Most people with disabilities have a long-term chronic condition, which is not expected to get better over time. They will need long-term physical care for the rest of their lives, and this must be carried out according to personalised care plans that factor in the extent of their disability and their specific care needs. This will require a continuum of caring between the patient and the healthcare professionals, rather than just isolated episodes of caretaking. As far as possible, they should be allowed to live their lives with dignity and independence, and should be supported towards achieving this, in whatever manner they wish. For patients who require long-term care, the care manager will work together with the patients and their families …show more content…
to draw up a personalised care plan that aims at providing customised support. This plan will be drawn up in consultation with the patient, taking his or her likes and dislikes into consideration. Any concerns they may have will be noted and appropriate solutions will be found. They will be asked what limitations they have at present and how they could possibly overcome those limitations to improve their well being. All decisions that are taken will be shared and not made by the medical team alone. The patient will be required to set some goals for their own future, and to create action plans to work toward achieving these goals. It is easy for disabled patients to fall into a sense of hopelessness about the future – but setting such targets will help them to have a sense of purpose. This may be just a small achievement, such as making new friends, or visiting relatives, but it will help the patient to look forward to that future event. Disabled people will have to play an important part in managing their own care, as much as they can.
They will be given adequate information and support for self care to the maximum extent possible. Managing their emotions, solving practical problems that arise due to their disability, and coping with the impact of the disability on a daily basis can be complicated, but with some help it can be managed. Medication needs, if possible, will be handled by the patient. A holistic long-term care plan will factor in emotional needs, social needs and psychological needs as well as the more obvious physical needs of the patient. It recognises that there are several other issues; not only medical needs, which will impact the overall well-being of the patient. In order to be complete, all factors such as family background, ethnic and cultural background and circumstances should also be taken into account. A career as a Disability Care worker comes with unique challenges and involves a lot of hard work- but it has rich rewards in terms of the very real difference that you make to the lives of the patients under your care. There are many online Disability Training Courses, such as the Certificate IV in Disability, which can get you started on this fulfilling career
path.
Generally, in a LTC setting there is a director, assistant director, physician, pharmacist, nurses, medication aides, certified nursing assistants, case managers, social workers, and clergy. These individuals are tasked with providing a daily health plan for long-term care residents 24 hours a day, seven days a week. This group could consist of less or more healthcare associates which is conditional and determined by the goal plan; moreover, the intended outcome not solely geared towards physical rehabilitation. In modern society, rehabilitation is targeted to restore mind, body and soul thereby promoting the overall health of the patient, or
The patient may need assistance caring for himself following discharge from the hospital. The daughter lives too far to assist her father on a daily basis. The case worker needs to determine how much the daughter is willing to assist her father during the transition. The daughter may be willing to become her father’s caregiver during the initial recovery period. She would also be a good support system by providing medication reminders, encouraging medication compliance, dietary restriction compliance and promoting positive health behaviors.
The NHS Outcomes Framework has five standard domains which is set out to improve the quality and outcome of care and services that is being delivered to the patients and service users (National Quality Board, 2011). As such, this project plan is focused on domain 2 as it has been mentioned before, is based on improving the quality of people with long term conditions. Nurses will give cardiac discharge advice to patients on self care, thus identifying how to improve and manage their condition so that they can continue with their normal lifestyle. Furthermore patients will be advised on how to overcome stress and depression which will help them in maintaining the activities of living (DoH, 2013).
Globally it is estimated that there will be a “252% increase in people aged over 65 with one or more chronic condition by 2050” (Procter et al, 2013). The Department of Health’s 2013 Vision and Strategy for District Nurse detailed the increasingly important role that District Nurses have in the delivery and coordination of community healthcare. It described the District Nurse role as “Managing and accountability for an active caseload and providing population interventions to improve community health and wellbeing; Working with a range of health and social care partners in order to provide services for adults and their carers, at home”. A large part of the District Nurse caseload is managing patients with long term conditions and multi-morbidities.
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
In this 21st century, there are more and more policies and guidelines that focused on long term conditions as these conditions are incurable but only can be controlled and progressed with long term management. In Northern Ireland, a policy framework “Living with Long Term Conditions” had been introduced and addressed about long term conditions (LTC) that needs high quality of care. This policy provides a better outcome with supporting good practice through 6 key development areas. The 6 key principles are essential in helping people with LTC to receive a better care, treatment and support. First area is partnership between the service user and the collaboration team whereby communication skill is highlighted to encourage service users to play an active role in managing their own conditions with individual care plan. Next, self-management is also another key principle to be developed so that those people with LTC managed their condition effectively which may progress over time. Through training and education on acquired skills is a good start to promote self-management strategy as they able to deal with flare-ups, condition and lifestyle. Thus, information is vital in helping them understand their own condition and knowing what is the best for them in order to increase their quality of life. A medicines management service help in bringing the best outcome for LTC patients while carer also need to maintain their own health to continue their caring role and act as a safeguarding through the provision of the support. Last principle is improving care and services at the right time and right way to prevent readmission and prolong hospital stay (DHSSPS, 2012).
The Public Health Imperative measures the quality of life of an individual during times of severe chronic illness. This health imperative is characterized by: the potential to prevent suffering caused by the illness, major impact, and high burden. In the recent past is has become evident that care for older people, who have potential to become terminally ill, must be focused on. The types of patients may also lose the capability to make some of their most important decisions which include actions made by health professionals that are related to their end of life situation. Luckily actions were made to identify certain priorities pertaining to the public health and end of life issues. These priorities were established by the National Association of Chronic Disease Directors and the Healthy Aging Program at the Centers for Disease Control and Prevention. These end of life health priorities which address short-term, medium-term and long-term needs are also called advanced care planning. It can be concluded that communication between professionals and among families about the patient can enhance the effectiveness of advanced care planning.
...ual fulfillment and religious support can play a strong role in overcoming major hurdles in a person’s life. Other ways that can help with individuals who care for a person with a disability is to involve in psychological counseling that can offer alternative ways to think about the problem and find solutions for stress that can help lessen the impact of stress on the individual’s well being and ability to function clearly.
The book is an exceptional reference for any individual who care for the elderly; it provides insight on how to arran...
G’s inpatient care. The key principles to work on are 1) Focus on the quality of life- Many people who are living with a terminal illness often talk about quality of life and strive to retain control over it. It is important for us to understand what does quality of life actually mean to each patient and how can we contribute to attain or maintain the goal. 2) Take into account the patient’s past life experience and current situation- Experiences shape and make us the person we are today, but they also shape our views and expectations of a situation. It is easy to talk about the ‘here and now’ with patients whilst failing to pick up on the vast richness of their past and questioning from where their ideas and views have arisen. 3) Care which encompasses the dying patient and those who matter to them- There is no easy task when each individual may have entirely different needs, may be at different stages of acceptance and understanding of the situation, and different expectations of what healthcare professionals are able to offer. Good communication, skills and expertise of the palliative care multi-disciplinary team is the key to offer a support network for those who involved in patient’s care. 4) Respect patient’s autonomy and choice- Sometimes, we may find that our own values are challenged in a way that patient may not always make decisions which we believed to be in their best interest. If the patient is thought to be competent
Older adults are a very knowledgeable population and have had a lot of life experiences. As people age, things start to change physically, mentally, and socially. It’s important to understand the process of aging, so that older adults can be taken care of properly. I interviewed P.R. who is a 71-year-old male that lives alone in his home. P.R. is a retired coal miner, and is currently living off his social security and savings. He lives close to both his daughter and son, who frequently help him out with things that are needed. P.R. was able to give me a lot of insight about specific challenges that he has experienced in his life that is associated with aging. I will be discussing challenges that P.R experienced physically, mentally,
Increased life expectancies have many reconsidering whether the fountain of youth is merely a legend. For many families, longer life spans have allowed them to spend more time with loved ones, time that may not paint the picture imagined.
The Alliance for Aging Research is a leading non-profit organization that is associated with scientific discoveries that is concerning the universal human experience of aging and health. The base of this Research is in Washington, D.C.and was founded in 1986. This Alliance has made aging research grow and improve in medical research. Right now, they are celebrating their thirtieth year.
How to Provide Disability-Competent Assistance When you work with families that include a member with I/DD, we recommend you follow disability-competent practices. Recognize and avoid stereotypes Stereotypes about groups can influence our attitudes and behaviors and cause us to make assumptions around what support people may want or need. This may lead to negative interactions (“Communication in the Real World”). To support families and improve life outcomes for people with I/DD and their families, it is critical to recognize assumptions and biases and avoid feeding into stereotypes about people with I/DD. Stereotypes and Facts about People with Disabilities Stereotype Reality People with disabilities always need help.
Throughout this course, I am amaze by how much I’m learning about what it was and it is to be disable in today society. But just like any other crisis, it’s crazy what people with disability went through in the passed and how far they have come and. Form perceiving disability as liability to the public and rejecting people with disability in schools, work places and communities, to accepting them open heartily and having laws that helps protect the form discrimination. Staying with the topic of disability, I would like to look at both the positive and negative impact on not only an individual living with a disability but also what the family have to go throw. Many people have views about the disabled but do not have them from first hand experience. As human, it is part of our nature to be judge mental. We sometime judge without even know them or putting ourselves in their predicament, but experiencing disability first hand, I’ll say it has it ups and down.