Irish Examiner - Feelgood - - Health -

Cherry Wynne, clin­i­cal nurse spe­cial­ist, res­pi­ra­tory in­te­grated care, Cabra Health Cen­tre, Dublin

6.45am I give my­self am­ple time for break­fast — a large cup of tea, ce­real, fruit. I couldn’t leave home with­out it!

8am At my desk, I check and an­swer emails, lis­ten to phone mes­sages and jot down in my di­ary the re­turn calls I need to make dur­ing the day. My role is to aid in the di­ag­no­sis and man­age­ment of pa­tients with Chronic Ob­struc­tive Pul­monary Dis­ease (COPD) in pri­mary care, ie GP prac­tices and Sum­mer­hill Health Cen­tre. I pro­vide spirom­e­try — a test to mea­sure how well the lungs are work­ing — as well as a pro­gramme of care to im­prove health out­comes and re­duce ser­vice de­mand. I look over as­sess­ments and spirom­e­try I have taken on pa­tients, ready to con­sult with the res­pi­ra­tory con­sul­tant in sec­ondary care.

9.20am At the Mater Univer­sity Hos­pi­tal, I meet the res­pi­ra­tory con­sul­tant who re­views and in­ter­prets the spirom­e­try tests. It is es­ti­mated 440,000 peo­ple are liv­ing with COPD, yet only half of those have been di­ag­nosed.

10.30am I at­tend a pul­monary re­ha­bil­i­ta­tion class in Bally­bough Com­mu­nity Youth and Fit­ness Cen­tre, where I as­sist the Se­nior Phys­io­ther­a­pist Res­pi­ra­tory In­te­grated Care in pro­vid­ing an ex­er­cise class and ed­u­ca­tion to those with COPD. Ex­er­cise is a gold stan­dard of treat­ment for COPD pa­tients.

12 noon Back in my of­fice in Cabra, I con­tact a res­pi­ra­tory nurse col­league to check if she can help me at the COPD day event tak­ing place in the Royal Col­lege of Physi­cians, Dublin, on No­vem­ber 15. To reg­is­ter for the con­fer­ence, where the fo­cus is on im­prov­ing self-care for peo­ple with COPD, see

12.30pm A quick lunch

1.30pm I have a clinic in a GP prac­tice in Fin­glas. Two new pa­tients for assess­ment and spirom­e­try and two re­views where I eval­u­ate symp­toms and, in col­lab­o­ra­tion with the pa­tient and GP, de­velop an ac­tion plan for man­ag­ing their dis­ease.

4.15pm Af­ter en­sur­ing I have recorded my con­sul­ta­tion on the GPIT sys­tem and my own records, I head home. Luck­ily I’ve a short com­mute and if I’m not too tired I can get a run in be­fore catch­ing up with my part­ner and step chil­dren. One evening a week I help out at Le­in­ster Horse and Pony Res­cue.

“I give my­self am­ple time for break­fast”

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