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Implementing an asthma and COPD overlap protocol in general practiceCitation: Moore C (2020) Implementing an asthma and COPD overlap protocol in general practice. Nursing Times; 116: 4, 31-34.How to use this article in your revalidation activitiesPrint the article and distribute it to all members of your journal club before your meeting. Use the author commentary and discussion points below to help get your discussions started. Participation in journal clubs can be used for revalidation as participatory CPD and/or reflective accounts.Participatory CPD: Record the time you spent reading the article and discussing it in your journal club, describe what you learnt from the article and your group discussions, explain how you will apply it to your practice, and how it links to the NMC Code;Reflective accounts: think about what you learned from your discussions, how you can use your learning to improve your practice, and how this relates to the NMC Code. Add this information to the ‘notes’ section at the end of this document.If you subscribe to Nursing Times, log the evidence in the ‘Other professional development’ or ‘Reflective accounts’ section of your NT Portfolio.For more information on setting up and running a journal club go to ntjournalclubNurses can help respiratory patients lead as full lives as possibleNurses in most settings are likely to care for people with asthma and/or COPD. In their classic presentations these common conditions may be easy to diagnose, but some people appear to have an overlap of signs and symptoms, and there is some debate around whether asthma and COPD are separate conditions.Perhaps more importantly, people with asthma and COPD overlap (ACO) seem to have poorer health outcomes. The use of a protocol appeared to help identify patients who had an incorrect diagnosis of Asthma or COPD or those who had ACO, enabling us to ensure they received the correct treatment or timely referral if appropriate.The protocol led to improvements in symptoms scores for people with ACO, and questionnaires provided positive feedback. The organisation gained from an increased awareness and better knowledge of ACO, while stronger relationships were forged between primary and secondary care.Healthcare is moving tantalisingly closer to personalised medicine; the interim we can do our best to tailor available treatments we have to the best of our ability. Nurses are in the prime position to work in partnership with patients to help them manage long-term conditions and help them lead as full a life as possible.Stay curious. Keep asking questions. If something in your practice bothers you, look into it. Scratch that itch. Talk to colleagues. There are amazing people out there who will listen and support you, which is just one of the many reasons we should be so proud of our profession.Author: Carley Moore, lead practice nurse, Marcham Road Family Health Centre, Abingdon, Oxfordshire.Discussion pointsHow important is it that patients receive the correct diagnosis?Why might a patient with a respiratory disease be given the wrong diagnosis?What might be the treatable traits for a patient with a respiratory condition?How do you personalise care for people with respiratory disease?How do you evaluate the effectiveness of treatments for people with respiratory condition?Do you have any itches you would like to scratch related to your practice?-63500165735Revalidation evidenceMake a note of how your journal club discussion relates to your own practice and the NMC Code, what you learnt from reading and discussing the article and how you will use this learning to change your practice. If you subscribe to Nursing Times, you can upload this article with your notes into your NT Portfolio as evidence of participatory CPD. You can also use it as the basis for a reflective account.0Revalidation evidenceMake a note of how your journal club discussion relates to your own practice and the NMC Code, what you learnt from reading and discussing the article and how you will use this learning to change your practice. If you subscribe to Nursing Times, you can upload this article with your notes into your NT Portfolio as evidence of participatory CPD. You can also use it as the basis for a reflective account.Your notes ................
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