Management of long term conditions Essay - Paper Example Management of long term conditions Essay This assignment will reflect on an aspect of care in the management of asthma as a long term condition in the primary care setting - Management of long term conditions Essay introduction. It will specifically focus on patient compliance and how it affects good asthma control. A case study of a 22 year old female patient who suffers from asthma will be used to explore the significance of compliance in the management of asthma and the benefits it can have to patient outcomes.
Get Full Essay Get access to this section to get all help you need with your essay and educational issues. John has Type 2 Diabetes and after a road traffic accident has an injury to his foot which is slow to heal. As a student nurse, being involved in the care of many patients with diabetes, this patient was chosen to improve my awareness of the condition and to improve care given in the future.
It usually affects older people more than those of younger years and also people in lower socio-economic groups. According to the DOH there are approximately This is a significant consideration to the future of nursing as it is important to realise that the majority of people we will be caring for will have at least one LTC.
Additionally, Margereson et al suggest that holistic care will consider the psychological, social, emotional, physical and spiritual needs of the patient which in turn may improve the quality of their life overall.
Type 2 Diabetes is classed as a LTC as it cannot be cured but can be managed through medication. National Institute of Health and Clinical Excellence NICE define Type 2 Diabetes as the inability of the pancreas to produce enough insulin, or when the cells in the body do not react to the insulin that is produced.
This results in elevated blood glucose levels, which can lead to complications such as heart disease, stroke, renal failure, blindness and amputation. On first diagnosis, healthier eating and exercise may be sufficient to control glucose levels; however, as it is a progressive disease, medication may later be prescribed.
John is in his early forties and has had Type 2 Diabetes for 8 years. When he was first diagnosed, he was offered a diet sheet and advice from his doctor to introduce physical exercise into his life.
He gave up smoking and drinking alcohol, but after 3 months his blood glucose level was still above normal and was prescribed medication. Eight years later, he now uses insulin to control his blood glucose levels and is a non-smoker. He was admitted to hospital following a road traffic accident which resulted in an operation on his foot which had sustained multiple injuries.
The wound was very slow healing and intravenous antibiotics were prescribed. John was diagnosed with depression shortly after being prescribed insulin to control his diabetes.
John has a wife and a daughter of 20 months and often feels unable to enjoy a normal relationship with them due to his low mood and feelings of anxiety.
NICE suggest that depression can range from tearfulness and low self esteem to self-harm and suicide. John also feels anxious when he thinks of his father as he had Type 2 Diabetes, he had a below the knee amputation due to diabetic neuropathy and died aged Lloyd and Skinner suggest that people with diabetes are more likely to have a higher prevalence of depression or anxiety due to the ongoing demands of the self-care required of managing an LTC.
In addition, increased levels of cortisol which is linked to anxiety, can also lead to raised blood glucose levels. Poor dietary management, lack of physical activity and increased smoking and alcohol intake are factors of self care that can be affected when depressed Lloyd and Skinner Contrary to this, although John is taking medication for depression, he has managed to stop smoking and drinking.
Ken was in his fifties with Type 2 Diabetes and his blood glucose levels were not managed well. He had little concern for this; however, his main worry was erectile dysfunction. This illustrates that although the experiences differ, key features of low self esteem and the effects of these on family can be similar.
Lewin suggest that practice nurses with training and good communication skills can offer support and monitor the management of milder forms of depression.
Sin and Trenoweth note that when a patient is diagnosed with a LTC it can impact many aspects of their life from relationships, employment and finances to self esteem and mood.
John is a manual worker and is self employed. Until now, he has always been able to provide for his family; however he is worried over when he will be able to return to work.
The initial stages of managing Type 2 Diabetes are to control blood glucose levels initially through diet and lifestyle changes.
Berry and Robson suggest that people with diabetes should be involved in decisions concerning their care and treatment. However, as it is a progressive condition, medication and referrals to additional health care professionals may be required.
Level one is supported self care which helps patients and their carers to develop their knowledge and confidence to care for themselves effectively. This is the level of care John currently receives for his diabetes. With the help of the practice nurse, Carrier suggests that patients can be reviewed and referred to other members of the multi-disciplinary team such as nutritionists and podiatrists as required.
Indeed, maintaining a sense of well-being and leading an independent life is high on the list of priorities for these people.Below is an essay on "Management of Long Term Condition – Type 2 Diabetes" from Anti Essays, your source for research papers, essays, and term paper examples.
Introduction This case study will entail about a patient with Type 2 diabetes. In other words, they are conditions which require response for a long time with help from a wide range of health professionals along with access to.
The proactive management of people with long-term conditions, including the promotion of self-care by patients, is a key priority for the NHS. General practice has a central role in delivering more integrated and personalised care, and in implementing policies that . The aim of the long term conditions module is to enhance evidence based knowledge and analytical skills in assessing, planning, implementing and evaluating care that the individual person, family/carer receive in relation to the management of long term condition(s).
Browse Essays. Sign in Home Page; Long Term Conditions This report discusses the significance of using evidence based nursing for the treatment and management of long term conditions. It focuses on how evidence based practice influences the patient care and includes personal reflection of caring for a person with a long term condition with.
Long-term conditions also known as chronic diseases or non-communicable diseases have been defined by the World Health Organization (WHO, , p) as conditions that have origins at young ages take decades to be fully established, with their long duration, requiring a long term and systematic approach to treatment.