Managing Long-term Conditions and Chronic Illness in Primary Care

Description

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. 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