End of life care and withdrawal of NIV

Considering the withdrawal of NIV

Consider this scenario: your patient has become nearly completely dependent on non-invasive ventilation (NIV) as they are using NIV for more than 20 hours a day. You think they might want to consider withdrawal.

Patient concerns

Thinking point

Write down a few things that you might consider before you go and speak to them. What would be their concerns or worries? How might you approach them?

Some things you might consider include the patients concerns

The video below provides a patient’s account of their decision to withdraw NIV.

Thinking point

What key concerns did Julie and Russ have and how might you address them?

How might you implement this guidance into your practice? Which will be the most difficult?