Palliative care 2016

Dyspnoea “ladder” in COPD

-Conventional management with bronchodilatators/steroids. -Manage co-morbidities

- Nonpharmacological treatments support /exercise / chest wall vibration / fan,..

~ physiotherapy

Supplemental oxygen if hypoxic / consider ambulatory oxygen if desaturation with exercise

opioid therapy for dyspoea +/- anxiolytics