Provide a critical discussion of the nursing care of an adult with a long-term condition.Define what long-term condition (LTC) is and explain the importance of the relevant nursing care.
• Please choose type 2 diabetes to discuss as the long-term condition
• How might the nurse help? Nurses roles in type 2 diabetes
• See the Department of Health’s 2005 NSF for long-term conditions (including long-term neurological conditions)
Explore the lived experiences of a patient living with your chosen LTC (Type 2 Diabetes)
• What are the implications of living with Type 2 Diabetes- the psychological and social dimensions of that experience?
• The effects upon activities of daily living, employment, relationships, etc
• What are the implications of loss of function or disability?
Explore the impact of living with a patient with Type 2 Diabetes upon carers
• look at policy and help available for carers of individuals with Type 2 Diabetes
• How can the nurse best help carers?
• Consider what good practice there is locally or nationally e.g. Carers’ Support Team, disease-specific support groups
Discuss strategies to facilitate active participation in the patient’s own healthcare needs
• What can the nurse do for such patients?
• Possibly consider how to gain access to resources, support groups, the Expert Patient Programme
• Educating the patient to enable him or her to care better for themselves/ self-management
• Consider what good support there is locally or nationally
Discuss the psychosocial issues that are associated with Long-Term Conditions, ageing and chronic illness
• You could consider the effects upon self-esteem, altered body image, self-confidence and concern for the future
• What is the nurse’s role here?
• You may want to consider depression, anxiety, generalised mental ill-health, loneliness/ social isolation
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