Managing breathlessness at home: Information for patients and carers

Breathlessness is a very frightening symptom - and living with a breathless person can be very stressful.

Having some control over how you breathe, managing panic and some practical ways to cope with everyday activities can really help.

Anxiety and breathlessness are very linked - breathlessness can make you anxious - and when you are anxious you breathe more quickly and less efficiently.

Top tips
  • Control your breath - watch the Managing breathlessness video from St Christopher's 
  • Think about position to get maximum air into your lungs e.g. leaning forward 
  • A flow of air by your nose from a hand-held fan or open window 
  • A cool wet flannel over your nose may help
  • What helps you to calm - music, TV, relaxation - try some of the guided meditations below
  • Eat small regular meals that are soft and don't need too much chewing
  • Practical tip - a towelling dressing gown instead of drying with a towel can save energy after a shower
  • Do look at the helpful resources section below and review our page on Anxiety towards the end of life
Panic attacks

Think of 4 F's: Fan, Flop muscles, Forward lean, Focus on long breath out

St Christopher's have also produced this video on how to manage a panic attack

To help you calm

St Margaret's Hospice have produced some brief videos to support guided relaxation and meditation

When to seek medical help
  • If breathlessness is new or has suddenly changed. There may be a treatable cause such as a chest infection or fluid collecting around the lung which can easily be drained
  • If breathlessness is very distressing and can't be managed with the strategies listed on this page. Medications such as morphine and lorazepam are commonly prescribed for people who are distressed by difficulty breathing towards the end of life
Helpful resources

St Christopher's have produced 4 very short videos (each less than 4 minutes) 

Meet and share with other people how to live better with breathlessness, you could try a Breathe Easy group if there is one near you

Recommended Resources

Supporting breathlessness

Published 1st January 2025

St Margaret's Hospice Care - Guided meditation

Published 10th April 2023

St Christopher's - Managing breathlessness

Published 1st April 2023

Hull York Medical School - A guide to living well with breathlessness

Published 1st January 2023

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W. https://www.cnwl.nhs.uk/services/community-services/hillingdon-district-nursing-service

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