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Stage 4 COPD: End-Stage COPD and You

1 Nov 2016
| Under COPD, Disease Education, Medical | Posted by | 30 Comments
Stage 4 COPD: End-Stage COPD and You

As you know, there are four total stages of chronic obstructive pulmonary disease (COPD), ranging from mild to very severe. Stage 1 COPD is also known as mild COPD, and stage 2 COPD is the moderate stage at which recognizable symptoms often first appear. As COPD progresses, your COPD stage will also change to reflect the severity of your symptoms. Severe stage COPD, or stage 3 COPD, causes significant changes in symptoms, lung health and overall health. The final stage of COPD is also known as stage 4, or very severe. Here’s everything you need to know about stage 4 COPD or end-stage COPD.

Determining Stage 4 COPD

As in previous stages of COPD, your doctor will likely use the GOLD System and the BODE Index to identify stage 4 COPD. By this stage, you’ve likely had multiple lung function tests and exercise tolerance tests, such as pulmonary function tests and 6-minute walk tests. Seeing your doctor regularly is important during any stage of COPD, but it’s especially important during stage 4.

In the GOLD System, stage 4 COPD is categorized as end-stage COPD with a lower forced expiratory volume in one second (FEV1) than stage 3, or those with a stage 3 FEV1 and low blood oxygen levels.

Stage 4 COPD

During stage 4 COPD, many people have significant airflow limitations, which often drastically affect their lives. In fact, simple tasks, such as taking a shower, making the bed or cooking a small meal, leave them feeling exhausted and completely out of breath. While lung function can vary, typically during stage 4, lung function drops to 30 percent or less.

Your doctor will closely monitor your pulmonary health and overall health. Because COPD flare-ups worsen symptoms and can be life-threatening, your doctor will work with you to manage and prevent them.

If you experience low blood oxygen levels, your organs, cells and tissues are unable to receive enough oxygen. Oxygen is essential to a properly functioning body, but many people with COPD have difficulty getting adequate oxygen. Your doctor may prescribe oxygen therapy to help you receive more oxygen.

For some people, other conditions that can occur along with COPD may worsen as well, such a heart failure. If you notice a change in your symptoms or feel ill, your doctor will likely want to make sure you’re not having a COPD flare-up.

Stage 4 COPD Treatments

Stage 4 COPD: End-Stage COPD and You

COPD is a progressive disease, and there’s no cure. However, you and your doctor will work together to develop or modify your treatment plan to best fit your needs. There are many different treatment options, such as medications, lifestyle changes and alternative therapies.

For the management of stable stage 4 COPD, your doctor may prescribe inhalers, corticosteroids to help you breathe better. For example, your doctor may prescribe inhalers called bronchodilators, which help relax and open your airways. Your doctor may also prescribe steroids to reduce inflammation and prevent flare-ups.

Sometimes you may need a type of inhaler called a combination inhaler. Combination medications combine two types of medicine in the same drug, such as a bronchodilator and a steroid in the same inhaler.

In the event of a COPD flare-up, your doctor could prescribe antibiotics, oral steroids or even hospitalization. Remember to report any changes in your symptoms or overall health to your doctor. It’s also important to stay up-to-date on your flu and pneumonia vaccinations to reduce and prevent flare-ups from happening.

For many people, alternative treatment, such as stem cell therapy has helped them get back to their favorite activities. In fact, some people have reported reducing their oxygen therapy use after treatment, feeling better and breathing easier. Stem cell therapy works differently than traditional medications. While traditional medications can help manage COPD symptoms, stem cell therapy works to promote healing from within the lungs, potentially addressing disease progression.

Stage 4 COPD Lifestyle Changes

Your doctor may also recommend certain lifestyle changes. One of the most important lifestyle changes you can make is to quit smoking. Smoke is a lung irritant and trigger for COPD symptoms. While quitting smoking and remaining smoke-free is challenging, there are smoking cessation tips, treatments and groups to help you succeed. Give our free smoking cessation guide a try.

Eating a healthy diet and getting plenty of exercise have been proven to help people with COPD enjoy a better quality of life. Too much salt can worsen COPD and heart problems, so try seasoning your food with herbs instead. Gentle exercises like yoga, walking and Tai Chi are excellent options for people in any stage of COPD with limited mobility.

Combining lifestyle changes, medications and alternative therapies, like stem cell therapy, can help you live a more active life. COPD prognosis and life expectancy vary; however, from stage 1 COPD to stage 4 COPD, these treatment options are available. If you or a loved one has COPD, emphysema, chronic bronchitis or another chronic lung disease and would like to learn more about your stem cell treatment options, contact us at (800) 729-3065.

30 Comments

  1. Lung Institute

    3 days ago

    Kevin:

    We are very sorry to hear about your condition. You may want to see your primary physician to see if they suggest any treatment plans.

    You may also want to consider our stem cell therapy from the Lung Institute.

    We understand that each patient is unique and has individual needs. Because of that, we make sure to go over the patient’s history and our treatment options in detail with each patient.

    In order to determine if someone is a candidate for treatment, we need to gather more of their private medical history in a secure setting. The best way to do that is by giving us a call and speaking one-on-one with someone on our medical team over our secure phone line. We’re happy to answer your questions about stem cells, treatment options, candidacy and cost. So, feel free to contact us at (855) 313-1149. We look forward to hearing from you soon.

    Sincerely,

    The Lung Institute

  2. Kevin Connor

    3 days ago

    I’m stage 4 copd.I have been since 2012 I’m stuck in the house 24/7 it’s hard. Sometimes I feel I’m getting my last breath but I think to myself only I hope so. Do people think that’s giving up just iv been stuck in a very small house since 2012 hopefully people understand me as I’m not a bad or ignorant person. Well hope iv not upset no one but iv had enough. Sorry x

  3. Lung Institute

    3 days ago

    lana:

    Thank you for your comment and we are sorry to hear about your brother’s condition. It can be frustrating to see someone not want to treat their COPD. There is no way to determine life expectancy no matter what the stage of COPD. There are too many variables such as when the disease began (not when it was diagnosed), is the person doing things to combat the disease and are they managing their symptoms. Here is a link to a number of blog articles we have written discussing life expectancy.

    We’re happy to answer your questions about stem cell therapy for chronic lung diseases. We have a dedicated medical team who have a wealth of knowledge about stem cells, treatment options, candidacy, cost and more. So, feel free to give us a call at (855) 313-1149. We look forward to hearing from you soon.

    Sincerely,

    The Lung Institute

  4. lana

    3 days ago

    my brother is 49 years old and has stage 4 copd he is still smoking and when i tell him that he knows that he should not do that he just gives a little laugh and says i know. he has been hospitalized numerous times and in the nursing home 2times he is on medicines inhalers breating treatments and oxygenhe can not even walk some times from his bedroom to the bath room with out being so out of breathfor a few months hospice was working with him but their dr said that he did not think my brother needed their services right at this time he never seen my brother at all.could you tell me what the life expectancy is for stage four copdi will admit that i am scared to wake up one morning and find him passedhe will be going back to his regular dr starting next week. THANK YOU

  5. Lung Institute

    2 months ago

    Dear Mrs. Moore,

    Thank you for your comment. I am sorry to hear that your father is going through a difficult time, and understand that you are very concerned for his health. Sometimes it can be difficult to know what to do. Becoming educated about COPD and what it’s like can help. There are many books out there, such as Live Your Life with COPD and The COPD Solution that you might find helpful to read. You can also ask your primary care physician for advice.

    We have written a few posts to help caregivers, and you can be supportive even if you’re not there with your father all of the time. I think you might find some helpful information in these posts: https://lunginstitute.com/blog/copd-stages-and-what-they-mean-to-a-caregiver/ & https://lunginstitute.com/blog/5-leading-copd-faqs-for-caregivers/.

    -Lung Institute

  6. Lung Institute

    2 months ago

    Sarah,

    Thank you for your comment. I’m sorry to hear that your mother-in-law is having a difficult time. The most important thing that she can do right now is quit smoking. The sooner she can quit, the better. She might not see results right away, but in the long run she’s going to have a much better chance for a better quality of life if she quits smoking.

    Please visit our resources page for a free guide for quitting smoking. Many states also have government programs offering free smoking cessation gum, patches and medications, which can help her quit successfully.

    -Lung Institute

  7. Sarah willis

    2 months ago

    Hi
    My mother in law has copd , She has been in and out if hosptlital 7 times for week peorids over the last 10 weeks , walking showering eAtting etc is all hard work , but shes still smoking
    Doctors have advised they can try as sleep mask to give oxygen i believe ? But have informed us if this doesnt help then there is nothing else to be done , She is saying that she will try ans give up
    SMOking but that doesnt seem like its doung to happen as she is still smoking whlie even in hospital
    We as a family would lIke to know what happEns next time Frame really

  8. Mrs. Moore

    2 months ago

    Hello,
    (I am bot sure why everything is in caps, not indendEd)
    After reading all the post, i see a lot of the feedback is to call you and or speak to the doctorS. My father also has stage 4 COPD, sleep apnea. His Levels are at 15% and Is 77. He had lung cANcer and is missing part of his lung. He lives at home alone and we often worry aBout hIm. He has fallen a couple of times (dont know if this is a balance issue or He trUly just tripped.) He doesnt want me to worry and doEsnt give me a lot of informatiOn. He is sleeping all day and up all night, bit seems to be okay. (Or That is what he waNTs uS to think) as stage 4 is called the end stages what are Some of the major signs we should watch for, since im not suppose to know this information, it comes from my mother, who keeps me in the loop.
    My father is my world and i love him so much, i just want to make sure we are there for him.
    I just lost my uncle a few months ago to COPD (there we other abbreviations behind it that i don”t know what they mean…and he was home alone, When he had to call 911 becaUse he couldnt breathe. )
    Any advice, not asking medical advice, would be greatly appreciated.

  9. Phoebe

    4 months ago

    Hi Judy,

    First and foremost, we’re sorry to hear about the challenges you have been facing with stage 4 COPD. Like you, many people with COPD have trouble maintaining a healthy weight. At the Lung Institute, we provide stem cell therapy for people living with certain chronic lung diseases, such as COPD, emphysema and pulmonary fibrosis among others. Stem cell therapy for COPD works to promote healing within the lungs and has the potential to improve quality of life. All of our treatments are minimally invasive, outpatient procedures that occur over the course of two days. In general, most people notice improvements between three and six months after treatment. Some people choose to have booster treatments to continue the progress they have made. At this time, Medicare and insurance companies don’t cover stem cell treatment. While we are hopeful that treatment will be covered in the future, this may take some time. In regards to your stomach and side pains, we recommend talking with your doctor as soon as possible. Because your doctor knows you and your health situation well, he or she will be able to best guide you. We’re happy to answer your questions about stem cell therapy and to help determine if you’re a candidate. So, feel free to give us a call at (855) 313-1149 to speak one-on-one with our knowledgeable medical team. We look forward to hearing from you soon.

    Best Regards,

    The Lung Institute

  10. Judy Eberhardt

    4 months ago

    I have stage 4 COPD. I’m losing weight no matter what I eat. My leg muscles hurt , my legs are so little now, people call me chicken legs. (Teasing me) :)). Does medicare help pay on stem cell treatment? What does stem CELLs do for your lungs? Long how is treatment given? How long does it LAST? I’m starting to get pains in stomach, sides, occasionally, like a sharp pain, could that be from my COPD? Thank you in advance for your answers.

  11. Phoebe

    4 months ago

    Dear Tracey,

    First and foremost, we’re sorry to hear about the challenges your sister is facing with COPD. We extend our deepest sympathies. Any stage of COPD can affect people differently, even stage 4. We recommend talking about your concerns for your sister with your sister’s doctor. Because your sister’s doctor knows your sister and her health situation well, he or she will be able to best answer your questions.

    Kind Regards,

    The Lung Institute

  12. Tracey Coley

    4 months ago

    My Sister Is IN Stage 4 With 18% of Lung Working She Is IN the Hospital On A Breathing Machine IS THIS THW End of Stage 4

  13. Phoebe

    4 months ago

    Hi Sharon,

    We’re happy to answer your questions about stem cell therapy for COPD. Our medical team has a wealth of knowledge about stem cells, treatment options, candidacy and more. Feel free to contact us at (855) 313-1149 to speak one-on-one with someone from our medical team. We look forward to hearing from you soon.

    Best Regards,

    The Lung Institute

  14. Sharon Serbun

    4 months ago

    I am interested in stem cell therapy. I am 62yrs old, have had COPD FOR ABOUT 6YRS. IN DECEMBER I HAD RESPIRATORY FAILURE AND WAS HOSPITALIZED FOR 4 DAYS. OTHER THAN THE BREATHING ISSUES I FEEL GOOD. MY PULMONOLOGIST HAS NEVER MENTIONED ANYTHING OTHER THAN INHALERS. I GAVE UP SMOKING THE DAY I WENT TO THE HOSPITAL. I WANT TO LIVE! THANK YOU IN ADVANCE FOR ANY ASSISTANCE YOU CAN PROVIDE ME.

  15. Phoebe

    5 months ago

    Dear Pauline,

    At the Lung Institute, we only treat people with certain chronic lung diseases, such as COPD, emphysema, chronic bronchitis and pulmonary fibrosis. We’re happy to discuss who is a candidate for treatment, to answer your questions about treatment and to talk with you one-on-one. Feel free to contact us at (855) 313-1149.

    Best Regards,

    The Lung Institute

  16. pauline dougherty

    5 months ago

    Can eny one have stem cell treatment

  17. Phoebe

    5 months ago

    Dear Annette,

    Thanks for your comment and for sharing some of your dad’s story with us. We’re sorry to hear about the challenges your dad has been facing with COPD. Like your dad, many people with COPD use oxygen therapy. As COPD progresses, people may feel more tired, have a smaller appetite, have increased coughing and have more labored breathing. The stages of COPD affect everyone differently though. We recommend talking with your dad’s doctor about what stage of COPD the doctor thinks your dad is in. Because your dad’s doctor knows him and his health situation well, your dad’s doctor will be able to best guide you about the stage of COPD and any next steps. We wish you and your dad the best.

    Kind Regards,

    The Lung Institute

  18. Annette

    5 months ago

    My dad is on hospice for copd. He went on hospice april 2016. His lings were only working at 51% at that time. We found this out when he had a stroke 3 years ago. He is now suppose tomuse ixygen 24/7 but wint. He ciughs and gags in heavy thick mucus. His breathing has become more labored. Hes using all his breath to say ine name. Hes very tired and his appetite has gotten to smaller proportions. Would he be considered near end of stage of copd?

  19. Phoebe

    6 months ago

    Hello Diana,

    Thanks for your comment. Like you, many people have trouble quitting smoking. We’ve created a free smoking cessation guide to help people start their smoke-free lifestyle. While it can be very hard to do, quitting smoking is an important first step. Feel free to check out our free smoking cessation guide by clicking here. We’ve also written blog articles to help people achieve their goals of living a smoke-free life. You can check out one of our quit smoking articles by 5 clicking here. We hope this information is helpful for you, and we wish you the best.

    Best Regards,

    The Lung Institute

  20. Diana Harris

    6 months ago

    Hi my name Diana I have stage 4 copd emphysema. I’m am on oxygen 24 hours 7 days week I’m a SMOKER and I have good days and bad days.I want to GUIT smoking but I’m SCARED I live in Phoenix Arizona .

  21. Phoebe

    6 months ago

    Dear Jim,

    Thanks for your comment and for sharing some of your story with us. We extend our deepest sympathies to you and your family.

    Kind Regards,

    The Lung Institute

  22. Jim

    6 months ago

    My first wife died from emphysema at 46. She was on a ventilator her last six months. Stop smoking. If not for you, for those that love you.

  23. Matt

    6 months ago

    Hello Marie,
    Thank you for your post. COPD affects individuals differently, but sleep problems are a common occurrence for people with the disease. You can read more about this by clicking the link. If you have any other questions, please give us a call at (855) 313-1149. Thanks again and have a great day.

  24. Marie

    6 months ago

    My husband was diagnosed.with stage 4 copd. He has been sleeping on and off for the last 2 weeks during the day and at night. Has no energy. Is that what happens with stage 4

  25. Matt

    7 months ago

    Hello Howard,
    Thank you for your post. If you are interested in learning more about stem cell therapy for lung disease, please give us a call at (855) 313-1149. Thanks again and have a great day.

  26. howard

    7 months ago

    im 52 i have stage 4 copd..my ins wont pay for oxygen, iv contacted ssi…thats 6 to 12 months, jus cant afford it. any where i can get funds to help out, iv never smoked in my life thanks

  27. PB

    11 months ago

    Dear Cheryl,

    Thanks for your comment and question. We’re not associated with or familiar with any other stem cell clinics. We recommend talking with your doctor about stem cell clinics in your local area that he or she may know about and would be able to recommend to you. We hope this is helpful for you, and we wish you the best.

    Kind Regards,

    The Lung Institute

  28. Cheryl Meyers

    11 months ago

    Is stem cell treatment available in Australia ??? I’ve got stage 4 COPD !!

  29. PB

    11 months ago

    Dear Elise,

    Thanks for your questions. While we have clinics nationwide, the nearest Lung Institute to Panama City, Florida is at our Tampa, Florida location. Unfortunately, at this time insurance companies and Medicare don’t cover treatment. However, we’re hopeful that treatment will be covered by Medicare and insurance companies in the near future. Keep in mind that it will take some time before insurance companies see a financial benefit in their favor and then decide to cover it. Treatment occurs over a three day period. We’re happy to answer any questions you have about stem cell treatment, so feel free to contact us at (855) 313-1149 to speak one-on-one with a patient coordinator. We look forward to hearing from you soon.

    Kind Regards,

    The Lung Institute

  30. Elise Carow

    11 months ago

    I am in stage 4. I live in Panama City, Fl. Where is the nearest stem cell treatment center to me? How many treatments are needed? Does Medicare/Blue Cross cover it?

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* All treatments performed at Lung Institute utilize autologous stem cells, meaning those derived from a patient's own body. No fetal or embryonic stem cells are utilized in Lung Institute's procedures. Lung Institute aims to improve patients' quality of life and help them breathe easier through the use of autologous stem cell therapy. To learn more about how stem cells work for lung disease, click here.

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