Caring for Patients with Long Term Condition
Essay Title: Discuss strategies to support and empower the patient living with a long-term condition (LTC) and their significant others when planning their discharge from hospital.
School of Health and Education
Date of Submission: 12 March 2014
Word Count: 2187
Discuss strategies to support and empower the patient living with a long term condition (LTC) and their significant others when planning their discharge from hospital.
This essay will identify and discuss in detail the strategies that are required to support and empower Mrs Meeha who is a 77-year-old female with a long term condition, poor general health management and has recently been admitted to hospital with an infected leg ulcer. A discharge plan of what is entailed to ensure a safe discharge and to make sure Mrs Meeha’s discharge needs are met will be covered and explained and attached as Appendix 1. According to the Royal College of Nursing [RCN], (2010) to ensure that a discharge plan runs smooth and concise this requires effective co-ordination and communication from the nursing team, the Multi Disciplinary Team [MDT] who is planning the discharge, the patient and the carers who in this situation happens to be Mrs Meeha’s family. This will start on either admission or shortly after as Mrs Meeha has complex care needs due to the other factors that she has presented with. As this is going to be a complex discharge there is going to be multiple teams and various key focal points that will need addressing so this assignment will focus mainly on the roles and importance of the MDT on how they will incorporate a safe and effective discharge plan following guidelines as set out by the RCN, (2010) ‘10 step process’, the definition and exploration of key terms such as package of care [POC], diabetes, long term condition [LTC] and empowerment which when combined will all focus on implementing a safe hospital discharge, will also be highlighted. The complex care, clinical and holistic assessments will usually be done within twenty four to fourty eight hours of her initial assessment (Lees and Holmes, 2005). According to McKenna et al, (2000) this will be done with all collaborative members of the MDT present as a case conference as the staff involved in planning the discharge of a patient with complex care needs require appropriate skills. According to DoH, (2013) Diabetes is a long term health problem that can be managed but not yet cured and is mainly managed by medication, diet and complimentary therapies. When managing a LTC it is important to focus on the aspects required for clinical and community practice. This is done to determine the severity of the intended needs for both, people requiring the occasional programme of support and for those who have far more complex needs which will necessitate a far greater range of care provision. People who live with LTC’s and require care must remember that it is not just provided by health and social care professionals but also by friends and family and staff as professionals whilst supporting Mrs Meeha must remember that it is important to listen to and acknowledge any concerns or preferences that either she or her family may raise as the patient is the expert (Prescho, 2008). Due to the nature of Mrs Meeha’s LTC’s and the other conditions she has these are going to require management outside of hospital i.e. hypertension, (G.P and Medication Management), her sedentary lifestyle (Physiotherapist), right below knee amputation (Occupational Therapist), self care (Carer, Physio and O.T), Diabetes, Diet and Obesity (Specialist Nurse and Dietician) and her leg ulcer (Tissue Viability Nurse and O.T). Research suggests that around 5% of patients who suffer with diabetes are more likely to develop leg ulcers which in Mrs Meeha’s case is why she was admitted to hospital (NICE,...
Please join StudyMode to read the full document