If you want to take control of your chronic obstructive pulmonary disease (COPD) symptoms, it’s important to have an action plan. Instructions: Please review this Action Plan during a regularly scheduled appointment with your healthcare provider. Work with them to determine how you’re feeling, and what steps to take. Healthcare Provider Phone #: ______ -______-______ Emergency Contact Phone #: ______ -______-______ I’m doing well. I am: • Breathing with less shortness of breath • Doing daily activities • Coughing up usual amounts of phlegm and mucus • Sleeping well • Having a good appetite I feel worse due to my COPD. I have one or more of these: • Shortness of breath • Difficulty completing daily activities • More coughing than usual • More and thicker mucus • Using a rescue inhaler or nebulizer more often • Trouble sleeping I feel I am in danger. I have one or more of these: • Severe shortness of breath, even at rest • Not able to do any activity because of difficulty breathing • Not able to sleep because of difficulty breathing • Fever or shaking chills • Feeling confused or very drowsy • Chest pains • Coughing up blood My COPD Action Plan: ✓ Keep it up! Make sure to take your medicines every day to help manage your COPD symptoms ✓ Avoid cigarette smoke and inhaled irritants at all times My COPD Action Plan: ✓ Use pursed-lip breathing ✓ Get plenty of rest ✓ Call your healthcare provider if you continue to have symptoms ✓ If you’re feeling this bad, call 911 or your healthcare provider and follow their instructions My COPD Action Plan: My COPD action plan