From the publishers of the market leading at a Glance series, and in collaboration with the Association of Respiratory Nurses (ARNS), comes this easy-to-read, highly visual guide bringing together key principles of Respiratory Nursing. Highly visual, each topic is covered in a two-page spread, making it easy to quickly read up on key information and grasp the essentials of respiratory care, as well as a focus on preventative measures to prevent, minimise and control respiratory disease.

Table of Contents

• Contributors
• Preface
• About ARNS
• Part 1: The context of respiratory nursing
• 1: The origins of respiratory nursing
• The concept of specialist nursing
• What is a specialist nurse?
• The respiratory nurse specialist
• Todays respiratory nurses
• Summary
• 2: Working in secondary care
• The role of the respiratory nurse
• What is involved?
• Advancing practice
• National Early Warning Score
• 3: Working in primary care
• Practice nursing
• Walk-in centres and urgent care
• Community care
• 4: Ambulatory, intermediate and tertiary care
• Ambulatory care
• Intermediate care
• Tertiary care
• 5: The future of respiratory nursing
• Respiratory nurses
• Provision of health care
• The respiratory population
• Respiratory nursing in the future
• 6: Respiratory public health
• Population level
• Commissioning
• Interventions at an individual level
• Part 2: Respiratory health
• 7: The respiratory system
• The mechanics of breathing
• The work of breathing
• Respiration
• Transport of gases
• Acid–base balance
• Volumes and capacities
• The control of breathing
• 8: Preventing respiratory disease
• Chronic respiratory disease
• Primary prevention
• Secondary and tertiary prevention
• 9: Epidemiology and contributing factors
• Contributing factors
• 10: Smoking and smoking cessation
• Tobacco
• Respiratory health burden of tobacco smoking and prevalence
• Smoking cessation
• Other drugs
• Electronic cigarettes and vaping
• 11: Exercise and pulmonary rehabilitation
• Exercise
• Benefits of exercise
• Pulmonary rehabilitation
• PR education
• Inclusion and exclusion criteria
• PR assessment
• 12: Nutrition and hydration
• Malnutrition and screening
• Nutrition and hydration support
• 13: The upper airways
• Practical advice for systemic antihistamine use
• Practical advice for topical corticosteroid use
• AR and asthma together
• 14: Respiratory disease and sexuality
• What is it all about?
• Sex and respiratory disease
• How to raise the issue?
• Is it all about breathlessness?
• The nurse's role
• Part 3: Assessment and diagnosis of respiratory disease
• 15: Respiratory history taking
• Why take a history?
• Gathering information
• 16: Respiratory clinical examination
• Inspection
• Palpation
• Percussion
• Auscultation
• 17: Measuring dyspnoea
• Dyspnoea
• Causes
• Assessing dyspnoea
• Treatment of dyspnoea
• Summary
• 18: Sputum assessment
• Sputum
• Importance of clinical history in sputum assessment
• Obtaining a sample
• Sample observations
• 19: Pulse oximetry
• Indications for use
• Limitations of oximetry
• Optimising accuracy of pulse oximetry readings
• Interpreting results
• Nursing considerations
• 20: Blood gas sampling and analysis
• Acid–base balance
• Disorders of acid–base balance
• Obtaining a blood gas sample
• Capillary blood gas
• 21: Spirometry
• Undertaking the test
• Interpreting results
• Other pulmonary function tests
• Lung volume measurement
• Gas transfer
• 22: Measuring quality in healthcare
• Patient reported experience measures
• Patient reported outcome measures
• Quality of life
• 23: Assessing anxiety and depression
• Screening
• Signs and symptoms
• Organic causes
• Self-report measures
• Frequency of assessment
• Which patient reported outcome measure?
• Inclusivity
• Family
• Part 4: Respiratory diseases
• 24: Asthma
• Symptoms
• Diagnosis
• Treatment
• Management
• 25: Chronic obstructive pulmonary disease
• Definition of chronic obstructive pulmonary disease
• Causes of COPD
• Diagnosis
• Assessment
• Management of stable COPD
• 26: Pleural disease
• Pneumothorax
• Empyema
• Pleural effusion
• Treatment
• Pleuritis
• 27: Lung cancer
• Symptoms
• Diagnosis
• Types of lung cancer
• Staging
• Treatment
• Symptom management
• 28: Obstructive sleep apnoea syndrome
• What is obstructive sleep apnoea syndrome?
• Predisposing factors
• Symptoms of OSAS and associated problems
• Diagnosis
• Classification of OSA
• Treatment
• Driving and the DVLA
• 29: Acute respiratory infections
• Upper respiratory tract infection
• Bronchitis
• Lower respiratory tract infection
• Pneumonia
• Treatment
• 30: Cystic fibrosis
• History of cystic fibrosis
• What is cystic fibrosis?
• Physiological effects
• Treatment
• 31: Bronchiectasis
• What is bronchiectasis?
• What are the associated symptoms of an exacerbation of bronchiectasis?
• Protocol of investigations
• Causes and association of bronchiectasis
• Prevalence
• Treatment
• 32: Occupational and environmental lung disease
• Occupational asthma
• Pneumoconioses and asbestos-related diseases
• Hypersensitivity pneumonitis
• Environmental respiratory disease
• 33: Interstitial lung disease
• Connective tissue disease-related ILD
• Idiopathic interstitial pneumonias
• Symptoms
• Diagnosis
• Treatment
• 34: Sarcoidosis
• Symptoms
• Diagnosis
• Calcium and vitamin D
• Treatment
• 35: Pulmonary tuberculosis
• Signs and symptoms
• Diagnosis
• Treatment and case management
• Drug resistance
• Infection control
• 36: Venous thromboembolism and pulmonary embolism
• What causes a thrombo-embolism?
• DVT
• Pulmonary embolus
• Treatment
• Warfarin
• Newer anticoagulants
• Low molecular weight heparins
• Thrombolysis or embolectomy
• Ambulatory care
• 37: HIV and respiratory disease
• HIV/AIDS and respiratory disease
• Pneumocystis carinii pneumonia
• Tuberculosis
• Disseminated Mycobacterium avium complex
• Fungal and bacterial infection
• Lymphoma
• Kaposi's sarcoma
• Screening
• Part 5: Models of care
• 38: Care pathways and care bundles
• Background
• Benefits
• Examples in practice
• Care pathways
• 39: Self-management in chronic respiratory disease
• The case for self-management in chronic respiratory disease
• Self-management
• Self-management in practice
• 40: Telemedicine and telehealth
• Advantages of telehealthcare
• Using telehealthcare
• 41: Patient education
• Why is it important?
• Understanding the educational process
• Teaching strategies
• 42: Voluntary organisations and patient support groups
• Summary and further resources
• Part 6: Respiratory medication
• 43: Pharmacology and prescribing
• Bronchodilators
• Inhaled corticosteroids
• Guidelines
• Nurse prescribing
• 44: Inhaler technique
• Dry powder inhalers
• Inhaler aids
• 45: Nebuliser therapy
• Use of nebulisers
• Nebuliser drivers and equipment
• Education of user
• 46: Emergency oxygen therapy
• Commencing oxygen therapy in acutely ill patients
• Ongoing care of patients requiring oxygen therapy in the acute setting
• 47: Domiciliary oxygen therapy
• Long-term oxygen therapy
• Ambulatory oxygen therapy
• Palliative oxygen therapy
• Short burst oxygen therapy
• 48: Other routes of administration
• Antibiotics
• Vaccinations
• Intravenous bronchodilators
• Methylxanthines
• Magnesium sulfate
• Leukotriene receptor agonists
• Mucolytics
• Anti-IgE monoclonal antibodies
• 49: Adherence and concordance
• Classifying adherence
• Optimising adherence
• Part 7: Acute care of the respiratory patient
• 50: Respiratory failure
• What is respiratory failure?
• Failure of gas exchange
• The mechanical pump
• Types of respiratory failure
• Treatment options
• 51: Pre-hospital care
• Triaging a respiratory patient
• Managing an acute exacerbation pre-hospital
• Scoring and decision tools
• 52: Non-invasive and invasive ventilation
• Non-invasive ventilation
• Invasive mechanical ventilation
• 53: Pleural procedures and management
• Intercostal drains
• Indwelling pleural catheters
• Medical thoracoscopy
• Pleurodesis
• 54: Tracheostomy care and management
• Types of tracheostomy tube
• Unplanned removal of tracheostomy tube
• Care of inner tube
• Securing the tube and wound care
• Humidification
• Suction
• Speaking valves
• Nursing care
• Part 8: Supportive and palliative care
• 55: Communication
• Why it is important?
• What do we know?
• SAGE & THYME ®
• Breaking bad news
• 56: Psychosocial impact of respiratory disease
• The patient's perspective
• Quality of life
• Coping strategies
• Summary
• 57: Management of dyspnoea
• Pharmacological management
• Non-pharmacological management
• Summary
• 58: Anxiety and depression in respiratory disease
• Anxiety
• Depression
• Screening
• Treatment of anxiety and depression
• Summary
• 59: Other symptom management
• Cough
• Wheeze
• Sputum
• Pain
• Headache, blurred vision and restlessness from respiratory acidosis
• 60: NIV as a domiciliary therapy
• Chronic obstructive pulmonary disease
• Neuromuscular disease
• Obesity hypoventilation syndrome
• Restrictive thoracic disease
• Where to initiate NIV
• Ventilators
• Compliance and monitoring
• Oxygen
• 61: End-of-life care
• End-of-Life Care Strategy (2008)
• Advance care planning
• Preferred priorities of care
• Community palliative care teams
• 62: Families and carers
• Breathe Easy groups
• Family encounters when someone is dying
• Helping the family to cope
• References