In this article I reflect on my role as a respiratory nurse specialist caring for a patient newly diagnosed with chronic obstructive pulmonary disease (COPD). The aim of the article is to demonstrate the importance of specialist and holistic care for patients with COPD, as well as highlighting the need to carry out a thorough assessment to ensure that an accurate diagnosis is obtained and an appropriate plan of care is initiated. A model of reflection is used to promote self-awareness and provide a framework for reflection.