This assignment discusses the anticipatory and alternative approaches for long-term conditions from different aspects. It consists of five patches explaining the importance of COPD self-management plan, response to COPD deterioration, the role of telehealth in managing those patients as well as philosophy of anticipatory care relating it to nursing models.
Patch one – learning outcome one: self-management strategies.
Approximately three million people are believed to have chronic obstructive pulmonary disease (COPD) in England, with around 30,000 lives lost as a result each year making it the fifth biggest cause of mortality and morbidity in the UK (Stewart et al., 2011; Wilson et al., 2015). Self-management can play a vital part in the management of COPD and can also give the patient a greater sense of autonomy, thereby improving their quality of life (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013). Self-management plan should be comprehensive, individualized and tailored to suit each patient as they have varying symptoms and needs that require individualized plan in order to achieve optimum health outcome. For that reason, there should be a great cooperation, education and person-centered support from specialized health professionals who are COPD knowledgeable and properly trained (Cornforth,2013 ). Based on that, clinician’s goal should be directed towards working with COPD patients collaboratively to discuss and negotiate their tolerated healthy behaviors, the disease nature, its management and encouragement of possible life style modifications, for instance, more exercise, healthy eating, correct inhaler technique and basically smoking cessation (Cornforth,2013).
Patch two – learning outcome two: care providers response to a deterioration in COPD patients.
Patients with COPD who have deteriorated or are reaching the end of their life often have an increase in symptoms, particularly coughing, dyspnoea, and anxiety and/or depression (Townsend, 2014). In order to provide effective care for these patients the interventions and responses should be aimed at easing symptoms such as breathlessness and pain and psychological symptoms such as anxiety and depression (Townsend, 2014). Palliative care should be thought of as a series of actions, interventions, and responses to treat the whole patient, including psychological factors, not just physical manifestations of the disease (Badger et al., 2012;Liaw, 2016). The goal of palliative care should be to prevent and relieve suffering and to reach the best possible quality of life for the patient (Badger et al., 2012; Liaw, 2016). In order to be able to meet this goal, care will be provided by a multidisciplinary team including, but not limited to, doctors, nurses, physiotherapists, and nutritionists (Elliott, 2011; Baker et al., 2012).
Patch three – learning outcome three: The role of telehealth in supporting COPD patients.
Digital Health is an emerging industry arising from the intersection of healthcare services, information technology and mobile technology (Monitor Deloitte, 2015), providing patients and their families with remote access to accurate information in order to make effective choices about their care (National Information Board, 2014). Consequently, digital health services have the power to improve health, give patients more control over their health and wellbeing, empower carers, and reduce the administrative burden for care professionals (National Information Board, 2014). Current provision of digital health services in the U.K. can be categorised as tele-healthcare (including both remote care and support using ICT and the exchange of clinical data between patient and clinician), mobile-health (mhealth) apps related to health and well-being, and patient centric educational/assisted decision making websites.
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