Hi HorseLady, and thanks for your post. There are so many portable-type hand-held fans on the market - I (personally and professionally), would not feel comfortable making any type of recommendation. However, you may want to do a search on the internet to look over those products that are available commercially, I also thought you might want to ask your palliative care physician if (s)he had any suggestions to give you. Please do check back and let us know how it all turned out for you. Good luck! Leon (site moderator)