Children's Respiratory Nursing

Children's Respiratory Nursing is a comprehensive, patient-centred text providing up-to-date information about the contemporary management of children with respiratory conditions. It looks at acute and chronic respiratory conditions in both primary and secondary health care sectors and explores the subject from a child- and family-focused perspective.

Children?s Respiratory Nursing is divided into four user-friendly sections:

• The first section provides a general background for children?s respiratory nursing
• Section two explores the various investigations that aid diagnosis and treatment, such as assessment of defects in airflow and lung volume, oxygen therapy, and long term ventilation
• Section three looks at respiratory infection and provides an overview of the common infections in children with reference to national and local guidelines
• The final section considers the practical issues that impact on children?s nurses - the transition from children to adult services, legal and ethical issues and the professional communication skills needed for dealing with children and their families

This practical text is essential reading for all children?s nurses who have a special interest in respiratory conditions and would like to develop a greater level of understanding of the management required.

Special Features

• Examples of good practice provided throughout
• Includes evidence-based case studies
• Explores care in both hospital and community settings
• A strong practical approach throughout

Contributors vii

Foreword by

Preface xi

Acknowledgements xiii

Introduction: the evolution of children’s respiratory nursing 1
Angela Horsley, Clinical Lead, Nottingham Children’s Hospital ix
Janice Mighten

Section I The fundamental principles of respiratory nursing 3

1 Anatomy and physiology of the respiratory system 5
Conrad Bosman

2 Homeostasis and the respiratory system 11
Andrew Prayle

3 Nursing assessment, history taking and collaborative working 16
Janice Mighten

Section II Respiratory investigations and assessments 25

4 Investigations 27
Alan R. Smyth, Conrad Bosman and Janice Mighten

5 Assessment of defects in airflow and lung volume using spirometry 41
Harish Vyas and Caroline Youle

6 Oxygen therapy 55
Jayesh Bhatt and Sarah Spencer

7 Long-term ventilation 73
David Thomas and Beverley Waithe

Section III Respiratory conditions 89

8 Management of lung infection in children 91
Alan R. Smyth

9 Pharmacology and the respiratory system 107
Andrew Prayle and Janice Mighten

10 Management of asthma and allergy 113
Jayesh Bhatt, Harish Vyas and Debra Forster

11 Complications with lung development and progressive airway injury 134
Jayesh Bhatt, Chhavi Goel and Sarah Spencer

12 Inherited lung disease in children 156
Alan R. Smyth, Ammani Prasad and Janice Mighten

13 Lung transplantation in children 186
Helen Spencer and Katherine Carter

Section IV Practical elements and governance issues 207

14 Transition to adult services 209
Donna Hilton

15 Professional issues 215
Janice Mighten

16 Communication: a holistic approach 224
Phil Brewin

Glossary 238

Abbreviations 240

Answers 243

Index 248

Janice Mighten is a Practitioner health lecturer at Nottingham University & Children's Respiratory Nurse at Nottingham Children's hospital.