QJM : monthly journal of the Association of Physicians
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Although the majority of deaths occur in hospital it has been suggested that dying in hospital is largely a negative experience. ⋯ Leadership from nursing and medical staff is required for seamless provision of competent and compassionate care at this life changing time for grieving families.
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Bronchiectasis is a chronic debilitating condition with considerable phenotypic diversity. A vicious cycle of infection and inflammation exists in damaged airways with patients suffering from persistent cough, purulent sputum production, recurrent chest infections and general malaise. ⋯ Further research is essential to improve our understanding of the development and progression of this disease. This article reviews what is currently known about bronchiectasis, its pathophysiology, aetiology and management strategies.