Chronic obstructive pulmonary disease (COPD) is the term given to progressive airflow obstructive conditions, namely emphysema and chronic bronchitis. The disease is not reversible, but its progression can be slowed with the correct treatment and management. Within our organisation, we realised that if district nursing teams worked inter-professionally, exacerbations of COPD could be reduced simply by assessment of inhaler technique whilst making home visits. This article, a previous entry to the JCN Writing Awards, presents the a review of the literature undertaken prior to changing practice.

Annette Bades, BSc (Hons) Adult Nursing, District Nursing Sister, Lancashire Care NHS Trust