The Impact of Long Term Conditions Flashcards
What is the definition of person centred care?
Person centred care is the provision of care that places the patient at the centre ensuring that the healthcare system is designed to meet the needs and preferences of patients as defined by patients themselves
What are the five principles outlined by the declaration on patient centred healthcare?
Respect Choice and empowerment Patient involvement in health policy Access and support Information
In what groups are long term conditions most prevalent?
Older people
Deprived groups
What proportion of GP appointments, outpatient appointments and inpatient bed days are due to long term conditions?
GP appointments- 50%
Outpatient appointments- 64%
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 time or in a defined period of time
Define “vulnerability”
An individuals capacity to resist disease, repair damage and restore physiological homeostasis can be deemed vulnerability
How are patients and caregivers put under enormous demands by healthcare systems?
Changing behaviour to adhere to lifestyle modifications
Monitoring and managing their symptoms at home
Complex drug treatments and polypharmacy
Complex administrative systems
Describe the term “biographical disruption”
A long term condition leads to a loss of confidence in the body. There is then a loss of confidence in social interaction or self-identity
How do people deal with the stigma around chronic illness?
Variety of strategies including the decision about whether or not to disclose the condition
Describe the term “the expert patient”
Patients who know more about their chronic illness than their healthcare professional
What is the dictionary definition of disability?
Lacking in one or more physical powers such as the ability to walk or coordinate ones movements
What is the legal definition of disability?
Difficulty can be physical, sensory or mental. A disability that makes it difficult for them to carry out normal day to day activities, ongoing for more than 12 months
What are the criteria for WHO international classification of functioning, disability and health?
Body and structure impairment- abnormalities of a structure, organ or system function
Activity limitation- changed functional performance and activity by the individual
Participation restrictions- disadvantage experienced by the individual as a result of impairments and disabilties
What are the two main legislations referring to disability?
Disability discrimination acts 1995 and 2005
Equality act 2010
