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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Related Services

Adult social care services

Adult Social Care Hounslow
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Adult Social Care provides practical support to people to stay safe and well.  These services are usually provided in people's homes, care homes or in the community. Thre is also support for people who are caring for an adult family member or friend, access to personal care and home care services.

Pharmacies

Asda In-Store Pharmacy
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Asda In-Store Pharmacy

T. 020 8831 2410

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: Tilley Road Feltham TW13 4BH

Opening hours: Monday 8.00am to 11.00pm. Tuesday to Friday 7.00am to 11.00pm. Saturday 7.00am to 10.00pm. Sunday 11.00am to 5.00pm

Asda In-Store Pharmacy
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Asda In-Store Pharmacy

T. 0208 607 1020

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: Off Alexander Road, Hounslow, TW3 1NL

Opening hours: Monday to Saturday 9.00am to 9.00pm. Sunday 11.00am to 5.00pm

Campbells Chemist
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Campbells Chemist

T. 020 8994 0656

W. https://campbellschemist.co.uk/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 300-302 Chiswick High Rd, Chiswick, London, W4 1NP

Opening hours: Monday to Friday 9.00am to 6.45pm. Saturday 9.00am to 5.30pm

Herbert and Herbert Chemist
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Herbert and Herbert Chemist

T. 020 8577 2187

W. https://hounslowpharmacy.com/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 106 Staines Road, Hounslow, Middlesex, TW3 3LH

Opening hours: Monday to Friday 8.00am to 7.00pm. Saturday 9.00am to 5.00pm.

Hounslow East Pharmacy
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Hounslow East Pharmacy

T. 020 8814 6040

W. https://www.hounsloweastpharmacy.co.uk/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 84 Kingsley Road, Hounslow, Middlesex, TW3 1QA

Opening hours: Monday to Saturday 9.00am to 10.00pm. Sunday 12.00pm to 6.00pm

Jade Pharmacy
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A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 317-319 Vicarage Farm Road, Heston, Hounslow, TW5 0DR

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 6.00pm. Sunday 11.00am to 2.00pm

 

Jade Pharmacy
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Jade Pharmacy

T. 020 8560 1444

W. https://www.jadepharmacy.co.uk/jade-pharmacy-isleworth

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 570 London Road Isleworth Middlesex TW7 4EP

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 1.00pm

Jade Pharmacy
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A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 174-176 Heston Road, Heston, Hounslow, Middlesex, TW5 0QU

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 6.00pm

Respiratory services

Asthma + Lung UK
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Asthma + Lung UK

T. 0300 222 5800

W. https://www.asthmaandlung.org.uk

Asthma + Lung UK provides help for those living with lung conditions.

There is support available using the telephone helpline or the email address above.

Breatheasy groups
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The support group is a way to learn more about living with a lung condition and share your experiences and stories with others.

Heart failure services

British Heart Foundation
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British Heart Foundation

T. 0300 330 3322

W. https://www.bhf.org.uk/

The British Heart Foundation provides information on heart and circulatory diseases.

Patients and carers can get support through the online support groups and communities, advice and guidance about heart and circulatory conditions and managing risk factors.

Pumping Marvellous - Heart Failure Charity UK
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Pumping Marvellous - Heart Failure Charity UK

W. https://pumpingmarvellous.org/

Pumping Marvellous offers support to help people live well with heart failure, to recognise the early symptoms and self-interventions through their community hub.

Cancer services

Cancer Black Care
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Cancer Black Care

T. 0734 047 1970

W. https://www.cancerblackcare.org.uk/

Provides support for all those living with and affected by cancer, with an emphasis on Black people and people of colour. 

Macmillan Cancer Support
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Macmillan provide cancer information, support and help everyone with cancer live life as fully as they can.

Visit the website to get help with paying bills, advice on benefits or treatment, or to just chat.

Maggie’s
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Maggie’s

T. 0300 123 1801

W. https://www.maggies.org/

Maggie's has a network of centres in many locations throughout the UK. It provides free information about cancer, financial benefts and offers emotional and social support to people with cancer, as well as their family, and friends.

Marie Curie
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Marie Curie

T. 0800 090 2309

W. https://www.mariecurie.org.uk/

Marie Curie provide support for patients and carers through terminal illness.

Find information and support through the telephone helpline and online chat via their website.

Other services include Marie Curie nurses, Hospice care, helper and companion services.

OUTpatients
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A safe space for anybody who identifes as LGBTIQ+ and has had an experience with any kind of cancer at any stage. Also produces resources about LGBT cancer experiences. 

Teenage Cancer Trust
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Teenage Cancer Trust

T. 020 7612 0370

W. https://www.teenagecancertrust.org/

A UK-wide charity devoted to improving the lives of teenagers and young adults with cancer. There is a support network for young people with cancer, their friends and families. 

Young lives vs Cancer
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Young lives vs Cancer

W. https://www.younglivesvscancer.org.uk/

Young lives vs Cancer support young people under 25 with cancer, and their families, to get the help they need during their cancer treatment and beyond, including bereaved families living with emotional distress. 

Carer's groups

Care Place
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London Borough of Hounslow publishes a regular factsheet called Information for Carers. It lists local, national and council services, voluntary organisations and other sources of advice and support that may be useful if you look after someone as an unpaid carer.

Carers Trust
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Carers Trust works to transform the lives of unpaid carers through its network of local carer organisations. Carers can access to support, advice and resources to help them manage their role as carers.

Carers UK
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Carers UK

T. 020 7378 4999

W. https://www.carersuk.org/

Carers UK offers information and support to carers across the UK. There is an online forum and local support groups for carers. 

Hospices

Community Palliative Care Team - based at Meadow House Hospice
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Community Palliative Care Team - based at Meadow House Hospice

T. 020 8967 5179

W. https://www.lnwh.nhs.uk/meadow-house-hospice/#community-palliative-care-team

The Community Specialist Palliative Care Nurse Team provides advice and visiting to palliative care patients in Ealing and Hounslow. The team are based at Meadow House Hospice.

The team will visit patients with progressive life limiting illness in their own homes. They provide specialist advice around pain and symptom control and support for patients, their families, and carers during the last stages of illness. They also support patients wishing to die at home through coordination with GPs and hospital teams.

The team is comprised of medical consultants, specialist nurses, physiotherapists, occupational therapists, social workers, a bereavement support officer and a patient and carer advocacy worker

The team can be contacted for referrals Monday to Friday 9.00am to 5.00pm.

Between Monday to Friday 5.00pm and 8.30am, the Out of Hours Telephone Advice line 020 8102 5000 takes calls. Weekends and Bank Holidays 5.00pm to 9.00am.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
Hospice UK
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Hospice UK can help find a hospice, provide infromation and support about end of life care and guidance to plan ahead.

Meadow House Hospice Inpatient Unit
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Meadow House Hospice Inpatient Unit

T. 0208 967 5179

W. http://meadowhouse.lnwh.nhs.uk

Meadow House Hospice provides inpatient palliative care services to the residents of Ealing.

The hospice has a 15 bedded inpatient unit supported by a team of dedicated staff providing 24/7 specialist support to patients and their family members. Patients with a progressive life limiting illness can be admitted for symptom management or end of life care.

Patients have a safe, dignified space of their own and the flexibility to spend time alone or in company, surrounded by their possessions and the people they care about. The hospice also has an extensive garden area that provides a quiet and reflective environment for both patients and family members.

Please contact the hospice Monday to Friday 8.30am to 4.30pm and during the weekend 9.00am to 5.00pm on 0208 242 5817.

There is a 24 hour telephone support line to the hospice ward on 0208 967 5597.

Bereavement services to support family members, friends and carers connected to a loved one who was cared for by the Hospice, can be contacted via main switchboard.  

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)

Palliative care teams

Community Palliative Care Team - based at Meadow House Hospice
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Community Palliative Care Team - based at Meadow House Hospice

T. 020 8967 5179

W. https://www.lnwh.nhs.uk/meadow-house-hospice/#community-palliative-care-team

The Community Specialist Palliative Care Nurse Team provides advice and visiting to palliative care patients in Ealing and Hounslow. The team are based at Meadow House Hospice.

The team will visit patients with progressive life limiting illness in their own homes. They provide specialist advice around pain and symptom control and support for patients, their families, and carers during the last stages of illness. They also support patients wishing to die at home through coordination with GPs and hospital teams.

The team is comprised of medical consultants, specialist nurses, physiotherapists, occupational therapists, social workers, a bereavement support officer and a patient and carer advocacy worker

The team can be contacted for referrals Monday to Friday 9.00am to 5.00pm.

Between Monday to Friday 5.00pm and 8.30am, the Out of Hours Telephone Advice line 020 8102 5000 takes calls. Weekends and Bank Holidays 5.00pm to 9.00am.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
District Nurses Hounslow
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District Nurse referrals can be made Monday to Friday 9.00am to 5.00pm.

District Nurses Night Service Hounslow
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Referrals to the night service can be made Monday to Sunday 5.00pm to 7.00am.

Meadow House Hospice Inpatient Unit
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Meadow House Hospice Inpatient Unit

T. 0208 967 5179

W. http://meadowhouse.lnwh.nhs.uk

Meadow House Hospice provides inpatient palliative care services to the residents of Ealing.

The hospice has a 15 bedded inpatient unit supported by a team of dedicated staff providing 24/7 specialist support to patients and their family members. Patients with a progressive life limiting illness can be admitted for symptom management or end of life care.

Patients have a safe, dignified space of their own and the flexibility to spend time alone or in company, surrounded by their possessions and the people they care about. The hospice also has an extensive garden area that provides a quiet and reflective environment for both patients and family members.

Please contact the hospice Monday to Friday 8.30am to 4.30pm and during the weekend 9.00am to 5.00pm on 0208 242 5817.

There is a 24 hour telephone support line to the hospice ward on 0208 967 5597.

Bereavement services to support family members, friends and carers connected to a loved one who was cared for by the Hospice, can be contacted via main switchboard.  

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
Planned Night End of Life Care
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Planned Night End of Life Care

T. 0203 370 2208

This is an overnight service and is provided by Marie Curie via Meadow House Hospice for residents of Ealing and Hounslow. This service provides one to one overnight nursing support, symptom control, management of pain, emotional and practical support for patients in their last few weeks of life.

Referrals are made via Local Clinical Coordination Centre Monday to Sunday from 10.00pm to 7.00am.

Marie Curie Planned Night Services Referral Form (DOCX)

Friendship and support

Compassionate Neighbours
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Compassionate Neighbours can support by:

  • Visiting weekly for a cup of tea and a chat, offering friendship and a listening ear
  • Helping you do the things you like doing
  • Helping you stay connected to your friends and the community

Services that support children

District Nurses Hounslow
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District Nurse referrals can be made Monday to Friday 9.00am to 5.00pm.

District Nurses Night Service Hounslow
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Referrals to the night service can be made Monday to Sunday 5.00pm to 7.00am.

The Association for Paediatric Palliative Medicine (APPM)
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The Association for Paediatric Palliative Medicine (APPM)

W. https://www.appm.org.uk/

The Association for Paediatric Palliative Medicine represents all doctors, nurses and allied health professionals working in the area of Paediatric Palliative Medicine in hospital, hospice and community settings. It seeks to support practice and training for all doctors and other health professionals working in this area of medicine. 

Together for Short Lives
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Together for Short Lives have a helpline and family support hub to provide help and advice for those caring for a child with a serious illness.

Overnight/weekend services

District Nurses Night Service Hounslow
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Referrals to the night service can be made Monday to Sunday 5.00pm to 7.00am.

Planned Night End of Life Care
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Planned Night End of Life Care

T. 0203 370 2208

This is an overnight service and is provided by Marie Curie via Meadow House Hospice for residents of Ealing and Hounslow. This service provides one to one overnight nursing support, symptom control, management of pain, emotional and practical support for patients in their last few weeks of life.

Referrals are made via Local Clinical Coordination Centre Monday to Sunday from 10.00pm to 7.00am.

Marie Curie Planned Night Services Referral Form (DOCX)
Rapid Response End of Life Care Service
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Rapid Response End of Life Care Service

T. 0208 967 5126

Marie Curie Rapid Response Service provides short term palliative nursing interventions, symptom control, management of pain, advice, emotional and practical support to the residents of Ealing and Hounslow. This service is based at Meadow House Hospice.

The service can be contacted Monday to Sunday from 6.00pm to 7.00am.

Rapid Response Referral Form (DOCX)

Rapid access services

Rapid Response End of Life Care Service
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Rapid Response End of Life Care Service

T. 0208 967 5126

Marie Curie Rapid Response Service provides short term palliative nursing interventions, symptom control, management of pain, advice, emotional and practical support to the residents of Ealing and Hounslow. This service is based at Meadow House Hospice.

The service can be contacted Monday to Sunday from 6.00pm to 7.00am.

Rapid Response Referral Form (DOCX)

Related Articles

2nd April 2026

Anxiety towards the end of life: Information for patients and carers

27th February 2023

Caring at home - practical tips

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