Trouble Breathing (Shortness of Breath)

Many types of medicines can help improve shortness of breath, such as opioids, steroids or nebulizers with inhalants. Take prescribed medicines “as ordered” (the right dose, at the right time, taken the right way, as often as is recommended). Write your doses on this printable Medication Tracker.

Medication (opioid) side effects: Opioid medications may have side effects. Ask your doctor or hospice nurse what to expect, and tell them about any medication side effects you notice, such as these:

• Constipation is trouble “going to the bathroom” or straining to have a bowel movement. This problem will not go away on its own. For hospice patients, your care team will make a plan to relieve your constipation.
• Nausea and vomiting may occur when you start a new medication or change dosage. These usually only last for the first day or two, while your body adjusts.
• Sleepiness. Opioid medications may make you feel drowsy or sleepy. This side effect will go away after a few days of regular use.

If you are an Agrace Hospice Care patient, your nurse will assess your breathing comfort at each visit and discuss the need for oxygen with your doctor. Use oxygen only as directed by your Agrace team.

Try to notice what makes you feel more breathless, and tell your Agrace team. They can then help you to plan activities so you can breathe easier.

• Arrange your room to reduce effort; move your chair or bed closer to the bathroom.
• Keep your phone next to where you sit or lie.
• Schedule rest time.
• Plan activities to save energy; for example, eat first, then rest, then bathe.
• Rest before going out.

• Sit upright and lean forward to help your chest expand, moving air into and out of your lungs.
• Lying on one side more than the other may help.
• Try placing pillows under both arms when in bed.

• Reduce allergens like smoke, dust and mold.
• Move the air by opening a window or using a fan.
• Be sure clothing around your neck and chest is loose and lightweight.

• Focus on your breathing; take slow, deep breaths or use breathing exercises.
• Try relaxation techniques, music and visualization.

Hospice patients should ask the care team for breathing exercises and other techniques. The hospice care team will teach you how to use them.