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Care co-ordination for people with long term conditions

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1) Analyse patterns of health, disease, and inequality and how they can impact upon the long-term health of adults.
2) Demonstrate an enhanced understanding of how physical, social, and psychological health determinants impact upon adults with long term conditions.
3) Evaluate a variety of care strategies to support adults with a long-term condition within a range of multidisciplinary settings.
4) Analyse the role of the professional nurse in promoting self-care and management of adult long-term conditions.
5) Demonstrate the ability to adhere, concisely, to the requirements contained within the assessment brief.

Assignment scenario
• Tony is 35 years old and works as a computer technologist.
• He used to be very active but over the last couple of years he has developed joint pain which has prevented exercise. He explains that running and going to the gym increased his energy levels and reduced stress. He currently feels very lethargic.
• Both his parents had osteoarthritis.
• He lives with his partner who is supportive and attends appointments with him.
• He keeps a lot to himself, does not like to worry partner.

You should provide a clear introduction to the purpose and focus of the assignment and briefly introduce the scenario and long-term condition as a basis for your assignment.

• Provide a brief overview including a definition of long-term conditions (LTCs).
• What are some of the common LTCs, what is the impact of LTCs on both individuals and health and social care provision.
• How has the government responded to the challenges posed by the increasing number of people living with LTCs e.g. in the shape of current policy.

Explore and analyse factors that may impact on the long-term health of adults. For example:
• Individual health behaviours
• Sociocultural factors
• Inequalities in health due to age, gender, geographical location, mental health
• issues or learning disability.

• Introduce your scenario here: you do not have to write out the full scenario rather give a brief overview.
• In relation to your chosen LTC, discuss the holistic context i.e. physical, social and/or psychological factors which may influence/exacerbate/worsen or improve the condition.
• Support this section with relevant and current literature.

• In this section, it is important that you adopt a wide perspective think about the overall picture of your chosen condition rather than focus on individual aspects of the scenario.
• You are not telling a story about the patient.

• What care strategies are available for your chosen LTC.
• Care strategies could include care pathways, policies, clinical guidelines, national or local initiatives, assistive technologies.
• Evaluate one of these strategies in detail.
• You may wish to consider does the strategy enhance the patient experience, if so, how?
• Are there any issues you can identify with the care strategy? E.g. is it available and suitable for all individuals with the condition, is there a waiting list? What other issues may there be with the strategy.
• Support with relevant and current literature.

• Provide a definition of self-care and explain its importance in relation to LTCs.
• Consider how the nurse can promote self-care in relation to your chosen LTC e.g. health education, signposting to other services, symptom management, monitoring. Here you must explore/analyse the role of the nurse as opposed to simply listing the responsibilities the nurse may have.
• Remember you can include the carer in this discussion

• An overall conclusion to the piece of work must be provided. Aim to provide a summary of the key issues. Do not include any new information in this section.



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