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Assessment of Respiration01:23

Assessment of Respiration

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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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Respiratory Assessment: Purpose and Indications01:19

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Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
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COPD: Management Using Bronchodilators and Corticosteroids01:26

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Pulmonary Function Tests01:25

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Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
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Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

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Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
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Chronic Obstructive Pulmonary Disease-I: Introduction01:20

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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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Updated: Jun 16, 2025

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Translating a Home-Based Breathlessness Service: A Pilot Study of Feasibility, Person-Reported, and Hospital Use

Kylie N Johnston1, Mary Young2, Debra Kay3

  • 1Implementation and Clinical Translation in Health (IIMPACT), Allied Health and Human Performance, University of South Australia, Adelaide 5000, Australia.

Journal of Clinical Medicine
|June 13, 2025
PubMed
Summary

A home-based breathlessness intervention service (BLIS) for chronic obstructive pulmonary disease (COPD) patients is feasible and effective. The BLIS program improved patient outcomes and reduced hospital admissions, supporting its wider implementation.

Keywords:
COPDaccessibilitybreathlessnesscarerstranslation

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Area of Science:

  • Pulmonary Medicine
  • Health Services Research
  • Translational Science

Background:

  • Persistent breathlessness significantly impacts advanced chronic obstructive pulmonary disease (COPD) patients and their carers.
  • Accessible support services for managing breathlessness in COPD are limited.
  • A translational pilot study is needed to evaluate a novel home-based intervention.

Purpose of the Study:

  • To evaluate the feasibility of a home-based breathlessness intervention service (BLIS) for advanced COPD.
  • To assess the impact of BLIS on patient- and carer-reported outcomes.
  • To examine changes in hospital utilization following the BLIS program.

Main Methods:

  • A pre-post pilot study involving patients with stable COPD and persistent breathlessness.
  • The BLIS program consisted of nurse/physiotherapist home visits and phone contacts over 7 weeks.
  • Outcomes measured included breathing discomfort, illness perception, carer burden, and COPD-related hospital admissions.

Main Results:

  • The BLIS program demonstrated high feasibility with 95% acceptability, high uptake, and retention.
  • Significant reductions in breathing discomfort, breathlessness threat, and carer burden were observed post-intervention.
  • A decrease in COPD-related hospital admissions was noted in the 12 months following the BLIS program.

Conclusions:

  • The home-based BLIS program is a feasible and effective intervention for advanced COPD patients.
  • BLIS leads to significant improvements in patient-reported outcomes and reduces carer burden.
  • The positive impact on hospital admissions supports the implementation of BLIS in clinical practice.