Jane Scullion

How to carry out remote consultations for people with asthma and COPD

Primary care nurses are having to transform their ways of working


Helping people live with chronic obstructive pulmonary disease

How nurses can have a positive effect on the lives of people with COPD

Asthma and COPD: inhaler and spacer rescue packs could be a game-changer

Comments are sought on issuing rescue packs to those at risk due to these conditions

Asthma inhaler

Consider clinical impact first in any asthma inhaler switch

Inhaler devices may leave a carbon footprint, but are essential to many people's health


Correct use of inhalers is our responsibility

The UK Inhaler Group has issued a set of standards for healthcare professionals advising on correct inhaler technique.

Chronic Disease Management: A New Paradigm for Care

Written by a GP who has an extensive background in medical education, this book focuses on chronic disease management rather than how chronic conditions affect health.

Asthma care – time for a rethink

Asthma is a common problem managed in primary care, however many patients do not have good control of their condition. This article looks at routine asthma care, indicating where the findings from the 2014 National Review of Asthma Deaths might change current practice. It examines triggers and exacerbations and considers the four key areas identified in the report: the use of services, medical and professional care, prescribing and medicines use, patient factors and perception of risk of poor control. The article also highlights the role of medications, including helping patients understand stepping up and stepping down, the place of current and future therapies in asthma care, and how to review patients effectively while managing their concerns.

Carers’ experience of looking after a person with chronic obstructive respiratory...

Government policy recognises the need to support caregivers in the community to ease the burden of caring. It encourages primary healthcare workers to explore the specific care needs of informal caregivers as part of the patient’s package of care. Nursing interventions that assess and evaluate carers’ needs can ensure that family caregivers are offered support. This article uses the example of caring for family members with chronic obstructive pulmonary disease to examine the burden of caring, its assessment and how nurses can sensitively handle issues raised.

Chronic obstructive pulmonary disease (COPD): updated guidelines

In 2004 the first National Institute for Health and Clinical Excellence (NICE) guidelines for chronic obstructive pulmonary disease (COPD) were published. They have recently been revised taking into account further evidence and publications. This article details the updated changes relevant to current practice alongside previous relevant recommendations. NICE guidance informs best practice but it does not negate our individual circumstances and responsibility and as practitioners we have a duty of care to be aware of the latest guidance.

Using guidelines and the GMS contract to improve COPD care in general practice

COPD is a progressive and chronic illness and is the UK’s fastest growing killer disease. This article oultines the lastest guidelines and examines how they work in practice.

A proactive approach to asthma

Asthma is a common chronic inflammatory condition the incidence of which appears to be increasing in the UK. It has a substantial impact on the lives of the people it affects. A proactive approach to asthma by healthcare professionals working with patients with this condition may substantially improve asthma management.

Managing dyspnoea in end-stage Chronic Obstructive Pulmonary Disease (COPD)

This article examines the palliative care needs of patients with end-stage COPD, looking particularly at the management of dyspnoea.

Tuberculosis and older people

Tuberculosis is a disease with a long history and although concerted efforts have been made...