Non-Pharmacologic Treatment of Dyspnea

  • Fan.
  • Open a window.
  • Reduce room crowding.
  • Establish a clear sight line to windows and doors for patient.
  • For patients with normal or near-normal mental status, consider relaxation techniques.
  • Address psychological and spiritual distress.
  • There is a high strength of evidence that Neuro-electrical muscle stimulation (NMES), and chest wall vibration (CWV) can relieve breathlessness.

Supplemental oxygen has not shown to be effective in end-of-life patients who are NOT hypoxic. Helium-enriched air has been used with some success in this population.