THE NATIONAL Institute for Health and Care Excellence (NICE) has issued draft guidance to improve care for people with multiple long-term conditions and allow patients more input into their treatment. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Journal of Nursing Scholarship48.2(Mar 2016): 118-127.
The purpose of this study is to conduct a systematic review of self-management interventions for adults with inflammatory bowel disease (IBD) to describe selfmanagement skills in the interventions and describe the effects of the interventions on the health-related outcomes measured. To read the full article, log in using your NHS OpenAthens details
Patients with any major illness can expect to experience uncertainty about the nature of their illness, its treatment and their prognosis. Prognostic uncertainty is a particular source of patient distress among those living with life-limiting disease. Uncertainty also affects professionals and it has been argued that the level of professional tolerance of uncertainty can affect levels of investigation as well as healthcare resource use. We know that the way in which uncertainty is recognised, managed and communicated can have important impacts on patients' treatment and quality of life. Current approaches to uncertainty in life-limiting illness include the use of care bundles and approaches that focus on communication and education. The experience in communicating in difficult situations that specialist palliative care professionals can provide may also be of benefit for patients with life-limiting illness in the context of uncertainty. While there are a number of promising approaches to uncertainty, as yet few interventions targeted at recognising and addressing uncertainty have been fully evaluated and further research is needed in this area. To read the full article, log in using your NHS OpenAthens details
A major review of existing data found there is "moderate-quality evidence" that yoga improves both symptoms and reported quality of life in people with asthma.
In Leicester City CCG, a pioneering approach to COPD combining telemonitoring, specialist nurse interventions and health coaching, demonstrated reduced admissions per head from 3.13 to 1.02 per year, (p<0.001) and also improved patient’s experience of care (ref 2)
The telehealth initiative, CliniTouch, uses the proven intelligent algorithm to monitor patient’s vital signs and wellbeing to pick up early symptom deterioration. This combined intervention reduced unscheduled admissions by 2/3rds with the CCG reporting net QIPP savings of £117,550 over a 12 month period
Half of the one million children in the UK with asthma will have an asthma attack every year, with about 25,000 requiring hospital admission. This article looks at how initiatives such as creating networks of GP practices and placing hospital specialists in the community could improve the care of children with asthma. To read the full article, log in using your NHS OpenAthens details
Specialist nurse intervention reduces hospital admissions in patients with chronic obstructive pulmonary disease, research suggests. To read the full article, log in using your NHS OpenAthens details
Major depressive disorder (MDD) is often comorbid with other chronic mental and physical health conditions. Although the literature widely acknowledges the association of many chronic conditions with the risk of MDD, the relative importance of these conditions on MDD risk in the presence of other conditions is not well investigated. In this study, we aimed to quantify the relative contribution of selected chronic conditions to identify the conditions most influential to MDD risk in adults and identify differences by age.
Asthma is a common chronic inflammatory disorder affecting about 300 million people worldwide. As a holistic therapy, yoga has the potential to relieve both the physical and psychological suffering of people with asthma, and its popularity has expanded globally. A number of clinical trials have been carried out to evaluate the effects of yoga practice, with inconsistent results.
COPD is one of the most common long term conditions seen in primary care -- but are we really addressing our patients' needs with our current models of care? Evolving understanding of COPD phenotypes provides a glimpse into the future models of care being developed to improve quality of life for our patients. To read the full article, log in using your NHS OpenAthens details
People with long-term conditions will be supported to better manage their own health and care needs, thanks to the roll-out of an evidence-based tool over the next five years.
NHS England has agreed a deal which will grant nearly two million people access to more person-centred care as part of its developing Self Care programme.
Local NHS organisations and their partners are being invited to apply for free access to patient activation licences, which will help them assess and build their patients’ knowledge, skills and confidence, empowering people to make decisions about their own health and care.
The findings related to a very specific group: adults with stable coronary heart disease (CHD) who were at high risk of having a major cardiovascular event. This means the 3% reduction is not generalisable to the wider population, or even to all people with heart disease.
A group of leading clinicians and commissioners from across the capital were brought together to develop a set of standards for care of children and young people with asthma and pre-school/viral induced wheeze to complement the existing London Quality Standards, Primary Care Commissioning Framework and Children and Young People’s Acute Care Standards.
By working together, partners in Leicester have been able to more than halve acute delays and reduce all delays significantly over the last year. The key elements of our plan were underpinned by proactive identification and case management in primary care, supported by a new Clinical Response Service, backed up by practical support to manage people through a crisis in their own homes and back into planned, integrated care.
As chronic obstructive pulmonary disease (COPD) is one of the major causes of worldwide mortality, it is important to prevent, diagnose and manage it. COPD creates a huge burden on the NHS and has a significant impact on patients. This is a problem with the increase in morbidity and mortality rates. In primary care there is a lack of knowledge, under-use of quality-assured spirometry and under-diagnosis in about half of all cases. To be able to effectively diagnose, assess and manage COPD, health professionals must understand the physiology and aetiology of the disease. COPD is similar to asthma in its presentation and physiology but management of the condition can differ. The authors therefore looked at the similarities between the two conditions and what tests one can use to make a diagnosis of COPD. To read the full article, log in using your NHS OpenAthens details
A pioneering project to improve the wellbeing of people with Chronic Obstructive Pulmonary Disease (COPD) is to be expanded across seven sites in the East and West Midlands.
The project, called ‘Making Waves’, aims to get people living with COPD more active and involved in the community.
Our 2015 Safely Home report amplified more than 3,200 voices – gathered with and through the local Healthwatch network – to show what happens when hospital discharge goes wrong for people and where creative common sense is helping to get it right.
Safely Home showed that people want to be treated with dignity, compassion and respect; to be involved in decisions about their discharge; to move smoothly from hospital to onward support in the community; and to know where they could go for help after discharge.
Importantly, people also told us that they want the full range of their needs and circumstances to be considered as a whole, not just the condition for which they’ve been treated.