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This essay explores and reflects on the lived experiences of an elderly patient living with the long-term condition (LTC) of psoriasis. A case study is used to illustrate some of the key features of LTCs and the impact they can have on a patient’s physical, psychological and social state. It is also going to be looking at the effect some of the key features can have on a patients support network or family. In addition it will examine the nurses role in the management of LTCs and the health and social policies that may have an impact on the care received by patient with LTCs.
The Department Of Health (2009) describes long-term conditions as chronic illnesses that can limit lifestyles. In England two in five adults say they live with a LTC (Ipsos MORI 2009,p.5). Examples of LTCs include Chronic Obstructive Pulmonary Disease (COPD), diabetes and heart disease. Unlike acute illnesses such as; ear infections and pneumonia, chronic illnesses don’t have a cure but there are treatments available to help manage them.
LTCs are complex and patients that suffer with a chronic disease are likely to have more than one chronic condition (Department of Health 2009, p.4). The complications associated with LTCs can effect daily life and make activities of daily living (ADL’s) difficult. For example a person suffering with psoriasis may also have psoriatic arthritis (caused by inflammation of the joints) that can reduce mobility due to pain and discomfort, making walking to the kitchen, to make a cup of tea, a lot harder.
People can suffer with chronic illnesses for decades. Due to this they become intensive users of the National Health Service accounting for 80% of general practitioners consultations. 80% of hospital in patient beds and 40% of outpatient appointments [Office of National Statistics, 2002.] This has a huge impact of the primary and acute care budget. The Department of Health estimates that the
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