The Principles Of Chronic Disease Management

Nurses and physicians would get no input from the patient on their wishes for treatment and care (Giddens, 2016). Health Care has recently advanced by adopting the patient and family centered care model which was designed to “recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respects for the patient’s preferences, values, and needs” (Knuths, 2017). This model allows patients to have a voice on what happens to their bodies and allows them to actively participate in their care. It has also allowed the patient’s family and loved ones to be involved. This involvement has given the patient a strong support system with their best interest in mind. Moving towards this concept has made nurses more aware of patient’s cultural differences, spiritual differences, family preferences, and personal values. This system has lead to better overall care and patient satisfaction. Care has become about the patient and not the provider (Knuths, 2017).

I think that in order to care for the patient in a complete and holistic way, it is of utmost importance that we take into consideration not only their more obvious physical needs, but also their emotional and spiritual needs.

Cultural aspects of holistic assessment is relevant in the provision of nursing care as it provides the care team with an overview of cultural needs of the patient as well as providing information in which the patients’ health problems have arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and customs influencing and regulating interactions between members of a social group (Stein-Parbury 2010: 91; Johnstone 2006: 67). It is the nurses responsibility to adhere to the ANMC, competency 2.3, ‘accepts individuals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental state’ (ANMC 2006, p. 4). Kozier & Erb (2012: 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into consideration so that the patient can be provided with the best possible health care. Kozier & Erb (2012: 360) also explain that conflicts in health care have been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of pain. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do

Long Term Conditions (LTC) are illnesses for which there is no cure, yet can be managed with the correct medications and treatments. Common LTCs include high blood pressure, chronic obstructive pulmonary disease and arthritis (The King’s Fund 2015). The following essay will discuss LTCs and their prevalence in today's society, by first looking at statistics and the government policies that were developed as a result of said research. Secondly, this essay will examine different methods of developing a care plan for an individual following a biopsychosocial model. Lastly, a Long Term Condition will be examined that was experienced when interacting with a patient from a previous community placement; this individual was living with Chronic Heart Failure and this essay will critically evaluate CHF, including the ailments, causes and the various

In a typical physician-patient relationship, the physician usually agrees to diagnose and treat the patient according to the standards of accepting medical practice and to continue doing so until the termination of treatment.

care. Nursing care for any individual should not be compromised because of ethnicity, gender, spiritual values, disability, age, economic, social or health status, or any other grounds. Respect for an individual’s needs includes recognition of the individual’s place in a family and the community. For this reason, others should be included in the individual’s care. Respect for an individual’s needs, beliefs and values includes culturally sensitive care, and the need

Healthcare professionals need to provide patients with the necessary knowledge and tools to participate in management decisions about their illness to foster empowerment to comply with their prescribed treatment plan and adherence to self-management behavior.

For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC

Chronic pain describes pain that persists over long periods of time. It handicaps the normal lifestyle and quality of one’s life (http://www.asri.edu/neuro/brochure/pain1.htm).

Patient provider relationships play a pivotal role in the healthcare process. This relationship helps to bridge the gap between ailments of the patient and the diagnosis and care of the provider. The need for this relationship and its propensity to create the catalyst for patients need to be fulfilled is second only to the medical knowledge of the provider and the patient 's willingness to get better. As we have moved from a biomedical perspective to a biopsychosocial perspective the relationship between provider and patient has changed from physician centered modes of communication to more of a patient centered style of communication. And with the change of view we find that a strong and cohesive bond between patient and provider is the key to the advancement and overall quality of care for the patient. According to The Impact of Patient-Centered Care on Outcomes a patient centered approach to care has a correlation to a better healthcare outcome. Focusing on the patient increases compliance of the patient.

In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is

Chronicity is when an individual has a permanent disease or disability that involves the total human environment for supportive care and self-care, maintenance of function, prevention and further disability (Lubkin & Larsen, 2009, p. 6)

Chronic disease and conditions are usually defined as those diseases which last for more than six months and which have a severe effect on the life of the individuals (Chronic Conditions and Injury, para.1). While chronic diseases can affect people of all ages and demographics, these types of diseases are very often found in the elderly. Chronic disease are also characterized by "…multiple risk factors, long latency periods, a prolonged course of illness and functional impairment or disability" (Key indicators of progress for chronic disease and associated determinants, 2011, p. 1). Chronic disease is also found to be more prevalent in the ageing demographic of most countries.

　　　　An effective care for patients can be achieved through the collaboration and team work within the certain health care teams to provide a focused and shared learning in health professional education, which can help enhance the outcome of the patient’s needs.1 Working with different professionals and care givers can lead to issues. This can be looked upon so that the patient is given good service and enhanced care.

We must approach the patient and their family with an attitude of caring, empathy, and respect. We can explain that we would be happy to learn of the patients’ needs and concerns, and of any accommodations we can make so they will feel comfortable