Contributors vii

Preface viii

About ARNS ix

Part 1 The context of respiratory nursing 1

1 The origins of respiratory nursing 2

2 Working in secondary care 4

3 Working in primary care 5

4 Ambulatory, intermediate and tertiary care 6

5 The future of respiratory nursing 7

6 Respiratory public health 8

Part 2 Respiratory health 11

7 The respiratory system 12

8 Preventing respiratory disease 14

9 Epidemiology and contributing factors 16

10 Smoking and smoking cessation 18

11 Exercise and pulmonary rehabilitation 20

12 Nutrition and hydration 22

13 The upper airways 24

14 Respiratory disease and sexuality 26

Part 3 Assessment and diagnosis of respiratory disease 29

15 Respiratory history taking 30

16 Respiratory clinical examination 32

17 Measuring dyspnoea 34

18 Sputum assessment 36

19 Pulse oximetry 38

20 Blood gas sampling and analysis 40

21 Spirometry 42

22 Measuring quality in healthcare 44

23 Assessing anxiety and depression 46

Part 4 Respiratory diseases 49

24 Asthma 50

25 Chronic obstructive pulmonary disease 52

26 Pleural disease 54

27 Lung cancer 56

28 Obstructive sleep apnoea syndrome 58

29 Acute respiratory infections 60

30 Cystic fibrosis 62

31 Bronchiectasis 64

32 Occupational and environmental lung disease 66

33 Interstitial lung disease 68

34 Sarcoidosis 70

35 Pulmonary tuberculosis 72

36 Venous thromboembolism and pulmonary embolism 74

37 HIV and respiratory disease 76

Part 5 Models of care 79

38 Care pathways and care bundles 80

39 Self-management in chronic respiratory disease 82

40 Telemedicine and telehealth 84

41 Patient education 86

42 Voluntary organisations and patient support groups 88

Part 6 Respiratory medication 91

43 Pharmacology and prescribing 92

44 Inhaler technique 94

45 Nebuliser therapy 96

46 Emergency oxygen therapy 98

47 Domiciliary oxygen therapy 100

48 Other routes of administration 102

49 Adherence and concordance 103

Part 7 Acute care of the respiratory patient 105

50 Respiratory failure 106

51 Pre-hospital care 108

52 Non-invasive and invasive ventilation 110

53 Pleural procedures and management 112

54 Tracheostomy care and management 114

Part 8 Supportive and palliative care 117

55 Communication 118

56 Psychosocial impact of respiratory disease 120

57 Management of dyspnoea 122

58 Anxiety and depression in respiratory disease 124

59 Other symptom management 126

60 NIV as a domiciliary therapy 128

61 End-of-life care 130

62 Families and carers 132

References 134

Index 139