This practical guide will assist healthcare practitioners to manage and meet the physical and psycho-social needs of people with complex chronic diseases/long-term conditions.
Systematic and evidence-based care which takes account of the expert patient and reduces unnecessary hospital admissions is vital to support those with long-term conditions/chronic diseases and those who care for them. Effective management of long-term conditions is an essential part of contemporary nursing and healthcare policy and practice globally. Reflecting recent changes in the curriculum, this fully updated multidisciplinary edition highlights the key issues in managing long-term conditions. It provides a practical and accessible guide for nurses and allied health professionals in the primary care environment including:
- case studies on HIV and dementia and content on mental health
- the physical and psychosocial impact of living with long-term conditions
- effective case management
- self-management and the expert patient
- behavioural change strategies and motivational counselling
Packed with helpful, clearly written information, Managing Long-term Conditions and Chronic Illness in Primary Care includes case studies, fact boxes and pointers for practice.
It is ideal reading for pre- and post-registration nursing students taking modules on long-term conditions and will be a valuable companion for pre-registration students on community placements.
Author(s): Judith Carrier
Edition: 3
Publisher: Routledge
Year: 2022
Language: English
Pages: 227
City: London
Cover
Half Title
Title Page
Copyright Page
Dedication
Table of Contents
List of figures
List of tables
List of boxes
Foreword
Acknowledgements
1 Social and political background
Definition
National and international models of support for management of LTCs
Key points
Policy drivers – United Kingdom
Further areas to consider
2 Physical, psychological and psychosocial impact of living with a long-term condition and social influences on health
Introduction
Physical impact
Psychologicallpsychosocial impact
Social influences on health
Key points
Further areas to consider
3 Care coordination and the role of multi-disciplinary teams
Introduction
Case management/care coordination
Disease-specific care management
Role of the district nurse in the management of people with LTCs
Role of the general practice nurse in the management of people with LTCs
Roles and responsibilities
Role of the multi-disciplinary team in the management of people with LTCs
Conclusion
Key points
Further areas to consider
4 Importance of self-management
Introduction and definition
Evidence supporting self-management interventions
Components of supported self-management
Social prescribing
Who’s suitable for self-care?
Self-management programmes
Key points
Further areas to consider
Organisations that advise on self-management
5 Behaviour change strategies
Behaviour change within primary care
Ambivalence
Sources of motivation
Reflective exercise guidance
Mind the gap! Knowledge and behaviour
Theoretical contributions to understanding behaviour change
Behaviour change guidance and initiatives
Therapeutic approaches
Motivational interviewing
Planning and goal setting
Developing proficiency in Motivational Interviewing
Summary and key messages
6 How to identify a person with a long-term condition
Introduction
Conditions
Respiratory conditions
Musculoskeletal conditions
Conclusion
Key points
Further areas to consider
7 Effective management of people with a long-term condition
Introduction
Protocols
The 3 Rs – registration/recall/review
Teamwork and referral criteria
Quality improvement and audit
Digital health interventions
Rehabilitation and palliative (end of life) care
Conclusion
Key points
Further areas to consider
8 Evidence-based healthcare
Introduction
Definitions and brief history of evidence-based healthcare (EBHC)
Applying evidence to practice
Evidence implementation/quality improvement
Defining quality
So how can you improve quality in healthcare?
Quality improvement approaches
Model for improvement
Sustainability
Conclusion
Key points
Further areas to consider
9 Case scenarios
Introduction
PART ONE: Respiratory conditions
Diabetes
Musculoskeletal conditions
Skin conditions
PART TWO: People with more complex needs
Neurological conditions
Conclusion
Key points
Further areas to consider
10 Nutritional and medication management
Introduction
PART ONE: Nutritional management of patients with LTCs
Key points
Key resources
Key points
Further areas to consider
PART TWO: Medicines management/medicines optimisation
Non-medical prescribing and its impact on LTC management
Conclusion
Key points
Further areas to consider
11 Afterword
References
Index
