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Thanks, XXXXX XXXXX very helpful because now I can give my aunt the tools she needs to keep a bit more of a close watching brief. These episodes have been going on for quite some years and my mother always has an excuse - she has been in the garden, dusting, that kind of thing but of course with the UK weather just now (you may have seen news of our flooding) going out has not been an option. She has extremely high BP, takes in less than a pint of fluids a day and is generally very unwell as well as showing personality changes so perhaps the COPD is the least of her worries, but it is nevertheless the one which is giving the current high level of concern to the family. Unfortunately I live a long way away and can't go and stay with her long term, so I need to get some kind of regime in place long distance.