Patient was instructed regarding management measures to prevent exacerbation of emphysema as follows:

  1. Compliance with smoking cessation is an important measure to avoid episodes of exacerbation of emphysema.
  2. Request family members who are smokers, to avoid smoking around you in the house. This will help avoiding passive smoking too.
  3. Avoid contact with family members and friends, who are sick and down with flu or pneumonia or any other respiratory infection.
  4. Observe compliance with the immunization schedule for flu and pneumonia.
  5. Try considering a relocation, if you are residing in an industrialized area with high levels of environmental pollutants in the air.