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Long Term Conditions

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The aim of this essay is to consider approaches to promoting the self-management of a long-term condition. The focus will be linked to module content and based on a patient that I have provided nursing care for during my clinical practice. There will be a brief introduction of the patient and the context in which I was involved in their nursing care. The pathophysiology of the chosen LTC along with the related physical, psychological and social needs of the patient will be considered. There will be a discussion of principles of self-management that will link to national LTC policies. This will also include initiatives and analysis of the evidence of the underlying principles for an approach to providing self-management support, for the…show more content…
The main symptoms and signs of Parkinson’s are bradykinesia, rigidity and rest tremor. Parkinson’s is mainly seen as a movement disorder, but other areas of health problems are associated with it. These include depression and dementia along with autonomic disturbances and pain, although considered to be rare they can present at a later stage of the condition. These rarer symptoms, as they progress, can lead to substantial disability and handicap which harms quality of life for the person living with Parkinson’s, this also has an impact on families and carer’s. The physical symptoms of Parkinson’s can be debilitating for the patient and may include pain, falls/dizziness, dietary problems, bladder and bowels problems, swallowing and saliva control, speech/ communication problems, eye problems, freezing, skin, scalp and sweating problems. It is not possible to discuss all of these physical elements in detail within this essay. I therefore intend to focus on one specific physical aspect of the disease and discuss how this affects the client’s needs, along with the psychological and social aspects. The area I will discuss is freezing. As identified by Parkinson’s.org (2010), freezing will be experienced by every Parkinson’s patient at some point, but becomes more apparent in patients who have had Parkinson’s for numerous years and also if levodopa has been used for long periods of time within their treatment, however it must be noted that freezing can
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