. When they do, it's important that you work in an environment that allows you to do what you need to treat your symptoms on the job.

That means being able to use your rescue inhaler as needed and keep up with other treatments, including using supplemental oxygen and taking your medications on time. You should also be able to slow down and take rests when needed, and take other reasonable steps to minimize your symptoms at work.

Here are some additional questions to help you evaluate your ability to control your COPD symptoms on the job:

• Can you slow down or stop to rest if you feel too breathless or fatigued?
• Can you take the day off if you feel too sick to come in to work?
• Does your work schedule allow you take all of your medications and other COPD treatments on time?
• Do you ever miss medical appointments or have to delay medical treatments because of work?
• Do you forget to take your medicine more often on days that you work?
• For oxygen therapy users: Does your job prevent or discourage you from using your oxygen as needed or as your doctor prescribed?

What can you do to improve your work life?

If you answered any of the above questions unfavorably, then it might be time to make a change. What kind of change that is depends on the nature of the problem, how severely it affects you, and what kinds of options are available to you in your particular job or career.

But now that you have a better idea of what a healthy work-life balance looks like, you can start to explore what you can do to achieve a better balance for yourself. To help you get started, we've compiled a list of effective tools and techniques that people with COPD can use to improve their work lives and get the support they need to continue working sustainably with COPD.

As you read through the tips and techniques in the following sections, think about the problems you've identified in your working life so far and take note of any ideas that resonate with you. Then, take some time to consider how you can adapt those ideas into personalized solutions that can help you overcome the particular challenges you face.

Strategies for Surviving and Thriving at Work With COPD

Know How to Talk to Your Employer About Your COPD

Everyone has the right to keep their health and their medical records private, but there are many situations in which it can be beneficial to talk to your employer about your COPD. In fact, it might even be necessary to discuss your health condition if you need to request special allowances or accommodations because of your COPD.

If you do decide to tell your employer about your condition, it's important to explain your situation in an accurate and compelling way. That means knowing—and being able to present—all the relevant details about your disease, including:

• your disease diagnosis
• your symptoms, including how severe they are, how they affect your life, and how they affect your work
• your treatments, especially those that could impact your work or attendance
• potential accommodations that could help you in the workplace
• anything else that might be relevant to your job or your requests

Educating your employer about your health and the challenges it causes opens up a dialogue in which both you and your employer can work together to resolve your problems and needs. Telling your employer about your struggles might also make your employer more understanding if problems crop up in the future regarding your health condition and how it affects your work.

Remove COPD Triggers from Your Work Space

Many common, everyday substances can cause respiratory irritation, including fragrances, cleaning products, air pollutants, and more. People with COPD tend to be much more sensitive to these irritants than the average person; for some, even the mildest irritants can trigger COPD symptoms and make it harder to breathe.

These symptoms can interfere with your job performance and persist even outside of work, making it generally more difficult to keep your COPD symptoms under control. Frequent exposure to respiratory irritants can even cause additional lung damage over time and increase the frequency of COPD exacerbations.

For all of these reasons and more, respiratory irritants in the workplace can make a job miserable—and potentially even dangerous—for people with COPD. Luckily, it's usually possible to reduce sources of respiratory irritation significantly by making simple, non-disruptive changes to your working environment.

You can start by paying close attention to your COPD symptoms when you're at work and looking for patterns that might help you identify things that make your symptoms worse. As you go about your work, keep an eye (and your nose) out for potential sources of respiratory irritants, such as strong odors, noxious cleaning chemicals, and second-hand smoke.

If you notice that something in particular is bothering you, don't be afraid to speak up, but be ready to offer up reasonable solutions to the problem. If you explain your sensitivities and show consideration for your coworkers' comfort and needs, you shouldn't have too much trouble getting your employer and colleagues on board.

Here are some examples of steps you could take to reduce respiratory irritants in your workplace:

• Ask your employer to enforce policies that limit second-hand smoke in and immediately around the workplace.
• Politely ask your coworkers not to wear or bring heavily-fragranced products to work (e.g. scented lotions, candles, air fresheners, perfumes, etc.).
• Ask your employer to replace hazardous chemical cleaning products (e.g. cleaners containing ammonia and bleach) with safer cleaning products that emit fewer harmful fumes. To learn more about safer cleaning alternatives, check out our guide on Cleaning with COPD.

Ask for Air Quality Improvements at Work

If you work in an office or another indoor environment, the air quality in the building can have a major effect on your COPD. Because you spend so much time at work, it's important to make sure the air in your workplace is clean and healthy to breathe.

Unfortunately, even if you eliminate the obvious COPD triggers in your workplace, there could be other, hidden sources of indoor air pollution, such as mold, radon gas, and even common pest control products. Because these indoor air pollutants are often invisible or difficult to find, it might take some investigation to determine if—and why—your workplace's air quality is poor.

The easiest way to figure this out is to get the air tested by a professional, especially if you're still experiencing lung irritation in the workplace after removing more obvious causes. You might even be able to get a free air quality test in your workplace if you request one from your state's OSHA On-Site Consultation Program.

You could also look into your work building's cleaning and maintenance practices to see if they're doing their due diligence to keep air quality issues at bay. If their current measures aren't satisfactory, you could request that they make improvements or modifications that will make the air in the building safer or more comfortable to breathe.

Potential air quality improvements include:

• Improving the building's ventilation and air filtration system
• Using humidifiers or de-humidifiers to control the amount of moisture in the air
• Implementing measures for damp and mold control
• Testing your workplace for radon gas and (if needed) installing a radon mitigation system
• Reducing or altering the use of noxious chemicals (like pesticides) in and around the building
• Inspecting and maintaining safe emission standards for appliances and machinery that generate pollution (e.g. the building's furnace)

Though many employers are reluctant to make these kinds of changes, it might be worth reminding them that cleaner air and a healthier working environment benefits everyone, not just you. Nobody is immune to the negative effects of poor air quality in the workplace, even if the effect's aren't as obvious or immediate on people with healthy lungs.

To learn more about how to improve the air quality in your workplace, check out our guide to reducing indoor air pollution or this guide to workplace air quality from the EPA.

Prepare for Workplace Absences

When you have COPD, it's inevitable that you will miss work occasionally for doctor's appointments, exacerbations, out-patient treatments (like pulmonary rehab), and other health-related reasons. As your COPD progresses and your healthcare needs increase, you might need to take even more frequent—and more lengthy—absences from work.

Unfortunately, the ability to take leave from work—and the impact that taking leave can have on your career and finances—varies significantly from person to person. In some workplaces, taking time off work is heavily stigmatized or discouraged, making it difficult for many to take medical leave even when it should be allowed.

Employers tend to be more accommodating, however, when they know about absences ahead of time. That's why you should always let your employer know as early as possible when you know that you'll need to take time off work—except in the case of an unanticipated illness or emergency, of course.

This will ensure your employer has plenty of time to arrange for your absence and ensures that you have enough time to take all the proper steps to request leave. It also gives you a chance to get ahead on your workload or find other ways to smooth over any disruptions your absence might cause.

Here are some ideas for making your absences from work easier for yourself, your coworkers, and your employer:

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Living with a chronic lung disease like COPD means dealing with a lot of uncertainty. This includes small, everyday uncertainties (like “will my symptoms act up today?”) and broader unknowns about the long-term future of your health.

These uncertainties are amplified by the fact that COPD is progressive, which means that the disease inevitably gets worse over time. COPD patients have to live with the knowledge that their condition will worsen without knowing when or how it will happen, or what additional complications might eventually arise.

This is further complicated by the fact that COPD is, well... complicated. Every case of COPD is different, making it difficult to predict a patient's future outcomes or get an accurate timeline for the course of their disease.

What's more, COPD symptoms tend to fluctuate frequently, often without any obvious warning or explanation. This makes it difficult for many COPD patients to interpret their symptoms, which can cause a great deal of anxiety anytime those symptoms change.

That's why we created this guide to answer the the oft-asked question, “Is my COPD getting worse?” We'll start by exploring COPD progression, including how it works and what it looks like. Then we'll show you how to tell the difference between permanent COPD progression and the kinds of temporary symptom flare-ups that affect all COPD patients, even those with “stable” COPD.

Next, we'll walk you through a series of questions and real-life scenarios that can help you evaluate the progression of your own (or a loved one's) COPD. Then, we'll send you off with some practical tips to help you take a more active role in monitoring and managing your disease.

By the end of this guide, you'll know how to spot the signs of COPD progression and how to work with your doctor to get the best possible outcomes for your disease. But before we get too far ahead, let's take a moment to examine some key dynamics COPD progression, including how it happens, why it happens, and what you can (and cannot) do to slow it down.

COPD Progression: The Unfortunate Reality of Living With COPD

COPD progression is a fact of life for COPD patients, and this naturally causes a great deal of anxiety for many people with COPD. A major source of that anxiety is uncertainty about the future—the sense of not knowing when and how the disease will worsen, or how you will deal with those changes when they come.

And while it's not possible to get rid of that uncertainty entirely, knowledge can be a powerful mitigating force. The more you learn about COPD progression, the more prepared you'll be when it happens, and less scary and unfamiliar the future will seem.

In the following sections, we're going to take a closer look what COPD progression looks like and what causes COPD symptoms to get worse over time. We'll also look at some of the ways doctors and researchers predict future COPD progression, and how certain symptoms and risk factors are linked to slower or faster progression in people with the disease.

How COPD Progression is Measured: The 4 Main Stages of COPD

Doctors have a variety of ways to measure how severe a person's COPD is and, thus, how far the disease has progressed. Methods include tracking patients' symptoms, analyzing data from lung function tests, and using other data (e.g. symptoms, exacerbations, and medical imaging) to estimate the severity of the disease.

The most common method for determining COPD progression is known as “staging” or “grading,” which is a standardized technique for ranking the severity of COPD on a scale from 1-4. The most widely-used staging guidelines (known as the GOLD Criteria) allow doctors to quickly judge a person's COPD stage based primarily on the results of simple lung function tests.

In general, COPD symptoms get more severe and more numerous as you progress upward through the stages. For example, you might start out in stage 1 with some occasional breathlessness and coughing, but then acquire additional symptoms (e.g. persistent breathlessness, coughing, and fatigue) by the time you reach stage 3.

Other data can also be used to get a more in-depth picture of a patient's condition or to pinpoint specific health problems and complications. For example, doctors can often learn specifics about a patient's lung condition and function from x-ray images, CT scans, and analyzing other tissues and bodily fluids (e.g. lung fluids, sputum, and blood).

To learn more about the different stages of COPD progression, including what kinds of challenges, symptoms, and treatments to expect at each stage, check out the following guides from our Respiratory Resource Center:

• What You Need to Know About the 4 Stages of COPD
• 6 Things You Should Know if You're Diagnosed with Stage 1 COPD
• End Stage COPD: How to Plan and What to Expect
• 11 Things You Should Do After You're Diagnosed with COPD

Why Does COPD Progress?

Unfortunately, we simply don't know a lot about why COPD progresses and why it cannot be cured. For example, we don't know exactly why some people who smoke get COPD (and continue to degenerate) while others don't.

However, we do understand many of the mechanics involved in COPD progression, even if we can't always explain why they occur. These mechanics include chronic lung inflammation and the gradual accumulation of damage to tissues in the lungs.

Most of the time, COPD occurs after long-term exposure to lung irritants (like tobacco smoke) that damage sensitive lung tissues over time. In people with COPD, those damaged lung tissues never heal completely, but instead are left weaker and even more sensitive than before.

As a result, the lungs become extra susceptible to inflammation and disease, which causes even more damage and scarring in the lungs. This triggers a vicious cycle in which the lungs are perpetually inflamed and more and more tissues get damaged, making the lungs ever weaker and more sensitive with time.

Unfortunately, there's currently no way to stop or reverse this cycle, which is why COPD is a chronic, life-long, and incurable disease. Of course, that doesn't mean COPD is untreatable; there are many COPD treatments and medications that are effective at controlling COPD symptoms and even slowing down the progression of the disease.

It's important to note that COPD progression is not a smooth or linear process; it can speed up, slow down, or move in stops and starts. Some patients have faster disease progression than others, and some people stay “stable” for months or years at a time before experiencing any significant progression or worsening of their COPD.

Can You Predict COPD Progression?

There are a number of measurable factors that can help predict the likely short-term and long-term health outcomes (or prognosis) for people with COPD. For example, there are a number of risk factors that are linked to quicker disease progression, including:

• Severe COPD symptoms
• Lack of exercise
• Poor nutrition
• Frequent exacerbations
• Frequent hospital stays
• Heart disease

By analyzing these and other factors, it is possible to make educated guesses about things like life expectancy, the speed of disease progression, and how likely you are to develop certain health complications associated with COPD.

However, making these kinds of predictions is both difficult and imprecise. You would need a trained medical expert to come up with any kind of meaningful prediction about the future of your COPD, and even then it would only be an educated guess.

If you want to know more about your COPD prognosis and/or future health risks, you should ask your doctor or respiratory medicine specialist to go over your prognosis with you. An expert who's familiar with your health history and medical records should be able to explain your future health prospects and offer some insight into what your health future might be.

Can You Slow Down COPD Progression?

There has been a lot of research dedicated to figuring out how different COPD treatment methods affect patients' long-term outcomes, including whether or not they can slow down the progression of COPD. This research has identified a number of different treatments and lifestyle changes that are associated with slower progression of COPD, including:

• Quitting smoking
• Getting adequate exercise
• Maintaining a healthy weight
• Completing a pulmonary rehabilitation program
• Minimizing exposure to lung irritants (e.g. air pollution)
• Getting early treatment
• Taking COPD medications consistently and correctly
• Keeping symptoms under control
• Avoiding illnesses and exacerbations

It's important to note, however, that while all of these factors are associated with slower disease progression, it's not always clear whether or not they are directly causing progression to slow. It's difficult to tease apart the exact nature of the relationship; for example, does having well-managed COPD symptoms cause the disease to progress slower, or does having a slower-progressing disease make the symptoms easier to control?

Hopefully, future research can give us more insight into this question and provide new avenues for slowing disease progression in people with COPD. In the meantime, however, most experts agree that you can improve your COPD prognosis by doing the following things: quit smoking, stay active, get treated by a a qualified health professional, and be diligent about taking your medications and following your doctor's advice.

If you'd like to learn more about how to slow down COPD progression and improve your long-term prognosis, check out our guide: How to Take Control and Slow the Progression of Your COPD

What's Causing My Symptoms? How to Tell the Difference Between Permanent COPD Progression, Temporary Flare-Ups, and Acute Exacerbations of COPD

As we mentioned earlier, it's normal for COPD symptoms to fluctuate from day to day without any apparent reason, or to get worse for a period of months or weeks during a COPD exacerbation. This can make it hard to pinpoint the reason why your symptoms are acting up, including whether it's caused by a temporary or permanent change in your COPD.

Luckily, it is possible to determine the likely cause of an uptick in symptoms if you know what to look for. You just have to pay close attention to the nature, severity, and length of your symptoms, as well as the context in which they occur.

Minor Symptom Flare-Ups

Here we're using the term “minor symptom flare-up” to refer to the normal COPD symptom fluctuations that happen in just about everyone who has COPD. Essentially, we're talking about those days when you wake up and your symptoms are worse than usual, but then they get better within a couple days.

This can happen for all kinds of reasons—maybe the air pollution was especially bad that day or you exerted yourself too much the day before. Flare-ups can also happen for seemingly no reason at all; sometimes you just have bad COPD days.

Most of the time, flare-ups are nothing to worry about and you can get over them on your own. You might need to make some minor changes, like getting some extra rest or using your quick-relief inhaler more often, but you probably won't need any other medical intervention.

That doesn't mean you should take minor flare-ups too lightly, however; sometimes what seems like a minor flare-up can turn into a full-blown COPD exacerbation. It's best to treat flare-ups as a “watch and wait” situation: you shouldn't worry too much, but you shouldn't ignore it either in case it turns out to be something more serious down the line.

COPD Exacerbations

COPD exacerbations usually occur when you get sick with a respiratory illness, such as a bacterial lung infection or a simple cold or flu. This results in severe lung inflammation that causes COPD symptoms to worsen significantly for a period of time.

COPD exacerbations can last for weeks or months, and recovery usually requires extra medication or medical intervention. The increased symptoms usually go away when the exacerbation is over, though it can take a long time before they totally get back to baseline.

You can usually tell exacerbations apart from temporary symptom flare-ups because they last longer and tend to be more severe. However, exacerbation severity can vary quite a bit; some are minor and only require minimal intervention, while others are life-threateningly severe.

As a general rule of thumb, you should suspect an exacerbation if you experience worse symptoms (e.g. you feel more breathless, more fatigued, your coughing gets worse, etc.) that don't get better within a few days' time. If they get worse or persist without getting better, you should get in contact with your doctor or follow the corresponding instructions in your COPD action plan.

It's also important to not that, while COPD exacerbations in and of themselves are not a sign of COPD progression, they are linked to permanent COPD progression in a couple of different ways.

First, the frequency and severity of COPD exacerbations are often used as a measure of COPD progression, as they tend to get worse in the later stages of COPD. If you're having more frequent exacerbations, or having more severe symptoms during exacerbations, this could be a sign that your COPD is getting worse.

Exacerbations can also play a direct role in COPD progression, as severe exacerbations can cause irreversible lung damage and lung function loss. In general, the fewer exacerbations you experience, the lower your risk for the additional lung damage associated with exacerbations that, cumulatively, can result in quicker progression of COPD.

This is why preventing exacerbations is such a critical priority for doctors and patients managing COPD. It's also why it is so important to identify and treat exacerbations early, before they get to the point that they become difficult to treat and control.

COPD Progression

Compared to minor flare-ups and exacerbations, which tend to come on quickly, COPD progression is a long-term process that tends to happen over the course of months or years. That means you can't judge COPD progression based on just a few days or weeks of symptoms; you have to think long-term, on the order of several months, at least.

So if you've only been experiencing elevated symptoms for a few days or weeks, it's likely much too early to tell if they're caused by permanent disease progression. But if the symptoms persist for months and months without any sign of getting better, it could be a sign that your COPD is getting worse.

Unlike symptoms caused by minor flare-ups and exacerbations, elevated symptoms resulting from permanent COPD progression don't ever really go away. Instead, those symptoms become part of your new baseline—part of your normal, everyday symptoms that you experience as part of the disease.

Elevated baseline symptoms aren't the only sign of COPD progression, however. There are other changes that tend to come hand-in-hand with permanent COPD decline, namely more frequent exacerbations and lung function loss.

Research has well-established that people with COPD tend to experience more severe and frequent exacerbations as the disease progresses. In fact, exacerbations are considered to be “one of the most important predictors of the progression of COPD.”

Lung function is also closely tied to COPD progression. It's the primary criteria used to grade COPD severity and measure how quickly the disease get worse over time. Generally, the quicker your lung function declines, the quicker your COPD is progressing, and the quicker your symptoms will get worse over time.

Clues that Your COPD is Getting Worse: Signs to Watch Out For

In the following sections, we're going to go through some common scenarios that people with COPD experience. Each scenario reflects a situation or circumstance that could be a red flag that your COPD is getting worse.

While none of these scenarios is decisive on its own, each addresses a specific symptom, health complication, or another known indicator of worsening COPD. We hope that, by reviewing these life-like scenarios, you'll get a better idea of what worsening COPD can look like and be better able to recognize the signs of progression in your own life.

You're Spending More Time at the Hospital

Most people with COPD will have to be admitted to the hospital at some point to get treatment for an exacerbation or another complication of COPD. However, people with mild COPD rarely need hospital treatment; it's much more common in the mid-to-late stages of the disease.

People with moderate COPD might occasionally need to be hospitalized for exacerbations, though (depending on doctors' advice) some exacerbations can be treated at home. Those with severe disease tend to be hospitalized more frequently—and have longer hospital stays—both because their exacerbations tend to be more severe, and because treatment can be complicated by the presence of other health complications.

So, if you've been hospitalized for COPD for the first time recently, or have needed hospital treatment more often than usual, it could be a sign that your COPD is getting worse. Of course, it's also possible that you just had bad luck, especially if it's an isolated incident and not an ongoing trend.

More frequent exacerbations can also be a sign that you're not getting (or keeping up with) the treatment you need to properly manage your COPD. But if you're doing everything you're supposed to, and you're still having exacerbations more frequently than before, it's a strong indication that your COPD might be getting worse.

You Can't Get Around As Well as You Used To

People with COPD often struggle with physical exertion, including walking and standing for long periods of time. Mobility problems like this can be both a cause of COPD progression as well as a consequence of worsening COPD.

For example, worsening COPD symptoms (like breathlessness and fatigue) can make it harder to exercise, causing many patients to avoid physical activity. However, lack of exercise tends to make those symptoms even worse, leading to even more mobility issues and quicker physical decline.

This can make it difficult to tell whether mobility problems in COPD patients are simply a symptom of COPD progression or if it's the lack of physica

Not everyone with COPD is an ex-smoker or smoker,. There are a lot of other factors that cause COPD. While, It is no secret that cigarettes cause a lot of respiratory issues and other bodily harm, and smoking does lead to Chronic Obstructive Pulmonary Disease (COPD) many of the 16 million Americans who have been diagnosed with COPD have never smoked in their lifetime.

So what else causes COPD and how can we continue to treat this chronic disease for smoker and nonsmokers effectively?

In this blog we cover:

• What COPD is
• How COPD and smoking is related
• How nonsmokers develop COPD

What is COPD?

Chronic obstructive pulmonary disease, commonly referred to as COPD, is a group of progressive lung diseases.

The most common of these diseases are emphysema which slowly destroys air sacs in your lungs, and interferes with outward air flow and chronic bronchitis which causes inflammation and narrows the bronchial tubes allowing excess mucus to build up. Many people with COPD have both of these conditions, and when it is severe enough, they require supplemental oxygen therapy. To treat cases of COPD, people will opt to use portable oxygen concentrators. 

It’s estimated that about 30 million people in the United States have COPD, while an estimated 14 million are unaware that they have it. If your COPD goes untreated, it can lead to a faster progression of disease, heart problems, and worsening respiratory infections. 

COPD and Smoking 

Smoking is one of the main causes of COPD, however it is not the only reason people develop this disease. 

In today’s day and age, smoking has a negative connotation, and it is widely known that smoking is bad for your health and the ones around you. This scientific fact has only come to light and into popularity in relatively recent years. 

There was a time when many of us were alive where smoking was a normal everyday thing that most adults participated in, and the negative effects smoking presented to the smoker and those subjected to secondhand smoke were less known and much less talked about.

Now there are a lot more alternatives for smoking for people who want to quit, there are scientific studies proving the harmful aspects smoking has on your body, there are advertisements and movements to help inform people, and smoking is not allowed indoors and even in private outdoor spaces in most areas. 

The overall language surrounding smoking has changed dramatically, and a lot of the time there is little sympathy for smokers. 

While smoking is a very harsh addiction, there are a lot of tools including therapy that can help you quit. It is much easier said than done, and we do have a few resources on our website that can help smokers nick the habit: 

There’s nothing worse than waking up in the morning to symptoms like fatigue, stiffness, chest pain, or grogginess. However, this is a reality that many Americans face, especially those with pulmonary illnesses like COPD, pulmonary fibrosis, and asthma.

According to Dispatch Health, fatigue is the second most common symptom of COPD behind dyspnea (shortness of breath). This study found that the amount of COPD patients with clinically significant fatigue is around 50%, in contrast to 10% in elderly people without COPD.

Although there are many factors that contribute to tiredness, fatigue, and grogginess in COPD patients, the most significant cause is decreased lung function. According to WebMD, it can take up to 10 times as much energy for someone with COPD to breathe as it does for their healthy counterparts.

As you can imagine, over time, this can become quite exhausting. Additionally, if labored breathing leads to reduced oxygen levels in the blood (hypoxemia), this can lead to further fatigue.

While we could sit here and rattle off all of the causes of fatigue in COPD patients, you’re probably a lot more interested in the solutions. That’s why, in this post, we’re going to be discussing some of the proven ways for COPD patients to improve their energy levels.

Whether you have mild, moderate, or severe COPD, these tips will help you take back control and start feeling more motivated in your daily life. As always, if you have any questions for us, please leave them in the comments below or speak with an oxygen concentrator representative.

Quit Smoking Immediately

Cigarette smoking is the leading cause of lung disease in the world. A burning cigarette emits more the 7,000 chemicals, and when they enter the body, they quickly damage the air passages, air sacs (alveoli), and your lungs’ natural immune functions. 

Years of smoking almost inevitably leads to some of the most common lung diseases including chronic obstructive pulmonary disease, lung cancer, and more. But lung damage is not the only thing that you have to worry about when you light up a cigarette. The way smoking affects the brain is of equal concern.

One of the most concerning chemicals found in cigarette smoke is nicotine. You probably know this as the chemical that makes cigarettes “addictive”. While this is true, it has far worse effects on the body than this. Like coffee, nicotine is a stimulant. Smoking a cigarette or two will give you a sort of “high” where you feel like you have a lot of energy and alertness. 

However, when the effects of nicotine begin to wear off, you’ll start to experience a crash and eventual withdrawals, causing you to start the whole process over again. Over time, this can mess with your body’s natural sleep-wake cycle causing you to lose sleep at night.

Another way that smoking can lead to reduced energy levels in COPD patients is through the development of mood disorders. We talk about mental health a lot here at LPT Medical because, no matter how physically healthy you are, you can’t be happy if your mental health isn’t in check. 

Studies have found that, contrary to popular belief, cigarette smoking leads to increased anxiety, and smokers are more likely to develop depression and other mental illnesses than their non-smoking counterparts. According to Hopkins Medicine, about 75% of people with depression have trouble getting to sleep at night.

Manage Your Diet Carefully

If there’s one thing that everyone should be taught from a young age, it’s the importance of a healthy, well-balanced diet. While you can go through all of the foods you eat and pick out the “unhealthy” from the “healthy”, it makes more sense to think of what your individualized needs are and then tailor your diet to that. 

For example, COPD patients often have trouble maintaining their weight because they have a higher energy expenditure than healthy people due to their reduced lung function. This means that COPD patients oftentimes need to increase their protein intake. Loss of muscle mass (muscle atrophy) not only leads to fatigue but can also lead to osteoporosis and other bone disorders.  

Another thing you should do is replace simple carbohydrates in your diet (glucose, fructose, and sucrose) with complex carbohydrates (whole grains, vegetables, and fruits). The problem with simple carbs is that they are broken down and digested very quickly by the body. 

This leads to a quick spike in blood glucose and thus immediate energy. However, consuming simple carbs also means that you will experience a “crash” later on, which will leave you feeling exhausted and unmotivated. According to the Lung Institute, carbohydrates produce the most carbon dioxide in the body in relation to the amount of oxygen that’s used to break it down while fat produces the least. 

So eating too many carbs as a COPD patient can lead to increased breathlessness and fatigue.

One last modification you can do to your diet to have more energy throughout the day is to eat more frequently. While you’ve probably been told before that “snacking” is a bad thing, it can be incredibly beneficial if you do it the correct way. 

Many store-bought snacks like granola bars, candy bars, or yogurt are filled with sugar and other additives but if you create your own snacks, you can be sure that they’re healthy and won’t sap your energy. For example, a piece of fruit, some veggies, and hummus, or unsalted nuts will provide you with lots of energy to make it through the day. 

One of the best benefits of healthy snacking is that you won’t be so hungry once mealtime comes around, meaning you’ll eat less and won’t feel so bloated and exhausted afterward. 

Stay Hydrated

As a whole, the human body is around 60% water, the lungs are about 83% water, and the brain is 73% water. Water plays a pivotal role in some of the most basic functions of the body including circulation, digestion, and temperature regulation. And according to Healthline, being dehydrated can make you feel tired even when you’re fully rested. 

This is likely due to low blood pressure that results from having insufficient water intake. While there are many drinks you could consume to stay hydrated, water is always the best choice. The Lung Institute recommends that COPD patients drink between 64 to 96 ounces par day. 

In addition to drinking enough water, it’s important to avoid things like sugary, caffeinated, or alcoholic beverages. Although sugar and caffeine are great for a quick pick-me-up, they are not a good long-term solution to your fatigue and sleepiness. 

Alcohol, on the other hand, is a central nervous system depressant that causes feelings of sleepiness and relaxation. Overconsumption of alcohol has been shown to delay the onset of sleep and many people even experience sleep disruptions or poor quality of sleep. 

Get Tested for Vitamin D Deficiency

Vitamins and minerals play a vital role in the body’s function. They are considered “essential nutrients” because they have hundreds of functions from assisting in bone development to boosting your immune system. Unfortunately, many COPD patients are deficient in vitamin D which is responsible for regulating bone health and energy levels in the body.

Vitamin D assists mitochondria to use oxygen in the healthy function of muscles and various other parts of the body. In other words, when you are vitamin D deficient you’re at a higher risk for osteoporosis and low energy levels.

There are several reasons why COPD patients might be vitamin D deficient. Firstly, our primary source of vitamin D is the sun because our bodies naturally produce vitamin D when we’re exposed to sunlight. 

However, many COPD patients are not as active as they used to be before being diagnosed and may avoid going outside when it’s sunny because of the risk of respiratory exacerbation or heat exhaustion. Another reason COPD patients may be vitamin D deficient is their diet has changed. 

Fatty fish, egg yolks, and vitamin D fortified foods are some of the best sources of vitamin D. 

If you have reason to believe that you are vitamin D deficient, it’s best to consult with your doctor to discuss your symptoms. Typically, vitamin deficiencies are diagnosed through a type of blood test called 25-hydroxyvitamin D or 25(OH)D for short. Your vitamin D levels are measured in nanomoles/liter (nmol/L) or nanograms/milliliter (ng/mL):

• Deficient: under 30 nmol/L
• Potentially deficient: 30-50 nmol/L
• Normal: 50-125 nmol/L
• Higher than normal: over 125 nmol/L
  
  

Take Oxygen as It’s Prescribed

Supplemental oxygen is a type of medical therapy designed for people with impaired lung function. In the case of emphysema, the tiny air sacs in the lungs called alveoli become damaged and swollen. Since the alveoli are responsible for transferring oxygen to the blood and carbon dioxide back into the lungs, this disease results in low blood oxygen levels. 

Emphysema patients need to use oxygen as it was prescribed by their doctor in order to maintain the appropriate level of oxygen in their blood.

When someone with emphysema has low blood oxygen levels for an extended period of time, this can result in hypoxia or low oxygen levels in the body’s tissues. This can cause complications like headaches, confusion, fatigue, and even organ failure. 

On the other hand, increasing your oxygen intake to an amount higher than what your doctor prescribed can be equally harmful. Oxygen toxicity is what happens when you ingest too much oxygen. It can result in symptoms like difficulty breathing, chest pain, dizziness, fatigue, and nausea.

One of the best ways to ensure that you have access to a reliable supply of oxygen wherever you go is to choose the right oxygen device. While oxygen tanks have been used by COPD patients for decades, they are not the best option for the majority of people. Portable oxygen concentrators tend to be a much better choice because they don’t need to be refilled like oxygen tanks do, and they’re also much lighter and smaller. 

What this means is that you won’t have to stop what you’re doing constantly to find a place to refill your oxygen device. Concentrators run on batteries, so you only have to carry what you need.  

One of the greatest features of newer portable oxygen concentrators like the ARYA Airvito, Inogen One G5 and Caire FreeStyle Comfort is their auto-adjusting flow rates.

If you’re using the device while you’re sleeping, the concentrator will adjust its oxygen output based on your breathing rate and breathing depth ensuring that you always get the optimal amount of oxygen. 

This will prevent you from receiving too little or too much oxygen while you sleep resulting in fewer interruptions and more restful sleep. And finally, if you’re taking oxygen as it was prescribed but you still feel out of breath or fatigued, be sure to consult your doctor before increasing your flow setting.  

Exercise Consistently

Exercise is important for everyone, regardless of their age and health condition. However, a healthy exercise routine looks different for everyone. For example, if you’re in early-stage COPD and your symptoms are very mild, you might want to try a high-intensity exercise routine. Conversely, if you’re in stage three or four COPD, you may need to resort to moderate exercise.

The important thing is that you’re consistent with your exercise routine and you don’t resort to long periods of sedentary behavior. This will keep your body’s circulation in check and ensure that you don’t overexercise.

According to WebMD, studies show that exercise is a great way to improve energy levels, even in people with chronic diseases that are associated with fatigue. By exercising, you’re improving your cardiovascular health and strengthening your lungs and muscles meaning your body, as a whole, will be more efficient and you won’t get exhausted from simple things like carrying the groceries or walking to the mailbox. 

Believe it or not, the stronger your muscles are, the less oxygen they need in order to function properly. If you want to start exercising but don’t know where to begin, ask your doctor about pulmonary rehabilitation. This is a course where you will learn the proper way to exercise with your disease.

Another way that consistent exercise boosts your energy is by helping you get restful sleep. If you feel restless and anxious when you go to bed, you’re not alone. According to SleepHealth.org, 70% of Americans report getting insufficient sleep at least once a month, and 11% report feeling this way every night. 

Sleep disorders are a major issue in the United States, especially amongst people with COPD and other chronic diseases. 

Conclusion

Studies have shown that fatigue is one of the most commonly reported symptoms of COPD. These patients spend a significant amount of energy just getting a full breath and alterations to their diet can leave them without the nutrients they need to feel alert and full of energy. 

If you or your loved one has COPD and is experiencing fatigue, restlessness, or sleepiness, try some of the tips above or consult your doctor who can help you get to the root cause of the issue. Most people are surprised to find that these symptoms can be treated naturally and without having to drastically change their daily routine.

In the meantime, if you’re in the market for an easy-to-use, reliable, and affordable oxygen generator, look no further than LPT Medical. We have a wide variety of units available including but not limited to stationary oxygen concentrators, continuous flow portable oxygen concentrators, and pulse dose portable oxygen concentrators. 

We also sell a range of different accessories to help you make the most of your new concentrator such as backpacks, extra battery packs, external charges, oxygen tubing, and much more. If you have any questions, just give us a call or email us and ask to speak with an oxygen concentrator specialist.