The patient was instructed in emphysemathe importance of avoiding bronchopulmonary irritants such as cigarettes smoking, industrial air pollutants, dust, powders, perfumes, aerosol sprays. The patient was encouraged to use of bronchodilator nebulizers. The patient was taught in adaptive breathing techniques such as deep-breathing exercises, coughing techniques, pursed-lip breathing, and abdominal breathing. The patient was reviewed to avoid persons with infections, especially upper respiratory tract infections. The patient was advised the importance of taking vaccines for influenza and pneumococcal pneumonia. The patient was recommended on cleaning of all home respiratory equipment. The patient was taught in the importance of environmental control, avoid dry air, avoid going out in cold temperatures.