Professional nurse (London, England)
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People with asthma need to be shown correct inhaler technique at initial diagnosis. Doctors, nurses and pharmacists are in a good position to demonstrate inhaler technique and make regular checks. Information and counselling for people with asthma would be helpful.
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Peak flow is an objective measure of respiratory status. Nurses working with people with asthma require specialist knowledge. Nurses need to have an awareness of products available for people with asthma. Self-management plans can benefit people with asthma.
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In one dermatology unit, work patterns were restructured to improve continuity of care. The creation of nursing teams working in both the ward and outpatients' department has meant the effective use of nursing resources and multi-skilling of nursing staff.
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Spirituality is a vital aspect of health care, as it affects physical, psychological and social needs. In a dying person spiritual pain may preclude a peaceful death. Nurses are in an ideal position to assess, plan and provide care for those in spiritual pain. 'Being with' a person in spiritual pain is often more important than any intervention. Evaluation of relief from spiritual pain is often difficult but should be attempted.