Stage 4: Info for Caregivers Make an Appointment Ask a Question Search Conditions This information was reviewed and approved by Jeffrey James Swigris, DO, MS (9/1/2017). Stage 4 of IPF requires advance oxygen needs, which means needing high-flow oxygen or when a lightweight, portable delivery system is unable to meet a person with IPFs needs. How can the caregiver help someone with Stage 4 Idiopathic Pulmonary Fibrosis (IPF)?Learn the ins and outs of high-flow oxygen system at home, when away from home and when traveling. Calculate how long the portable oxygen system will last when away from home.Continue to be a second set of ears with the durable medical equipment (DME) company as the oxygen needs change.Continue to discuss and write down questions.Encourage the person with IPF to live a full life, including social interactions, regular exercise, healthy eating, rest and support from others.Remember to take care of yourself. Consider respite care. Consider palliative care and/or hospice care as indicated.