A patient with emphysema finds it is difficult to push all of the air out of the lungs, thus they do not empty efficiently and therefore contain more air than normal. This is called hyperinflation or air trapping (Mosenifar, 2016). Chronic obstructive pulmonary disease (COPD) encompasses a chronic disease known as emphysema. Furthermore CH reports smoking for twenty six years which is the leading cause of COPD (McCance & Huether, 2014). Chemicals, pollutants in the environment and cigarette smoke affects the patient through inhaling irritant particles increasing mucus and causing the walls of the bronchi to thicken and swell. Genetics, heavy exposure to dusts at work and air pollution (Boka,