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RESPIRATORY CARE TODAY

2015,Vol 1, No 1

3

EDITORIAL

i

I

t is with great pleasure that I welcome you to the first edition

of

Respiratory Care Today

. This new journal is the result of the

increased recognition of the important role that nurses play in the

provision of good quality care for the millions of people in the UK

living with a respiratory condition.

This issue includes articles, written by expert

respiratory clinicians working across the many

different interfaces of care in the NHS, that cover

a wide range of topics relevant to clinical practice,

ranging from practical tips when providing care

to people with chronic obstructive pulmonary

disease (COPD), asthma, as well as long-term

oxygen therapy and end-of-life care. Management of the patient at

end of life is a sensitive and challenging area, and one that is becoming

increasingly relevant to primary care nurses as more people choose to

die at home. Symptom control, notably breathlessness for people with a

respiratory condition, is paramount to good palliative care — the article

focusing on end of life provides an excellent overview of how best to

support patients and their carers during this phase. All the articles are

patient-centred and cover the basic principles of providing good quality

nursing care to respiratory patients.

A number of practical posters are also included with some

tops tips, including practical insights on spirometry readings and

diagnosing asthma. Moving on from clinical issues, we have a feature

on contemporary professional development that explores integrated

care (

pp 4–7

). Integrated care is high on the NHS and political agenda,

and respiratory care nursing is at the forefront of such developments.

I am also especially excited to share with you the discussion piece

on the state of respiratory care today (

pp 10–11)

, which asks some

difficult questions and the responses are both interesting and thought-

provoking. I hope you enjoy this first issue of

Respiratory Care Today

.

JanelleYorke, Professor of Cancer Nursing, University of Manchester

and the Christie NHS Foundation

Managing director

Nicola Rusling

nicola@woundcarepeople.com

Publisher

Binkie Mais

binkie@woundcarepeople.com

Editor

Jason Beckford-Ball

jason@jcn.co.uk

Business manager

Alec O’Dare

alec@woundcarepeople.com

07535 282827

Welcome to

Respiratory

Care Today

©Wound Care People Limited 2015

Finials House, The Square,

Stow-on-the-Wold, Gloucestershire GL54 1AF

ISSN 2059-2795

t: +44(0) 1451 870310 e:

binkie@woundcarepeople.com http://www.journalofpracticenursing.co.uk

All rights reserved. No part of the

Respiratory Care Today

journal may be

reproduced, stored in a retrieval system or transmitted by any means

electronic or mechanical, photocopied or otherwise without the prior

written permission of Wound Care People Limited.

Printed in England by Blackmore Ltd, Shaftesbury

i

Contents

4

Is integrated respiratory care the way to go?

Samantha Prigmore

8

Poster: respiratory system

10

Discussion: the state of respiratory care today

Carol Stonham, Monica Fletcher

12

Myths and facts around the use of long-term oxygen therapy

Sandra Olive

16

Poster: spirometry explained

18

Management of chronic obstructive pulmonary disease in primary care

Matthew Hodson,

Rebecca Sherrington

26

Routine management of asthma in primary care

Andrew Booth

32

Poster: asthma diagnosis

34

Home oxygen therapy: a clinical update

Joe Annandale

40

Death and breath: managing breathlessness in patients with terminal illness

Emma Vincent

44

Top tips: inhalers

Andrew Booth

Opinions expressed in the articles are those of the authors and do not necessarily

reflect those of Wound Care People Limited. Any products referred to by the

authors should only be used as recommended by manufacturers’ data sheets.