Sleep & Energy Conservation

Managing Fatigue and Getting Better Rest with COPD

Living with COPD can make everyday activities feel more tiring. Breathing takes more energy when the lungs are not working efficiently, and symptoms such as coughing, shortness of breath, and anxiety can affect sleep and energy levels.

Learning ways to conserve energy and improve sleep can help you complete daily activities more comfortably, reduce fatigue, and improve your overall quality of life.

How COPD Can Affect Sleep

Many people with COPD experience sleep challenges. Breathing problems, coughing, mucus production, medications, and anxiety about breathing can make it harder to fall asleep or stay asleep.

Poor sleep can lead to:

Increased fatigue during the day
Less energy for daily activities
Difficulty concentrating
Increased stress or anxiety
Feeling more short of breath

If sleep problems are affecting your daily life, talk with your healthcare provider. Sleep issues are common with COPD, but they do not have to be ignored.

Tips for Better Sleep with COPD

Create a Consistent Sleep Routine

Healthy sleep habits can improve your ability to rest.

Try to:

Go to bed and wake up at the same time each day.
Create a relaxing bedtime routine.
Limit screen time before bed.
Avoid large meals, caffeine, or alcohol close to bedtime.
Keep your bedroom comfortable, quiet, and free of irritants.

Make Breathing More Comfortable at Night

Some people with COPD find that certain positions make breathing easier.

You may find it helpful to:

Sleep with your head and upper body slightly elevated.
Use pillows to support a comfortable position.
Practice breathing techniques, such as pursed-lip breathing, before bed.
Keep prescribed medications nearby and use them as directed.

Talk with your healthcare professional if you frequently wake up short of breath or feel your breathing worsens at night.

Be Aware of Sleep Disorders

People with COPD may also experience other conditions that affect sleep, including sleep apnea.

Talk with your healthcare professional if you:

Snore loudly
Wake up gasping or feeling like you cannot breathe
Feel extremely tired despite getting enough sleep
Experience morning headaches
Frequently wake during the night

Your healthcare professional can help determine whether additional evaluation or treatment is needed.

Conserving Energy with COPD

Energy conservation means finding ways to complete activities while using less energy and reducing fatigue. It does not mean doing less, it means using your energy wisely.

Many people with COPD find that planning, pacing, and prioritizing activities allow them to do more of the things they enjoy.

The Three P’s of Energy Conservation

Plan

Think ahead about what needs to be done.

Organize supplies before starting a task.
Schedule demanding activities when you have the most energy.
Break large tasks into smaller steps.
Plan rest periods before you become exhausted.

Pace

Slow down and avoid rushing.

Take your time with activities.
Use breathing techniques while moving.
Rest between tasks.
Avoid holding your breath during activities.

Prioritize

Focus your energy on what matters most.

Ask yourself:

Does this task need to be done today?
Can someone help?
Is there an easier way to complete this activity?

Everyday Energy-Saving Tips

Around the Home

Sit while completing tasks when possible.
Keep commonly used items within easy reach.
Avoid unnecessary trips back and forth.
Use a cart or basket to carry items.
Organize your home to reduce climbing, bending, or reaching.

Bathing and Dressing

Personal care can take more energy than expected.

Helpful strategies:

Sit while showering or dressing.
Gather clothing and supplies before starting.
Choose clothing that is easy to put on.
Rest if you become short of breath.

Cooking and Meals

Cooking can be tiring, especially on days when symptoms are worse.

Consider:

Preparing meals ahead of time.
Using simple recipes.
Sitting while preparing food.
Keeping frequently used items easy to access.
Asking family members for help when needed.

Breathing During Activities

Using breathing techniques during activity can help you manage breathlessness.

Helpful reminders:

Breathe out during effort (such as lifting, standing, or pushing).
Avoid holding your breath.
Use pursed-lip breathing when you feel short of breath.
Move slowly and steadily.

For example:

Exhale when standing up from a chair.
Exhale while lifting or pushing.
Breathe out while climbing stairs.

Managing Fatigue with COPD

Fatigue is common with COPD, but there are ways to manage your energy throughout the day.