LTC Models

Question 1

Name 5 models discussed in the course?

Answer 1

• clinical reasoning cycle
• chronic care model
• recovery model of care
• palliative care model
• harm reduction model

Question 2

What are the aspects in the clinical reasoning cycle model?

Answer 2

-collect cues/info: review current info, gather new info, recall knowledge
-process info:
•interpret, analyse data to understand signs and symptoms, normal vs abnormal
•discriminate: narrow down important info and recognise gaps
•relate: discover new patterns
•infer: form opinions that follow logically by subjective and objective cues, alternatives and consequences
•match: current situation to past situation or current patient to past patient
•predict: an outcome
-identify problems/issues: synthesise facts and inference to make diagnosis
-establish goal/s
-take action
-reflect on process and new learning
-consider the patient situation

Question 3

What aspects are in the chronic care model?

Answer 3

• community resources: partnerships that provide peer support, care coordination and community based interventions
• healthcare system- coordination: how visits are, organised, follow up car and case management
• self management: patient centered management tailored of community resources, client skill training, goal setting, identification of barriers & how to solve them
• decision support: increased clinician access to evidence based guidelines & specialist for collaboration and tools for clients to make decisions around their own care management
• delivery system design: care team to provide timely and effective care, regular follow ups, case management and innovative delivery (group visit from team member)
• clinical information system: information on population of clients, trends, provider data, care plans, tailored client and provider messaging to facilitate care

Question 4

What are the aspects of the recovery model?

Answer 4

Physical health: focus on here and now, slowing the experience of time, making most of the time left

Horizon: death and deterioration of condition

Mental Health: focus on hope for future, future oriented narratives, making most of future

Horizon: coercion and social control

Overlap: recovery is complex, non linear, recovering familiarities, input from family and friends, burden, impact on identity

Question 5

What are the aspects of the harm reduction model?

Answer 5

Collaboration, respect, acceptance, empowerment, compassion

Question 6

What is the first step in the palliative model?

Answer 6

Diagnosis and ongoing management of disease

Question 7

What are the second, third and fourth aspect of the palliative care model?

Answer 7

Disease advancement: patient dies within a year or more advanced disease

Life limiting illness: patient might die within 6 months

Dependency & symptom increase: increased care, needs raise, concern about ability to support patient at hine

Question 8

What are the fifth and sixth aspect of palliative care model?

Answer 8

Decline and last days: anticipate death to occur within days or weeks

Death and bereavement