caring for a patient with a long term condition essay
The study suggested that depression did not change the pain experienced; however depressed women recovered only when they experienced positive moods in comparison to their counterparts who recovered in both positive and negative moods (Davis et al, 2014). Common symptoms may accompany many LTC’s and how these are treated, along with the impact on patient and carer will be considered. Megan is retired however she still lives independently with her husband in their home. Davis, M.C, Thummala, K and Zautra, A.J. We're here to answer any questions you have about our services. (2016) The impact of contextual factors on participation restriction of adults with or at risk of knee osteoarthritis. Parkinson’s nurses can support individual’s coming to terms with their diagnosis. One of the biggest issues facing healthcare providers as they strive for service improvement is that of managing long-term conditions. (Chartered Society of Physiotherapists, 2014). (2012) The relative importance of psychosocial factors in arthritis: Findings from 10,509 Australian women. Harry Cayton, (DH, 2005a) This essay will provide a critical account of the health requirements of a patient suffering from a long term condition. 2000 words The discussion should demonstrate evidence of extensive reading and application based on contemporary, high quality, peer-reviewed nursing journals, quality nursing texts … p.182-187. Murphy, L.B, Sacks, J.J, Brady, T.J, Hootman, J.M and Chapman, D.P. 75 (2). The patient, Jack Brown, attended a clinic appointment for an initial assessment. The chosen condition for this essay is arthritis as approximately ten million people in the UK have this condition (NHS, 2016). Hence, an individual suffering from osteoarthritis and gout has the difficulty of managing their pain as well as making specific lifestyle changes. Type 1 diabetes is characterised by the destruction of the Beta cells. Until recently Megan’s diabetes had been controlled by diet and medication, however as this was no longer giving sufficient control Megan was commenced on insulin. All health professionals should be aware of such initiatives run in their area so they can help and encourage their patients to participate and improve their health. This essay focuses on a patient encountered in clinical practice with the chronic long term condition multiple sclerosis (MS). (2016) Osteoporosis and Arthritis: Two Common but Different Conditions. However the European Parkinson’s Disease Association (2015) states that there is very little scientific evidence to confirm if the Alexander Technique is effective in Parkinson’s. In addition, the benefi ts that Care Planning provides for patients are matched by the benefi ts to the NHS as a whole. They will also analyse the role of the nurse in the management of long-term conditions, the student nurse will then compare and contrast different approaches in the management of a long-term condition. These patients are intensive users of healthcare services and, as the population ages, the costs of care for these conditions … Long term sleep deprivation can also impact bodily immunity, hence putting individuals at higher risk of developing infections (Ibarra-Coronado et al, 2015). The patient being described is a seventy year old lady who lives in a flat in the city centre with her husband Ron. Livneh and Antonak (2005) created linear process which focuses on individuals psychologically adapting to their condition or illness rather than grieving about it. These nurses can also make referrals to other professionals such as speech and language therapists and physiotherapists. By 2065 the prevalence and incidence numbers are predicted to have almost doubled. p.901-912.Caring for a Person with a Long-Term Condition Sample Essay. Alzheimer’s disease is the most common form of untreatable, irreversible dementia A German doctor named Alois Alzheimer first discovered Alzheimer’s Disease (AD) in 1906. This improves the problems that cannot be solved and prevents a treated problem from reoccurring. Hence, improvements in emotional and mental health were recognised in patients who had undergone a successful total knee anthroplasty operation and no longer faced the barriers of Knee osteoarthritis (Fernandez-Cuadros, 2016). Essays; Term Papers; Dissertations: Identify a Patient You Have Cared for with a Long Term Condition/End of Life Care. During Megan’s hypoglycaemic attack she was unable to mobilise due to the neuroglycopenic symptoms she experienced (dizziness and unsteadiness). The most common cause of death in diabetes is coronary heart disease, the mortality being doubled for individuals with diabetes, (Burden 2003). Hypoglycaemia occurs when the blood glucose levels fall below 3.5mmol/L however symptoms rarely appear until levels drop below 3mmol/L. The second phase is planning, the aims are to prevent previously identified problems progressing to actual problems. Caring for a person living with a long-term condition. If the individual is diagnosed with chronic depression, they are also likely to be subject to more pharmacological interventions such as anti-depressants as well as pain management medication. Examples are arthritis, asthma, diabetes, epilepsy and high blood pressure. The Chartered Society of Physiotherapy. arthritis generally seems to be more prevalent in individuals with limited physical activity or who are obese (Furner et al, 2011). The initial control of diabetes through diet and exercise is paramount. Over time the response from the beta cells decline due to exhaustion. p. 968–976. Arthritis Research UK. (2014) New research points to talking-therapy treatments to manage osteoarthritis pain. VAT Registration No: 842417633. Sangle, S.R, Tench, C.M and D’Cruz, D.P. Caring for a Person with a Long Term Condition. The British Diabetic Association therefore emphasises patient education is essential (British Diabetic Association). Caring for a Person with a Long-Term Condition Sample Essay, Parkinson’s disease is one of the most common neurological conditions, the cause is unknown. Company Registration No: 4964706. This can encourage the individual to form truer attitudes towards their functional capability and gain a better understanding of the disease (Purdy et al, 2014). 3. Introduction. 6 (6). Practicing the technique may help with Parkinson’s symptoms such as tremor, balance, pain speech, fatigue and depression but each person will react differently to this treatment. The patient was wheezing, coughing incessantly and waving frantically. Introduction. Kate, a lady aged 84, was admitted to a medical ward through the Accident and Emergency department. Patients should be encouraged to go to bed and wake up at their normal times, however this may not be possible due to ward routine, (Humm, 2001). The resistance to the insulin stimulates further insulin secretion from the beta cells to overcome the demand to maintain a normoglycemic state. Megan has no day to day difficulties with effective communication, however there are several factors which have affected her communication during her hypoglycaemic attack and during her hospital stay. (National Institute of Clinical Excellence, 2017). illness that cannot be cured but can usually be controlled with medicines or other treatments Arthritis research & therapy. Fernandez-Cuadros, M.E, Perez-Moro, O.S and Miron-Canelo, J.A. Living with a child with a long‐term condition can result in challenges above usual parenting responsibilities because of illness‐specific demands such as maintaining treatment and care regimes, social and financial constraints, and maintaining family relationships. Help and support is needed from all nurses and doctors to achieve a balance between diet, exercise, blood sugar monitoring and insulin administration. Arthritis Foundation. Megan’s safety should be a priority during these attacks. high-quality care to people with long-term conditions as part of a shared care model in which responsibility is distributed across different teams and settings. Reoccurring hypoglycaemic attacks may result in death although this is rare it is still important that Megan’s diabetes is managed appropriately. Kalunian, K. C. (2014) Patient information: Osteoarthritis treatment (beyond the basics). The fourth phase is evaluation, which is similar to assessment. This can influence the individual’s self-esteem and self-image (Sheehy et al, 2006) and possibly cause the individual to experience negative emotional states of depression and anxiety (Murphy et al, 2012). Patients are given packs containing maps of pre-planned routes between 1-8 miles long, the walks are safe and many can accommodate prams and pushchairs. (2013) Musculoskeletal Health in Europe. [Online] Available from: https://www.niams.nih.gov/health_info/bone/Osteoporosis/Conditions_Behaviors/osteoporosis_arthritis.asp [Accessed: Saturday 7th January 2017]. 53% of carers said their money worries were taking a toll on their health (Census, 2011). Hence, overweight patients with osteoarthritis need to lose weight to reduce the stress on weight-bearing joints to promote mobility and reduce the risk of developing further health problems (NIAMS, 2016). Tom is not coping very well, as a result of his Parkinson’s Tom is suffering with depression, his family are very supportive and do everything they can to help him. Megan feels her diabetes adversely affects her ability to have an active social life. The prevalence of Parkinson’s Disease increases with age, the prevalence is also higher in men than in women. This has a big impact on Sue as she doesn’t have much of a social life anymore as most of her time is taken up by looking after her husband. This is reflected in a study which analysed pain experienced by depressed and non-depressed women with fibromyalgia and/or osteoarthritis. Caring for a Person with a Long-Term Condition Sample Essay, The initial impact of osteoarthritis on an affected joint is the degeneration of the cartilage lining. This will more likely allow the individual to work and manage their symptoms in comparison to an unfavourable situation which may cause an individual’s symptoms to further deteriorate (Hubertsson, 2015). p.278-283. Caring for a Person with a Long-Term Condition Sample Essay, The student nurse will now discuss the impact of Parkinson’s on Tom and his wife. Type 1 diabetes is a catabolic disorder characterised by a lack of insulin, raised blood glucose levels and a breakdown of body fats and proteins. The World Health Organisation (WHO) found that in 2009 over a million people in the UK suffered from diabetes (World health organisation 2011). Hence, exploring the impact of osteoarthritis on the psychological wellbeing of a patient can be extremely important in managing the condition. (2017) Long-term conditions and multi-morbidity. National Institute of Arthritis and Musculoskeletal and Skin diseases. Please refer to an authoritative source if you require up-to-date information on any health or medical issue. Therefore, the impact of living with osteoarthritis can differ incredibly amongst sufferers. Overview of Long term conditions, how self care fits in. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. The third phase is implementing the care aims. Despite a lack of research having been conducted on the psycho-social consequences of osteoarthritis, it seems like ageing adults may be at higher risk of developing depression, and they may also be more likely to experience a higher intensity of pain in comparison to those who are not depressed (Dziechciaż et al, 2013). 2. Megan was found suffering from pyrexia after her attack, possible due to the cold she was suffering from. Patient not compliant with her medication and less exercise and not concerned with her diet. 48 (1). Anti Money Laundering Compliance Program Essay Paper, Existence of Personal Identity Theories Essay, http://www.arthritis.org/living-with-arthritis/pain-management/understanding/arthritis-pain-factors.php, http://www.arthritisresearchuk.org/arthritis-information/arthritis-and-daily-life/pain-and-arthritis/pain-report/specific-treatments-and-therapies-for-longterm-pain/psychological-treatments.aspx, http://onlinelibrary.wiley.com/doi/10.1002/msc.1139/full, https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216528/dh_134486.pdf, www.uptodate.com/contents/osteoarthritis-treatment-beyond-the-basics, https://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/delivering-better-services-for-people-with-long-term-conditions.pdf, https://www.kingsfund.org.uk/time-to-think-differently/trends/disease-and-disability/long-term-conditions-multi-morbidity, http://www.nhs.uk/Conditions/Gout/Pages/Introduction.aspx, http://www.nhs.uk/conditions/stress-anxiety-depression/pages/benefits-of-talking-therapy.aspx, http://www.nhs.uk/Conditions/Arthritis/Pages/Introduction.aspx, https://www.niams.nih.gov/Health_info/Osteoarthritis/default.asp#3, https://www.niams.nih.gov/health_info/bone/Osteoporosis/Conditions_Behaviors/osteoporosis_arthritis.asp, http://www.manchester.ac.uk/discover/news/article/?id=11695. Identify an aspect of policy that relates to proving care for a patient with long term conditions (use self care as policy) Introduction: (Brief) on Supporting Self Care policy. [Online] Available from: http://onlinelibrary.wiley.com/doi/10.1002/msc.1139/full [Accessed: Sunday 8th January 2017]. 4 (5). Long term conditions are chronic diseases which cannot be cured; however they can be managed by medication and other treatments (The King’s Fund, 2017). As well as this psychosocial impacts of type 2 diabetes will be explored, in relation to the patient’s family and friends. The three main causes of hypoglycaemia are; excessive insulin, insufficient food and unusual exercise. Write a fully referenced essay outlining your patient’s “journey” and discussing the evidence based nursing care required for a patient with this long term condition through the care continuum. Also, they may require support and care from others. (2015). (2012) Long Term Conditions Compendium of Information: Third Edition. (2015) Sleep deprivation induces changes in immunity in Trichinella spiralis-infected rats. To carry out this assignment the student nurse will be using a patient who they have looked after, due to standards set out by the Nursing and Midwifery Council in The Code 2015, the Data Protection Act 1998 and patient confidentiality the name of the patient will be a pseudonym.