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for district nurses on assessment of patient 54 Respiratory health Factors affecting respiratory health Improving respiratory health Management of respiratory health 55 Chronic obstructive pulmonary disease What is COPD? Symptoms Diagnosis COPD exacerbations Treatments 56 End‐stage respiratory care in the community Clinical indicators of advanced lung disease Why do patients with end stage disease suffer from uncontrolled symptoms? Treatment of symptoms Other drugs commonly used for both breathlessness and anxiety 57 Neurological conditions Paralysis Motor neurone disease Parkinson’s disease Role of the district nurse 58 Multiple sclerosis Diagnosis Symptoms Treatment and therapies 59 Cancer as a chronic condition Holistic assessment Late effects of treatment Emotional needs Financial needs 60 Mental illness Common types of depression Common types of anxiety 61 Assessing mental capacity What is meant by incapacity? The Mental Capacity Act (2005) Who should assess capacity? What is the test of capacity? Making decisions in a person’s best Interests Lasting power of attorney and enduring power of attorney Professional record‐keeping 62 Dementia Alzheimer’s disease Vascular dementia Lewy body dementia Rarer causes of dementia 63 Learning disability Community learning disability teams Hospital liaison nurse

      13  Part 6: Introduction 64 Specialist nurses and the role of district nurses in coordinating care Core role of the district nurse Working with specialist nurses and services Summary 65 Voluntary organisations and district nurses 66 Occupational health: specialist community public health nurses Specialist role Synergistic working Future expectations 67 Community learning disability nursing Case study 68 Tuberculosis nursing Epidemiology Clinical features Acquisition Diagnosis Treatment Vaccination District nursing role 69 Prison nursing Prison environment New arrivals Mental health Health promotion 70 Nursing in defence primary healthcare Defence primary healthcare Health maintenance Military operations Families 71 Homeless and inclusion health nursing Homelessness

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