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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).
A different approach for LTC is needed to cope with the increasing predomina...
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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 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).
...r illness causes them (). Service users expect respect and sensitivitiy as well as competent treatment and practical support. Nurses must be willing to engage with patients with effective therapeutic communication as well as demonstrating the 6 C’s (). It is evident that nutritional and fluid intake is important for COPD sufferers. It is a long term condition, so enabling people with the condition to self manage and to be educated about the importance of their health choices (By implementing a nursing model or theory and following the cycle of ASPIRE, it would seem impossible for the primary carer to not treat Mr B holistically. Every aspect of his life is affected by his COPD and by evaluating and backing up the care plan with evidence based practice, being in partnership with Mr B every step of the way, he would be able to get the help he needs.
A long term condition not only brings the physical symptom of pain, but a number of psychological and social effects too. In 2014 the Department of Health recognised that the impact of having a long term condition can contribute to mental health problems like depression and anxiety (Department of Health, 2014). As well as finding ways to manage their physical symptoms, patients are encouraged to adopt acknowledge and address all of their health and wellbeing needs, in particular self-management at home and incorporating and educating the patient’s family and close friends as a support system (Kraaimaat and Evers, 2003). The suffering that a person with chronic pain endures not only impacts on their life, but also affects their family, time lost from employment and uses up precious healthcare resources.
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...
“Immune Response: MedlinePlus Medical Encyclopedia.” National Library of Medicine - National Institutes of Health. Web. 18 Dec. 2011. .
Osteoarthritis (OA) is the most common form of arthritis, affecting more than 27 million Americans (LeMone, Burke, Bauldoff, 2011). It is caused when the cartilage in the joints breaks down, causing the bones of the joint to rub against one another. This causes pain, stiffness, and loss of motion in the joint. Osteoarthritis is most prevalent in those 65 and older, but can affect those of any age. In addition, African Americans and Hispanics report a higher incidence of arthritis than Caucasians (LeMone, Burke, Bauldoff, 2011). Although the cause is unknown, it is believed that the increasing age of the population, prevalence of obesity and injuries add to the progression of the condition. Osteoarthritis can affect any joint in the body; however, those of the hand, hip, and knee are often the most common. This condition may be asymptomatic, or may present symptoms including soreness, stiffness and pain. The symptoms are more common in the older population, those with limited activity levels, and those who are obese. Joint cartilage thins over time, causing an increased risk for symptoms in the elderly, and obesity puts extra pressure on the joints during activity. Osteoarthritis is commonly diagnosed with the use of a physical assessment along with results of radiology testing such as X-Ray and MRI.
Arthritis affects people of all age groups. More than 100 types of arthritis are known. Among these osteoarthritis and rheumatoid arthritis having the highest incidence. One of the major causes of chronic debilitation in industrialized nations is Osteoarthritis which results from damage to the joints, which may be due to trauma, infection, or age-related wear. Rheumatoid arthritis is encountered less frequently than osteoarthritis and is estimated to affect around one per cent of the world’s population. Amongst patients of Rheumatoid arthritis, women are three times more likely to be affected by this condition than men. This condition is caused by an inflammatory process where the body starts attacking itself. Rheumatoid arthritis also affects several joints, with inflammation sometimes seen in and around the lungs, the heart, the eyes and the skin. The most commonly reported complaint by arthritis patients is pain. The pain might be from the joint itself and be a result of inflammation, damage from the disease, or through daily wear and tear. Muscle pain is also common and is caused by having to force movements against stiff and painful joints. Although range of movement in the affected joint may be limited and uncomfortable, physical exercise has been shown to benefit those with arthritis. Physical therapy has been shown to significantly improve function, decrease pain in the long term and delay the need for surgery in advanced cases. The majority of arthritis cases occur among theelderly, however the disease can occur in children as well. Over 70% of the population that get affected by arthritis in North America are over the age of 65 (4). The disease occurs more commonly in females than males in all races, age groups, and ethn...
Chronic illness issues can include managing their illness, the cost of taking care of the illness, etc. Many people who suffer from a chronic illness suffer a lot trying to manage their illness on a daily basis. According to a website called NCOA.org, “About 80% of older adults have one chronic disease. 68.4% of Medicare beneficiaries have two or more chronic diseases and 36.4% have four or more. Chronic diseases can affect a person’s ability to perform important activities, restricting their engagement in life and their enjoyment of family and friends”
Bibliography: Arthritis Foundation, Understanding Arthritis (1986); Kelley, William N., et al., eds., Textbook of Rheumatology, 2d ed., (1985); McCarty, Daniel F., ed., Arthritis and Allied Conditions, 11th ed. (1988); Moll, J. M. H., Rheumatology in Clinical Practice (1987).
The disease can either be active or in remission depending on whether the tissues are inflamed or not. There are no systems when Rheumatoid Arthritis is in remission. When it becomes active again, it is called a flare and all the symptoms come back. The main symptoms are: fatigue, loss of appetite, fever, aches in the muscles and joints, and stiffness. The stiffness usually occurs in the morning or after resting for a long time. The joints can also go red, swell and be painful because the joint lining is inflamed which causes extra synovial fluid to be produced and the joint lining tissue to get thicker. The early symptoms usually are in small joints of the hands and wrists, and they are pain and stiffness...
The diagnosis can leave the patient struggling to make sense of the world. A steep learning curve is called for as the patient is presented with a new lexicon of diagnosis, symptoms, services, treatments and interventions while trying to make sense of the information given to them by healthcare professionals. This new change can have a major impact on the psychological health and well-being of a patient (Margereson, Trenoweth, and Margereson, 2014). The presence of co-morbidities, which is a number of conditions a person may be suffering from along with their newly diagnosed long term condition, is a huge factor that could impact a person’s lifestyle. Many people who have suffered from a long term condition also present mental health issues such as depression and can direct their anger towards others. Carers are greatly affected by a person’s co-morbidities as they face increased demands and have more responsibilities (Alexander et al., 2011). A person’s mental illness can also have an effect on their physical illness, for example, it is shown that peace of mind is a positive contribute to pain relief whereas fear, anger and guilt all amplify pain (Bope et al., 2004). A mental health assessment is an important part of the diagnosis stage of a long term condition given the psychological impact it can have on a person’s health. Nurses should build a trusting relationship
Nursing education and research is a crucial aspect to the health care field. It helps in the implementation of new changes in the lifelong care of people and is also used in development of treatments that provide optimal level of health care. The research involved in nursing mainly focuses on development and promotion of high levels of standards in areas of quality management for long term illness patients, developing standards that reduce number of diseases in a community, helping instilling techniques and treatments that enhance quality of life as well as easing transition for patients in terminal stages of a disease.
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
2. Fitzgerald, GK.; Piva, SR.; Gil, AB.; Wisniewski, SR.; Oddis, CV.; & Irrgang, JJ. Agility and perturbation training techniques in exercise therapy for reducing pain and improving function in people with knee osteoarthritis: A randomized clinical trial. Phys Ther. April 2011;91;4: 452-469.