A Nurse Led Respiratory Integrated Care Service for CHO 6 – 4 months on.

Title: A Nurse Led Respiratory Integrated Care Service for CHO 6 – 4 months on.
Author(s): J.O’Hara , P.O’Toole , S.O'Beirne
Institution: Respiratory Integrated Care CHO 6
Poster: Click to view poster
Category: COPD/Asthma
Abstract: A Nurse led Respiratory Integrated Care Service for CHO 6 - 4 months on.

J.O’Hara1, P.O’Toole2, S.O’Beirne3.
1. Respiratory Integrated Care CHO 6 North East Wicklow1.
2. Department of Respiratory Medicine St. Michael’s Hospital (SMH) 2.
3. Department of Respiratory Medicine St.Vincent’s University Hospital3.

Affiliations: This project was affiliated with Sláintecare, Pobal, the National Clinical Programme (NCP) Respiratory, RIC CHO Area 6, St. Michael’s Hospital.

The purpose of this integrated nurse led clinic is to provide diagnosis, treatment and management of Asthma and COPD in a Primary Care setting. Patients are referred by their GP and then assessed by a CNS. Cases are discussed with an Advanced Nurse Practitioner and a report with a diagnosis and a management plan are sent to the GP. Overall clinical governance is by the respiratory consultant.
Monthly statistics were gathered and patient files were reviewed retrospectively from April – July 2021.
Overall 55 patients were seen for first assessment, and 38 follow-up reviews occurred. 12% (n=7) of patients had no respiratory diagnosis. To clarify a diagnosis, 24 patients were referred for additional testing (PFT). Of these, 15 patients were referred to the consultant for further assessment. To date, we have diagnosed 15 new Asthma and 2 new COPD patients. There were 3 changes to diagnosis from Asthma to COPD.
This nurse led model of care is a new integrated way of working and can improve healthcare experience and health outcomes for respiratory patients living with a chronic disease.

References: 1. Department of Health. (2020). National Framework for the Integrated Prevention and Management of Chronic Disease in Ireland 2020-2025. Dublin: Department of Health.

Conflict of interest
The authors have no conflict of interest to declare.