Nonpharmacologic Treatment in Palliative Care

• Provide information and anticipate and proactively prepare the patient and family for worsening symptoms.

• Identify triggers that cause dyspnea attacks and minimize as much as possible.

• Educate patient and family regarding treatment of dyspnea, including the use of opioids.

• Prevent isolation and address spiritual issues that can worsen symptom.

• Encourage relaxation and minimize the need for exertion.

• Reposition to comfort, usually to a more upright position or with the compromised lung down.

• Avoid strong odors, perfumes, and smoking in the patient's presence or in close proximity.

• Improve air circulation/quality.

• Provide a draft, use fans, or open windows.

• Adjust temperature/humidity with air conditioner or humidifier.

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