Impact of Long Term Conditions Flashcards
What is Patient Centred Care?
- Places patient at the centre
- Based on the principles and values that define patient- centredness
Where are principles and values that define patient-centredness found?
in the International Alliance of Patients’ Organizations (IaPO) Declaration on Patient- Centered Healthcare.
Five principles outlined in the Declaration on Patient-Centred Care
Respect. Choice and empowerment. Patient involvement in health policy. Access and support. Information
In what populous are long term conditions more common
Older people and more deprived groups
Long term Conditions account for what % of GP appointments
50%
Long-term conditions account for what % of outpatient appointments
64%
Long-term conditions account for what % of inpatient bed days
70%
Define Incidence
The number of new cases of a disease in a population in a specified period of time
Define Prevalence
The number of people in a population with a specific disease at a single point in timer in a defined period of time (existing cases)
Potential Aetiology of long term conditions
Long term conditions are usually the end result of a long term complex interaction of factors:
There may be genetic factors
There may be environmental factors
There may be both or neither
Define Vulnerability
An individuals capacity to resist disease, repair damage, and restore physiological homeostasis can be deemed vulnerability
Considerations of treatment in long term conditions
May be aimed at the disease, or the effect of the disease.
In order to treat a disease, it is important to realise the chronic nature and come to terms with this.
This is often difficult.
Both patient and doctor must admit failure in diagnosis or cure, with the payoff being better management.
What is meant by the burden of treatment
The demand patients and caregivers are often put under by healthcare systems
4 Demands placed on caregiver or patient with LTC
- Changing behaviour or policing the behaviour of others to adhere to lifestyle modifications.
- Monitoring and managing their symptoms at home.
- Complex treatment regimens and multiple drugs (polypharmacy) contribute to the burden of treatment.
- Complex administrative systems, and accessing, navigating, and coping with uncoordinated health and social care systems add to this.
What is meant by “biographical disruption”
A LTC leads to a loss of confidence in the body, in social interaction
