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
