All Respiratory articles – Page 4
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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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Commissioning article
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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Commissioning article
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
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GMS contract
Patients with COPD are benefiting from the QOF clinical indicators
Dr Steve Holmes discusses the clinical indicators for chronic obstructive pulmonary disease and how they are augmenting the already high level of care provided by GPs
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Good practice initiative
Asthma initiative aids patient empowerment and improves outcomes
Dr Rhoda Williams, team leader of an initiative short-listed in the Guidelines in Practice Awards 2006, discusses the benefits of local respiratory clinics and patient passports
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Good practice initiative
Recording 'pack years' aids assessment of risk and diagnosis of COPD
Catherine Tutt and Dr Nigel Masters, winners in the COPD category of the Guidelines in Practice Awards 2006, outline their initiatives and improvements in patient care
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GMS contract
Asthma indicators recognise importance of annual patient reviews
Implementation of the QOF indicators encourages more accurate asthma diagnosis and may reduce emergency hospital admissions, comments Dr Kevin Gruffydd-Jones