Breathlessness in the dying phase
For many patients the fear of dying in a state of marked breathlessness with acute / panic their biggest, if unspoken, fear.
Advance care planning is essential in order to ensure that patients and their family are as well prepared as possible.
For many patients advancing disease is often associated with reduced awareness. However it is usually prudent to discuss the option of sedation should increased distress become an issue. Most patients are comforted by the knowledge that medication is helpful and available if required.