2000 word case report on one of the cases

Essay

This competency must be satisfied in order for credit to be released

Health Practice

Exam

Practice

Chronic Disease Management/Context 
• the principles of chronic disease management and coordinated healthcare interventions and communications (this may include management of illness related disability and symptoms such as fatigue, pain and breathlessness alongside distress) 
• the principles of chronic disease management and coordinated healthcare interventions and communications (this may include management of fatigue alongside distress) 
• the incidence and prevalence of physical health problems across different cultures, ethnicities, and social classes 
• diversity in health and illness presentations, beliefs and behaviours 
• the person’s individual experience of chronic physical illness 
• chronic physical diseases and their impact on mental health, wellbeing, and self-care, in particular for the self-management of diabetes, cardiac disease, respiratory disease, and cancer 
• common mental health problems in the context of long term physical health conditions (e.g. anxiety and depression co-occurring with diabetes, cardiac disease, respiratory disease, and cancer where there is an evidence-base for the effectiveness of low intensity interventions) 
• Understanding of service models to provide integrated physical and psychological healthcare within existing medical pathways and services in primary and secondary care 
• the principles underpinning a coordinated care pathway that includes: physical and mental healthcare provision in the same setting; continuity of care; multidisciplinary team working and sharing; removal of stigma; improving access 
• liaison within a multidisciplinary team with an in-depth understanding of how complex systems of community, acute sector, statutory and voluntary sector provision of services work together 
• factors that promote adjustment, behaviour change and self-management 
• lifestyle behaviours and conditions (e.g. smoking, drug, alcohol issues, exercise, weight management), and the need to provide interventions where appropriate and signposting to appropriate local and national resources as needed 
• NICE-recommended low-intensity interventions for specified conditions including: awareness of the NICE compliant treatment; knowledge and understanding of self-management interventions; awareness of how to operate within a chronic care stepped care model; knowledge and understanding of basic behaviour change principles 

Understanding Long Term Conditions 
The proposed focus will be on: diabetes (type 1 and type 2), respiratory conditions (COPD) and cardiac conditions (coronary heart disease and heart failure), chronic fatigue, and cancer with a positive prognosis. It is anticipated that this teaching could be delivered/augmented by using an online/electronic educational resource which would include engaging in exercises and reflecting on learning, with scheduled contact with course tutors throughout the three sessions. These three sessions on long term physical health conditions would not necessarily all take place on the same day. Teaching on each long-term condition would build on previous learning, with recognition of similarities as well as recognition of the key features of each of the conditions.

• an overview of each long term physical health condition (to include: type I and type II diabetes; respiratory conditions; cardiac conditions) 
• the key features and course of each long term condition and their medical and psychological management 
• the adverse impact of living with a long term condition, adaptation and adjustment, work and family life 
• the impact of/interaction with mood and anxiety on the management of each long term physical health condition 
• key risk symptoms that indicate the need for medical assessment/intervention 
• psychological problems which commonly co-occur with the long term physical health condition (e.g. depression, anxiety) 
• the interplay between physical and psychological symptoms 

Assessment and Shared Understanding
• how to draw on information

Delivering Low Intensity Interventions in Long Term Health Conditions - 7204PQHEAL

Delivering Low Intensity Interventions in Long Term Health Conditions

Reflect, examine and critically evaluate the delivery of a range of evidence based low intensity interventions to work effectively with people with long term conditions

Critically examine and synthesize key long term physical health conditions and their interaction with mood and anxiety, with reference to culture and diversity considerations and individual experiences

Demonstrate knowledge and awareness of the following long-term physical health conditions; type 1 and 2 diabetes, respiratory conditions and cardiac conditions and impact on functioning.

Demonstrate competence in delivering low intensity evidence based approaches to care to meet the needs of people with long term conditions

Appraise, with critical awareness, the principles of chronic disease management, service models and care pathways in a range of settings

Reflect, examine and critically evaluate assessment and engagement skills implemented with people with long term conditions

Demonstrate the ability to use supervision effectively in the management of people with long-term conditions with low mood/ anxiety