This Community Respiratory Team provides care and support to patients in a community setting who have a diagnosis of COPD, Bronchiectasis or Interstitial Lung Disease. The aim of the service is to enable Primary Care Professionals to identify and manage these respiratory patients with complex needs in the primary care setting. There are three teams located across the South Eastern Trust and they work closely with secondary and primary care to ensure the patient receives the right care at the right time by the right health care professional. The team consists of specialist nurses and physiotherapists with limited dietetic access.
Community management includes:
- Appointments in both clinics and home visits
- Medication Management- This includes inhaler and nebuliser therapy reviews, inhaled drug challenges, oxygen prescribing, exacerbation management with antibiotics/steroids as appropriate by multi-disciplinary team prescribers and GPs
- Chronic Disease management
- Exacerbation management
- Oxygen Assessment and review
- NIV management
- Airway clearance
- Breathlessness management
- Palliative Care
- Promoting expert self-management plan
- Smoking Cessation advice and prescription
- Home Exercise Programmes
- Pulmonary Rehabilitation
Each patient is assessed on an individual basis; social support is included as part of their assessment and referral made to other members of the multi-disciplinary team (e.g. occupational therapy, dietician) as appropriate. As the patient travels through their pathway of disease the emphasis on care changes and the team endeavour to meet this demand.
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Referral
Down & Lisburn Teams
Primary Care Connect
Tel: (028) 9598 8000
North Down and Ards Team
Tel: (028) 9151 5365
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Pulmonary Rehab Referral
Click here to download the referral for pulmonary rehab.
The referral must be completed by a healthcare professional.
Email completed forms to pulmonary.rehab@setrust.hscni.net
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Post COVID-19 Syndrome Rehab Referral
Click here to download the referral for post COVID-19 syndrome rehab.
The referral must be completed by a healthcare professional.
Email completed forms to john.mitchell@setrust.hscni.net