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Age-Related Changes

Living With Chronic Conditions: Arthritis, COPD, and Heart Failure

๐Ÿ“… June 27, 2026 ✍️ By Piewy Team

Many older clients live with chronic conditions. Knowing the basics helps you support them well and notice when something changes.

Arthritis

Causes joint pain and stiffness. Allow extra time, avoid rushing movement, encourage gentle activity, and report increased pain or swelling.

COPD (Chronic Lung Disease)

  • Causes shortness of breath, especially with exertion.
  • Allow rest, avoid strong scents and smoke, and don't rush.
  • Report increased breathlessness, color changes, or more coughing.

Heart Failure

  • Can cause fatigue, swelling in the legs, and breathlessness.
  • Watch for sudden weight gain and increased swelling.
  • Support low-sodium diet orders.

The PSW's Role

You support daily living, encourage independence within limits, and — most importantly — observe and report changes early.

๐Ÿ”‘ Key Takeaways

  • Arthritis: allow time; report increased pain.
  • COPD: avoid rushing; report breathlessness.
  • Heart failure: watch swelling and weight gain.
  • PSW role: support and report changes early.
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About the Piewy Team

Piewy study guides are written and reviewed by Canadian healthcare educators and experienced PSW instructors. Our content is based on the NACC PSW competency framework and current best practices in personal support work.