Long Term Conditions and Partnership Care

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Draw upon an understanding of relevant policy and evidence in order to evaluate innovative and inclusive approaches to working in partnership in health and social care
• Examine the pathophysiology, causes and consequences of long term conditions and critically explore the implications for nursing care
• Insightfully reflect on the lived experience of the person with a long term condition (LTC)
• Debate and justify the nurse’s role in supporting, promoting and protecting the well-being of individuals with long term conditions in different settings, and as they move between different services.

Knowledge of enduring health needs

• Enhancing quality of life and psychological wellbeing
• Exploration of the evidence, aetiology, symptoms, treatments and psychosocial management of long term conditions, including:

o Chronic respiratory, endocrine, renal and cardiac disease (Diabetes, COPD, Coronary Heart Disease)

o Acquired brain injury

o Neurodevelopment diseases, e.g. autistic spectrum disorders

o Neurodegenerative diseases, e.g. dementias

o Chronic pain

• Genetics and genomics related to LTC’s
• Legal and ethical principles and frameworks associated with the provision of care to include:

o The Children Act

o Mental Capacity Act

o Human rights act

o Equalities Act

• Related pharmacology including knowledge of drug/nutrient/herb interactions

Supporting people in living well

• The role of the nurse in supporting and promoting the health and wellbeing of people, groups, communities and populations
• Promotion of health and well-being to ‘live well’ with a long term conditions
• Concepts of self-management, concordance, advocacy, empowerment and self-efficacy
• Behaviour change skills and the identification of health promotion and education needs
• The “Expert Patient and People Powered Health”
• Concepts of lay care and expert carers: Supporting and working with carers
• Principles and practice of negotiating behaviour change (Promoting personal control and responsibility; Motivational interviewing )
• Identifying and addressing the health promotion and health education needs of individuals, families and communities
• Safeguarding vulnerable individuals, groups and populations through partnership working
• Risk management (Managing risks in lone working; Positive risk taking)
• The challenges of caring for/supporting people who are cared for within their own home or community

Policy and partnerships

• Shared decision making
• Health and social care policy and workforce reform impacting upon individuals with long term health care needs
• Evidence and theoretical base for partnership working
• Service evaluation and improvement including the role of service users in service innovation, design and delivery
• Community resources and services including working with the independent sector, industry, the voluntary and charitable organisations.
• Learning organisations and healthy environments
• Telemedicine and telecare.

Application of life and social sciences relating to:

Underpinning physiology of relevant respiratory, renal, endocrine and cardiac disease

For students studying within the CHILDREN AND YOUNG PEOPLES’ field of practice:

Contextual exploration of the above and in addition:

• Continuation of normal development
• Impact of long term health needs on family and siblings including exploration of theories of loss, grief and chronic sorrow in relation to living with a long term health condition
• Transition from child to adult services
• Exploration of palliative and end of life care
• Communicating with patients/clients/families/significant others experiencing loss

For students studying within the MENTAL HEALTH field of practice:

Contextual exploration of the above and in addition:

• Physical health assessment and interventions
• Managing effective transition between services for older people with cognitive impairment
• Pharmaceutical implications and effective medicines management
• Promoting recovery from psychosis
• Exploration of palliative and end of life care
• Theories of loss and bereavement
• Communicating with patients/clients/families/significant others experiencing loss

For students studying within the ADULT field of practice:

Contextual exploration of the above and in addition:

• Transition from child to adult services
• Occupational health needs
• Managing effective transition between services for older people with cognitive impairment
• Pharmaceutical implications and effective medicines management

Teaching and learning methods

Key note lectures

Technology Enhanced Learning (TEL)

Directed study

Self directed

Action learning groups

Resources & Reading list

General Resources

On line resources and field appropriate publications including links to legislation, policy and guidance from Department of Health [DH] and Local and National Government and Non Governmental Organisations at Local and National Level.

Internet Resources

Child and Young People’s field of Practice.

Journal Articles

Appropriated landscapes: the intrusion of technology and equipment into the homes and lives of families with a child with complex needs.. , 14(1), pp. 3-5.

Textbooks

Reed A (2011). Nursing in Partnership with patients and carers.. Exeter: Learning Matters.

Lowes L & Valentine F (2007). Nursing care of children and young people with chronic illness. Oxford: Blackwell Publishing.

Carrier J (2009). Managing Long Term Conditions and Chronic Illness in Primary Care. Routledge: Abingdon.

Grinyer A. (2007). Young People living with cancer. Implications for policy and practice.. Berkshire.: Open University Press.

Furze G, Donnison J, Lewin R (2008). The Clinician’s Guide to Chronic Disease Management for Long-term conditions.. Keswick: Keswick:.

Kitwood T (1997). Dementia reconsidered: the person comes first (rethinking ageing).. Buckingham: Open University Press.

Downs M and Bowers B (2008). Excellence in dementia care: research into practice.. Maidenhead: Open University Press.

Lillyman S, Saxon A (2008). Community Matrons: Caring for people with long-term conditions.. London: Quay Books.

Nash M (2010). Physical health and well-being in mental health nursing: clinical skills for practice.. Maidenhead.: Open University Press.

Hewitt-Taylor J.( (2008). Children with complex and continuing health needs. London: Jessica Kingsley.

Meerabeau L, Wright K (2011). Long Term Conditions: Nursing Care and Management. Oxford: Wiley-Blackwell.

Snoddon J (2010). Case Management of Long Term Conditions: Principles and Practice for Nurses. Oxford: Wiley-Blackwell.

May H and Edwards P (2009). Enriched care planning for people with dementia: a good practice guide for delivering person-centred care. London: Jessica Kingsley.

Margereson C, Trenoweth S (Eds) (2009). Developing Holistic Care for Long-term Conditions.. Abingdon: Routledge..

Stokes G (2000). Challenging behaviour in dementia: a person-centred approach. London: Speechmark Publishing Limited.

Summative

This is how we’ll formally assess what you have learned in this module.

Referral

This is how we’ll assess you if you don’t meet the criteria to pass this module.

Repeat Information

Repeat type: Internal & External