BSc (HONS) PHYSIOTHERAPY SCIENCES
(THREE YEAR FRANCHISED PROGRAMME)
(MALAYSIAN ALLIED HEALTH SCIENCES ACADEMY)
Physiotherapy management of long term conditions
Case Scenario 1: RA: Marjory is a 32 year old female. She has been referred for Physiotherapy session, after recurrence of symptoms.
Word Count: 2,186
UNN Reg. No: 12035846
Date of submission: 2nd June 2014
Long-term conditions also known as chronic diseases or non-communicable diseases have been defined by the World Health Organization (WHO, 2005, p.35) as conditions that have origins at young ages take decades to be fully established, with their long duration, requiring a long term and systematic approach to treatment. Plans to transform care for patients with long-term conditions are based on continuing to maintain focus on early intervention and prevention; supporting integrated services shall help the patients and the public have a clear set of rights and patients in turn shall help the health care by undertaking the necessary steps, to take good care of their own health: promoting a preventative, people- centred, and productive care to be delivered (Great Britain. Department of Health, 2009).
Director General of WHO expressed that, “the lives of far too many people in the world are being blighted and cut short by chronic diseases, this is a very serious situation, both for public health and for the societies and economies affected” (WHO, 2005, p. VII), which has raised a need for long term conditions to be managed differently. Goodwin et al (2010, p.61) report that it was recognised, if patients with long-term conditions were managed effectively in the community, they would remain relatively stable and enjoy a quality of life free from frequent crises or observed increases in hospital visits. Chronic diseases have placed a heavy burden on the health care with demand for services and cost for treatment; the economic cost levels incurred; directly by the health care and indirectly by the individuals has also increased, and also increased use of hospital resources, raising need to manage the differently (Canada. Department of Health and Community Services, 2011, p.7). They are time-consuming and some do not require the expertise and skill of a physician, but rather, may be managed by other members of the health care team (Canada. Ontario Medical Association, 2009, p.1). Chronic conditions have an effect on workplaces as regards productivity losses, where modifications have to be made by employers who attain workers with long-term conditions; so there is a need to manage them differently (Canada. Department of health and Community Services, 2011, p.7).
Great Britain. Department of Health (2012) published a policy to support the management of long term conditions: improving quality of life for patients with long term conditions. Majority of the health care systems of middle-income countries, including Malaysia, are organised around models of healthcare developed in western countries, such systems are clearly at odds when dealing with long-term and continuing illness that require collaboration across health care sectors and where patient behaviour change forms the primary focus (Yasin et al, 2012, p.3). Malaysia is now implementing the Innovative Care for Chronic Conditions Model (ICCC), for it was developed, recognizing the challenges of the under-resourced and non-integrated health systems in low-and-middle income countries; but still holds focus on encouraging behaviour change at an individual level through improving self-management (Yasin et al, 2012, p.4).
Managing long-term conditions requires key principles to be applied for health care to remain focused with the plans to transform care; the Department of Health, Social Services and Public Safety (Great Britain. Department of Health, Social Services and Public Safety, 2012, p.13) identifies six key principles that...
References: Dures, E. and Hewlett, S. (2012) ‘Cognitive–behavioural approaches to self-management in rheumatic disease’, Perspectives, 8(10), p.553. [Online] Available at: (Accessed: 27 May 2014)
Great Britain. Department of Health (2012) Policy [Online] Available at: https://www.gov.uk/government/policies/improving-quality-of-life-for-people-with-long-term-c onditions (Accessed: 7 May 2014)
Hammond, A (2004) ‘Rehabilitation in rheumatoid arthritis: A critical review’, Musculoskeletal Care, 2 (3), pp. 135, 143. [Online] Available at: (Accessed: 24 May 2014)
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