Long-term Conditions A GUIDE FOR NURSES AND HEALTHCARE PROFESSIONALS Long-term Conditions is a comprehensive textbook for all nursing and health care students and practitioners, that explores the key issues surrounding caring for patients with chronic diseases or long-term conditions. Divided into three sections, this book explores living with a long-term condition; empowerment; and care management. Rather than being disease focused, it looks key issues and concepts which unify many different long-term conditions, including psychological and social issues that make up a considerable part of…mehr
Long-term Conditions A GUIDE FOR NURSES AND HEALTHCARE PROFESSIONALS Long-term Conditions is a comprehensive textbook for all nursing and health care students and practitioners, that explores the key issues surrounding caring for patients with chronic diseases or long-term conditions. Divided into three sections, this book explores living with a long-term condition; empowerment; and care management. Rather than being disease focused, it looks key issues and concepts which unify many different long-term conditions, including psychological and social issues that make up a considerable part of living with a long-term condition. Within each of the chapters, issues of policy, culture and ethics are intertwined, and case studies are used throughout, linking the concepts to specific diseases. KEY FEATURES * A comprehensive textbook on the principles and practice of caring for people with long-term conditions * User-friendly in style with learning outcomes, further reading, useful websites, and case studies throughout linking to specific conditions * Moves away from a disease focused medical model, and takes a needs-led approach * Uniquely explores the overarching issues of living with one or more long-term conditions * Focuses on the importance of multi-disciplinary team work and collaborative teamwork in the management of long-term conditionsHinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
SUE RANDALL is Senior Lecturer and Pathway Leader for Long-term Conditions in the Department of Nursing, Midwifery and Health Care at Coventry University, where she teaches across pre-registration, undergraduate and postgraduate nursing. HELEN FEN is Senior Lecturer in the Department of Nursing, Midwifery and Health Care at Coventry University. Her main responsibility is pre-registration and undergraduate teaching. Helen has experience of both caring for and teaching about patients with long-term conditions.
Inhaltsangabe
Contributors xi Introduction xv Section 1 Living with a Long-Term Condition 1 Nutrition 3 Helen Ford Introduction 3 Nutrition in context 3 What is nutrition? 7 Basics of nutrition 8 How much do we need to eat? 16 Assessing dietary intake 20 Assessing nutritional status 22 Nutrition problems in long-term conditions 23 Conclusion 45 References 45 Resources 48 Further reading 48 2 Chronic Pain: Living with Chronic Pain 49 Gay James Introduction 49 Causes and pathology of pain 51 Types of chronic pain 53 Incidence of chronic non-malignant pain 56 Psychology and social considerations in chronic pain 58 The impact of pain 59 Chronic pain assessment 63 Interventions to manage chronic pain 70 Conclusion 88 References 89 Further reading 92 Organisations in the United Kingdom who may offer support 92 3 Depression and Long-term Conditions 93 Robert Tummey Introduction 93 What is depression? 94 Recognition of depression as co-morbidity with long-term physical conditions 95 Prevalence of depression as co-morbidity with long-term physical conditions 99 Diagnosis of depression 101 Treatment for depression 104 Conclusion 114 References 115 Further reading 118 Section 2 Empowerment 4 Adaptation in Long-term Conditions: The Role of Stigma Particularly in Conditions that Affect Appearance 121 Andrew R Thompson Introduction 121 LTC, Visible difference, disfigurement and body-image 122 Psychosocial, social and cultural impact of living with an LTC affecting appearance 123 Stigmatisation and LTCs 129 Psychosocial interventions 130 Conclusion 133 Acknowledgements 133 References 133 Resources 136 Further reading 136 5 Self-management in Long-term Conditions 138 Sue Randall and Andy Turner Introduction 138 Context 138 Historical perspective 140 Self-care and self-management 141 Co-creating health initiative (CCH) 152 Underpinning theories 155 Conclusion 159 References 160 Resources 163 Further reading 163 6 Assistive Technology - A Means of Empowerment 164 Darren Awang and Gillian Ward Introduction 164 Policy background 165 Defining key terms 167 Whole system demonstrators 179 Ethical issues 183 Workforce design, education and training 184 A technological future? 186 Conclusion 188 References 188 Resources 192 Further reading 192 7 Risk and Empowerment in Long-term Conditions 193 Annette Roebuck Introduction 193 Risk in context - the bigger picture 194 Wider views of risk and empowerment 195 Empowerment 203 Conclusion 215 Acknowledgements 216 References 216 Further reading 218 Section 3 Care Management 8 Care Coordination for Effective Long-term Condition Management 221 Sue Randall Introduction 221 Population contexts in England, Scotland, Wales and Northern Ireland in relation to LTCs 222 Care coordination 224 Frameworks of care delivery 233 Service delivery models 237 Other ways of working which influence care coordination 251 New ways of working 254 Conclusion 256 Acknowledgements 256 References 257 Resources 261 Further reading 262 9 Rehabilitation in Long-term Conditions 263 Bernie Davies and Jo Galloway Introduction 263 Definitions and concepts of rehabilitation 263 The role of rehabilitation in the context of managing LTCs 265 Models and theories informing rehabilitation 268 Teams and teamwork in rehabilitation 275 The principles and process of rehabilitation for people with LTCs 280 Outcome measures and evaluation 286 Conclusion 290 References 290 Resources 293 Further reading 293 10 Palliative Care in Long-term Conditions: Pathways to Care 294 Claire Whittle and Jill Main Introduction 294 What is palliative care? 294 What is end of life care? 297 Illness trajectories 297 Family and carers 299 Dying from LTCs 300 End of life symptoms and management of symptoms 304 Policies 305 Models of care 306 Spirituality 313 Conclusion 314 References 314 Resources 317 Further reading 317 Index 319
Contributors xi Introduction xv Section 1 Living with a Long-Term Condition 1 Nutrition 3 Helen Ford Introduction 3 Nutrition in context 3 What is nutrition? 7 Basics of nutrition 8 How much do we need to eat? 16 Assessing dietary intake 20 Assessing nutritional status 22 Nutrition problems in long-term conditions 23 Conclusion 45 References 45 Resources 48 Further reading 48 2 Chronic Pain: Living with Chronic Pain 49 Gay James Introduction 49 Causes and pathology of pain 51 Types of chronic pain 53 Incidence of chronic non-malignant pain 56 Psychology and social considerations in chronic pain 58 The impact of pain 59 Chronic pain assessment 63 Interventions to manage chronic pain 70 Conclusion 88 References 89 Further reading 92 Organisations in the United Kingdom who may offer support 92 3 Depression and Long-term Conditions 93 Robert Tummey Introduction 93 What is depression? 94 Recognition of depression as co-morbidity with long-term physical conditions 95 Prevalence of depression as co-morbidity with long-term physical conditions 99 Diagnosis of depression 101 Treatment for depression 104 Conclusion 114 References 115 Further reading 118 Section 2 Empowerment 4 Adaptation in Long-term Conditions: The Role of Stigma Particularly in Conditions that Affect Appearance 121 Andrew R Thompson Introduction 121 LTC, Visible difference, disfigurement and body-image 122 Psychosocial, social and cultural impact of living with an LTC affecting appearance 123 Stigmatisation and LTCs 129 Psychosocial interventions 130 Conclusion 133 Acknowledgements 133 References 133 Resources 136 Further reading 136 5 Self-management in Long-term Conditions 138 Sue Randall and Andy Turner Introduction 138 Context 138 Historical perspective 140 Self-care and self-management 141 Co-creating health initiative (CCH) 152 Underpinning theories 155 Conclusion 159 References 160 Resources 163 Further reading 163 6 Assistive Technology - A Means of Empowerment 164 Darren Awang and Gillian Ward Introduction 164 Policy background 165 Defining key terms 167 Whole system demonstrators 179 Ethical issues 183 Workforce design, education and training 184 A technological future? 186 Conclusion 188 References 188 Resources 192 Further reading 192 7 Risk and Empowerment in Long-term Conditions 193 Annette Roebuck Introduction 193 Risk in context - the bigger picture 194 Wider views of risk and empowerment 195 Empowerment 203 Conclusion 215 Acknowledgements 216 References 216 Further reading 218 Section 3 Care Management 8 Care Coordination for Effective Long-term Condition Management 221 Sue Randall Introduction 221 Population contexts in England, Scotland, Wales and Northern Ireland in relation to LTCs 222 Care coordination 224 Frameworks of care delivery 233 Service delivery models 237 Other ways of working which influence care coordination 251 New ways of working 254 Conclusion 256 Acknowledgements 256 References 257 Resources 261 Further reading 262 9 Rehabilitation in Long-term Conditions 263 Bernie Davies and Jo Galloway Introduction 263 Definitions and concepts of rehabilitation 263 The role of rehabilitation in the context of managing LTCs 265 Models and theories informing rehabilitation 268 Teams and teamwork in rehabilitation 275 The principles and process of rehabilitation for people with LTCs 280 Outcome measures and evaluation 286 Conclusion 290 References 290 Resources 293 Further reading 293 10 Palliative Care in Long-term Conditions: Pathways to Care 294 Claire Whittle and Jill Main Introduction 294 What is palliative care? 294 What is end of life care? 297 Illness trajectories 297 Family and carers 299 Dying from LTCs 300 End of life symptoms and management of symptoms 304 Policies 305 Models of care 306 Spirituality 313 Conclusion 314 References 314 Resources 317 Further reading 317 Index 319
Rezensionen
"This text would be useful for students and practitionersnew to the role." (Primary Health Care, 1September 2012)
"All healthcare professionals who treat or care forpatients with long term conditions should read this book whetherthey are working in primary, secondary, tertiary care, for the NHS,a hospice, social services or a voluntaryorganisation." (Nursing Times, 13 September2012)Taking a partnership approach that is focused on key issues andconcepts in living with condition, rather than focusing on disease,Randall and Ford offer a textbook for nursing and healthcare practitioners that explores issues involved in the careof patients with chronic diseases conditions. (Book News, 2011)
Well organized and easy to read, with many case studies andadequate references... This book is notable for its focus on theimportance of a teamwork approach to care for individuals who livewith a chronic condition. It also emphasizes the continuity of caremodel in order to set the framework of care delivery. It is awonderful tool for care coordinators or careproviders. (Doodys, October 2011)
Well structured, attractively presented andeasy-to-follow...full of useful information and through-provokingideas (Emergency Nurse, November 2011)
This excellent book takes a needs-led approach. I particularlyliked the points for reflection that encourage readers to develotheir own practice to improve patient experience. (Nursing OlderPeople, December 2011)
5*. This comprehensive text explores key concents with clearexplanations, diagrams and case studies. I recommend it to newlyqualified and experienced nurses, as well as nursing students.(Nursing Standard, October 2011)…mehr
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