How is palliative care provided when a patient is having difficulty breathing?

Palliative care is offered as a supplement to or as an alternative to ventilator therapy when the options for mask ventilation (and the use of cough assist devices) have been exhausted, or when patients do not wish to begin or continue ventilator therapy.

Palliative care should be provided by a physician experienced in palliative medicine. In palliative care, providing in-depth counseling to patients, family members, and caregivers is of particular importance. The necessary medications should be kept on hand for the patient. Close family members and the nursing staff providing care should be informed about the appropriate use of the medications. Treatment can usually take place at home.

In certain situations—such as to optimize care and relieve the burden on family members—treatment in a palliative care unit or hospice may be appropriate and necessary.