Unique, practical knowledge for nurses responsible for daily management of patients with cardiovascular disease, diabetes and related conditions.

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Monday, 01 June 2009
Approximately one in every ten cases of adult-onset asthma is attributable to occupational exposure. Unless occupation is considered, a diagnosis of occupational asthma will be missed so it is likely to be underdiagnosed. An average practice with around 6,000 patients will typically have approximately 600 adult patients with asthma, of whom 60 may have occupational asthma if we assume 10% of cases are related to occupational exposure. Can you think of 60 patients with occupational asthma in your practice?
Category: Editorial
Monday, 01 June 2009
Although principally an inflammatory respiratory disease, chronic obstructive pulmonary disease (COPD) is now recognised as a complex disorder that also manifests in extrapulmonary and systemic effects. Nutritional manifestations of the disease, notably weight loss and obesity, have been recognised. However, the complexity of nutritional problems in COPD has been poorly understood, and the consequences largely underrated. Now, linked to increasing knowledge regarding systemic inflammation, it is becoming clear that poor nutritional status is not only a manifestation of COPD but also a predictor of mortality and healthcare utilisation.
Category: Editorial
Monday, 01 June 2009
Did you know…. that a large number of your hayfever patients may have a condition known as oral allergy syndrome? In this article we explore what causes oral allergy syndrome, why it occurs, the symptoms that patients may suffer and how to manage the problem.
Category: Editorial
Monday, 01 June 2009
Oxygen therapy for patients with chronic obstructive pulmonary disease (COPD) has recently been hitting the headlines, because major changes in its supply – using independent contractors – introduced last year initially caused problems in some areas. In this article, we review why some patients with COPD need oxygen therapy, when it should be used and how to use it safely.
Category: Editorial
Monday, 01 June 2009
P-values are commonly included in the results sections of randomised controlled trials (RCTs), but what is a p-value and how should it be interpreted?
Category: Editorial
Monday, 01 June 2009
Accurate diagnosis is the fundamental principle underlying effective management of any condition. Without a correct diagnosis it is not possible to recommend appropriate treatments, provide relevant educational information or to establish effective collaborative partnerships between health professionals and patients. In this article, we provide a ‘how to’ guide to diagnosing asthma. Like a detective, you have to piece together the clues – including history, lung function and response to treatment – to solve the diagnosis.
Category: Editorial
Monday, 01 June 2009
Acute exacerbations of chronic obstructive pulmonary disease (COPD) are common and have serious implications. They greatly reduce patients’ quality of life and often result in hospital admissions. Acute exacerbations of COPD are the largest single cause of emergency respiratory admissions and each exacerbation results in an average hospital stay of 10.3 days. In this article we review what causes exacerbations in patients with COPD and how you can help to prevent and treat them effectively.
Category: Editorial
Monday, 01 June 2009
The development of shortness of breath (SOB) is an expected outcome of overexertion, as normally occurs after strenuous exercise. SOB occurring at rest or during marginal exertion is considered abnormal. Multiple organ systems are involved in the differential diagnosis of SOB but for the purpose of this article, we concentrate on the pulmonary system and include chronic obstructive pulmonary disease (COPD), asthma, pneumonia, pneumothorax, interstitial lung disease, lung cancer and dysfunctional breathlessness. This is the second in a series of three articles focusing on diagnosis of the breathless patient.
Category: Editorial

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