All Respiratory articles – Page 4
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Personal view
Structured review is an essential part of asthma care
Dr Dermot Ryan explains how the NICE quality standard for asthma is an opportunity for improving diagnosis and management
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Hot topic
Patients with asthma need to be able to use their inhaler effectively
Professor Henry Chrystyn highlights the importance of checking inhaler technique, and the common difficulties patients with asthma encounter when using these devices
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Implementing guidelines
Case finding for COPD could help to reduce the disease burden
Dr Raj Nair highlights the importance of ensuring that people with chronic obstructive pulmonary disease have access to smoking cessation services and pulmonary rehabilitation
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GMS contract
Asthma annual reviews should include RCP 'three questions'
Dr Dominic Horne reviews the asthma indicators in the QOF 2012/13 and highlights how their implementation could help to reduce asthma morbidity and mortality
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Implementing guidelines
The majority of asthma cases can be managed in primary care
Dr Iain Small reviews key points from the BTS/SIGN guideline on the management of asthma, and in particular patient groups that require special consideration
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Implementing guidelines
Strategy for respiratory conditions provides aspirational targets
Dr Steve Holmes (left) and Jane Scullion discuss how the outcomes strategy for COPD and asthma emphasises the need for integrated care and cross-boundary working
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NICE quality standard article
COPD review should cover medical and psychosocial aspects
Dr Kevin Gruffydd-Jones describes the NICE quality statements on chronic obstructive pulmonary disease and how to provide care that meets them
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GMS contract
Implementation of the asthma QOF indicators can be further improved
Dr Noel Baxter explains that although the QOF indicators for asthma have not been revised, their interpretation is affected by the updated BTS/SIGN asthma guideline
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Implementing guidelines
Influenza vaccination may reduce hospital admissions for COPD
Dr Melvyn Jones outlines key priorities for primary care highlighted in the revised 2010 NICE guideline on chronic obstructive pulmonary disease
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Implementing guidelines
Better asthma control could avoid majority of hospital admissions
Dr Steve Holmes (left) and Jane Scullion discuss the updated guidance from BTS/SIGN on monitoring and pharmacological therapy for asthma, and its management in adolescents
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Good practice initiative
Improving outcomes for COPD patients in primary care through joint working
James Gupta (left) and Andrea Gupta give a personal account of how a joint working initiative has improved patient care, nurses’ understanding of the disease, and prescribing costs in COPD
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Implementing guidelines
Managing COPD: optimising current control and reducing future risk
Dr Kevin Gruffydd-Jones outlines the revised NICE COPD guideline recommendations on post-bronchodilator spirometry, assessment of disease severity, and inhaled therapy
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GMS contract
Regular structured asthma reviews will reduce exacerbations
Dr Mark L Levy discusses the importance of assessing asthma control and medication, and ensuring that the patient knows when and how to seek help
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Implementing guidelines
BTS/SIGN guideline on asthma management has been revised
BTS/SIGN have updated information on the management of acute asthma, managing asthma in pregnant women, and the use of pharmacological therapies, says Dr Hilary Pinnock
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Implementing guidelines
BTS/SIGN has issued revised guidance on asthma management
Updated advice on assessment, greater emphasis on self-management plans, and new recommendations on treating ‘difficult’ asthma will improve care, says Dr Hilary Pinnock
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Primary care commissioning
A group approach to PBC can improve care for targeted diseases
Dr Richard More demonstrates how Somerset GP practices combined to provide better local facilities for treatment of patients with chronic obstructive pulmonary disease
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Personal view
BTS/SIGN update their guideline on asthma care
Dr Malcolm Campbell says GPs should look for clinical features of asthma in their patients, and implement a stepped care approach
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Primary care commissioning
Local audit on use of inhaled corticosteroids benefits asthma patients
Doreen Cochrane outlines the winning initiative of the Guidelines in Practice Asthma Award 2007: an audit to identify if ICS dosing is in line with BTS/SIGN guidance
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Implementing guidelines
Consensus guideline will help GPs to choose asthma inhaler devices
Dr Richard Russell explains how healthcare professionals can improve care of their patients with asthma by selecting the most appropriate inhaler for each individual
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Implementing guidelines
Guideline provides advice on phasing out CFC-containing inhalers
Planned implementation procedures for replacement of devices for patients with asthma will enable GPs to spread the workload and maintain care, says Mr Andrew Martin