Stage 4: Info for Caregivers Make an Appointment Refer a Patient Ask a Question Reviewed by Jeffrey James Swigris, DO, MS (September 01, 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. Stage 3: Info for Caregivers Clinical Trials For more than 100 years, National Jewish Health has been committed to finding new treatments and cures for diseases. Search our clinical trials.