Managing breathlessness

Practical guidance and simple techniques to help you manage breathlessness and feel more in control of your breathing.

Handheld fan

Cool air on the face can help calm you and reduce breathlessness. Hold the fan close to your face and mouth, and slowly move it from side to side, making sure the airflow covers your nose, mouth, and cheeks. You can also use a fan while using nasal oxygen. Other options include a cool flannel on the face or a mist spray to gently cool the skin.

Rectangular breathing

Use this breathing technique when you are feeling breathless or panicky. Find a rectangle in the room (such as a picture frame, TV screen, or window frame). Look around the edge of the rectangle, breathing out as your eyes move along the long sides and breathing in as your eyes move along the short sides. Repeat slowly until your breathing feels more settled.

Positioning

Certain positions allow the lungs and the muscles around them to work more efficiently and reduce the effort required to breathe. Forward leaning is often helpful, but make sure you keep your chest open by keeping your breastbone lifted.

Breathe in
Breathe out
Breathe out
Breathe in

Acupressure

Pressure on an acupuncture point at the end of your thumb can help to reduce breathlessness. Hold the pressure on for at least 30 seconds to ease symptoms, either between your 2nd and 3rd finger or using your other hand as shown.

Medication

There are medications that can help to manage breathlessness, including some that you may take regularly (for example inhalers) and others that you may take as and when you need them. Speak to your physiotherapist or nurse specialist about whether any medication changes could help you.

Pacing, planning and prioritising

Try not to plan to do too much at once, or within one day. Prioritise the activities that are most important to you. Think about things you could get assistance with, or equipment that may help (for example a grabber to avoid bending down or sitting to do a particular activity). It is important, both physically and emotionally, to stay as active as you can within your own limitations.

Relaxation

It is important to find ways of managing both acute anxiety or panic and your day-to-day levels of stress. Different relaxation techniques work for different people and situations. Some people find breathing techniques helpful, others find reading a book or watching a favourite TV programme useful. Smell can also be a powerful tool, with calming scents such as lavender. Others find listening to guided relaxation, visualisation, or muscular relaxation techniques beneficial. Speak to your healthcare team about what might work for you. We have leaflets with more detail about the above, as well as other ideas for managing breathlessness. Please let us know if you would like these.

Questions

If you have any questions about the information above, please contact the Farleigh Hospice advice line on 01245 455478.

Information adapted from www.supporting-breathlessness.org.uk