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please explain my wifes condition

What should my concerns be ... My wife has stage 4 emphysema, severe asthma and COPD. She is on oxygen, overweight and on prednisone, just had another exacerbation and is on very strong antibiotics again. She is only 52. her blood pressure was just 159/95. Im really getting scared knowing that the end may be near. Am I worrying too much. Thanks for any help in advance.
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