Vital Asthma
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Vital Asthma

Vital Asthma


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About the Book

Are you involved in caring for people with asthma within your practice? If so, this practical manual will give you all the relevant information you need to know for a high-quality, efficient asthma management service, including: •How to run a successful, evidence-based service, using the key BTS/SIGN guidelines •All the medical, nursing and social background you need for daily practice – with references for further reading Practical, short, patient information sections at the end of each chapter to help you explain difficult topics in lay terms •Tips for successful patient teaching •Best-practice ways to get your patients to quit smoking •Protocols for patient assessment •Over 30 Vital Points highlighted throughout the text, for quick reference •Essential facts for coping with any asthma emergency This book contains the essential information you need if you are part of the community asthma care team, whether you are a practice nurse, specialist nurse, GP, community pharmacist or physiotherapist. Written by two experts in the field, Vital Asthma will be an invaluable companion, allowing you to approach situations within your practice with confidence. And it fits in your pocket, containing all the information in 96 printed pages!

Table of Contents:
Foreword by Dr Mike Thomas FRCP,GPIAG Research Fellow, University of Aberdeen 8Introduction 10The scope of the problem 10What 'living with asthma' means for patients 10Managing asthma in primary care 11Using this book 11Acknowledgements 121 Asthma: some background 13Anatomy and physiology 13Sympathetic nervous system 14Parasympathetic nervous system 14Applying this knowledge to the asthma patient 15Aetiology and pathophysiology 16Genetic predisposition 16Environmental factors 17What happens in allergic asthma? 17Real life problems for asthma patients 18Patient information 202 Atopy, allergy and asthma 21Atopy 21Allergy 22Asthma and allergy 22Patient information 23Contents3 Diagnosis and assessment of theasthma patient 24What to look for 24Relevant questions to ask 25BTS/SIGN guidelines 26Other general issues 27Patient information 284 Objective measurement of lung function 29Peak expiratory flow monitoring 29Advantages 29Disadvantages 29Spirometry 30Advantages 30Disadvantages 30How are the tests used? 30Patient 'A' 30Patient 'B' 31Patient 'C' 32Patient 'D' 32Talking to the patient with asthma 33Topics to include 335 Pharmacological management 35Bronchodilators 35Beta2 agonists 35Anticholinergics 37Theophyllines 37Anti-inflammatory agents 37Leukotriene receptor antagonists (LTRAs) 37Corticosteroids (inhaled or oral) 38Cromoglicate and nedocromil sodium 40Patient information 404 Vital Asthma6 Non-pharmacological management 41Allergen avoidance 41Environmental pollutants 41Smoking and asthma 42Smoking A- the facts 42Why is giving up smoking important? 43What can you do? 43Practical help 44Patient information 457 Acute severe asthma in adults 46Moderate asthma 46Features of acute severe asthma 46Management of acute severe asthma 47Life-threatening asthma 48Management of life-threatening asthma 48Patient information 498 Children with asthma 50Introduction 50Asthma and growth retardation 50Causes and assessment 51Treatment 520A-2 years of age 532A-5 years of age 53School-age children 54Adolescent problems 54The role of parents and carers 55School/playgroup environment 569 Asthma in pregnancy 57Specific problems in the mother 57Specific problems in the fetus 57Contents 5Aims of asthma management in pregnancy 58Possible concerns on the patient's part 58'Will my asthma get worse?' 58'Will the drugs harm my baby?' 58'Will my baby have asthma?' 59'Should I stop taking my medication?' 59Patient information 6010 Asthma in older adults 61Occupational asthma 61Diagnosis 61Implications of occupational asthma 62Management of occupational asthma 62Asthma in the later years 63Chronic obstructive pulmonary disease (COPD) 64Patient information 6511 Educating patients about asthma management 66Goals of management 66Towards achieving these goals 67General reasons for poor self-management 67How to teach patients 68What should patient teaching include? 68Tips for successful teaching 68Specific points 69Inhalers 69Monitoring 70Practical and communication issues 71Allergen avoidance 7212 Review and follow-up 73How often should I see my asthma patients? 73What do I do when I see them? 736 Vital AsthmaAre there any specific questions I need to ask? 74Asthma action plans 75Outcomes 75Content 75Stepping down treatment 76Patient information 7713 Setting up a clinic 78Arguments for an asthma clinic 78Must-do criteria 79Should-do criteria 79Could-do criteria 7914 Professional issues for practice nursesrunning asthma clinics 81Knowledge base 81Professional autonomy 82Prescribing and acting within set/approved boundaries 82The way ahead 83Glossary of terms 84Suggested further reading 88Centres which run courses 90Feedback Form 91More books from Class Publishing 93Priority Order Form 95

About the Author :
Sue Cross RN, NP Dip, BSc (Hons), PGCE, FAANP isNational Project Manager of the Working inPartnership Programme, General PracticeNursing Project. Formerly Associate Directorof Primary Care Nursing for Bedfordshire andHertfordshire, Eastern Deanery, she wasDirector of Training at the NationalRespiratory Training Centre for seven years,before being International Project Manager atthe Respiratory Education and TrainingCentres, Aintree, for three years.She currently runs an asthma and allergyclinic in general practice in Bedfordshire.Dave Burns RGN, Cert Ed, RNT, BA (Hons) is SeniorLecturer, Faculty of Health, Edge Hill College;and National Training Manager, RespiratoryEducation and Training Centres, UniversityHospital Aintree. He qualified in nursing in1980, and has been teaching in the field ofrespiratory care for the last five years.


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Product Details
  • ISBN-13: 9781859592069
  • Publisher: Class Publishing Ltd
  • Publisher Imprint: Class Health
  • Language: English
  • ISBN-10: 1859592066
  • Publisher Date: 28 Dec 2004
  • Binding: Digital download
  • No of Pages: 95


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