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COPD review

COPD Assessment

Section

Assessment

Select a number from 0 to 5, where 0 means you never cough and 5 means you cough all the time
Select a number from 0 to 5, where 0 means you have no phlegm (mucus) in your chest and 5 means your chest feels full of phlegm
Select a number from 0 to 5, where 0 means your chest does not feel tight at all and 5 means your chest feels very tight
Select a number from 0 to 5, where 0 means you are not out of breath and 5 means you are completely out of breath
How out of breath do you get?
Select a number from 0 to 5, where 0 means you are not limited at all and 5 means you are completely limited in your activities at home
Select a number from 0 to 5, where 0 means you are confident leaving your house despite your lung condition and 5 means you are not confident leaving your home at all
Select a number from 0 to 5, where 0 means you sleep soundly and 5 means you do not sleep soundly because of your lung condition
Select a number from 0 to 5, where 0 means you have lots of energy and 5 means you have no energy at all
An exacerbation is where your breathlessness or cough got worse and you needed to take a rescue pack or to seek medical attention

What is a COPD exacerbation?

Did you go into hospital because of any COPD exacerbations?
What is your smoking status?
Smoking status refers only to the use of tobacco products, not e-cigarettes or vaping. If you only use e-cigarettes or vape, please select “Ex-smoker” (if you previously smoked tobacco) or “Never smoked”.