About our department
Our service provides proactive management of patients with respiratory conditions and heart failure with the aim of preventing unnecessary hospital admissions and improving quality of life.
Our service is community based and the majority of care is delivered at your home. We aim to maximise your health and wellbeing by educating and supporting you and your family or carer to manage your condition with confidence.
Emphasis is placed on developing a personalised care plan to empower you to self-manage your long term condition, with the aim of reducing the need for acute management and admission to hospital.
Our service works in partnership with a wide range of health and social care professionals, resulting in a more integrated and seamless care pathway.
Our service is nurse-led and includes advanced nurse practitioners, case managers and assistant practitioners who work with you to support and manage your condition.
Nurses in the team have specialist knowledge of respiratory conditions and heart failure and, where necessary, can provide clinical assessment, investigations, diagnostics, treatment and review. We work collaboratively with existing health and social care agencies to provide holistic care.
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Personalised care planning and coordination
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Ordering of equipment
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Reviewing medication
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Optimising medication
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Symptom management
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Education about your condition sich as life style and risk factors
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Promoting independence and self-management
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Carer support
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Referral to other agencies
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Holistic palliative care
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Telephone support
You can be referred to the service by your health or social care professional or can contact us yourself.
Following your referral a member of the team will contact you by telephone to discuss your care needs and arrange a home visit if necessary. During the visit you will receive a comprehensive assessment to identify your care or treatment needs.