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Palliative management of breathlessness.
Taylan Gurgenci1, Phillip Good2, Jones Chen3
1FRACGP, Palliative Care Research Fellow, Department of Cancer Services, Mater Adult Hospital, South Brisbane, Qld; General Practitioner, Camp Hill Medical Centre, Brisbane, Qld.
Australian Journal of General Practice
|August 4, 2025
Summary
Palliative care for breathlessness involves addressing causes, using non-drug therapies, and considering opioids for severe symptoms. A breathlessness management plan can improve patient care.
Area of Science:
- Palliative Care
- Symptom Management
- Respiratory Medicine
Background:
- Breathlessness is a common and distressing symptom in palliative care.
- It significantly impacts patients' quality of life.
Purpose of the Study:
- To review current guidelines for palliative breathlessness management.
- To outline pharmacological and non-pharmacological treatment options.
Main Methods:
- Review of current management guidelines.
- Discussion of pharmacological interventions (opioids, benzodiazepines, corticosteroids).
- Consideration of non-pharmacological strategies and oxygen therapy.
Main Results:
- Non-pharmacological interventions are recommended first-line.
- Opioids are considered for refractory breathlessness.
- Benzodiazepines are for anxiety, not breathlessness itself.
Conclusions:
- A multimodal approach is essential for managing palliative breathlessness.
- Individualized breathlessness management plans are beneficial.
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