Care of the Patients with Long Term Condition

This essay discusses the care of patients with long term conditions, focusing on a case study of a patient with acute schistosomiasis and syphilis. It explores the package of care for the patient, factors to consider in discharge planning, the significance of involving the patient and their family in the discharge process, and the importance of communication and strategies for safe discharge.

Care of the Patients with Long
Term Condition

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Identify the package of care is being utilised for Dillon........................................................1
Define discharge planning and factors need to be considered while planning discharge and
what MDT professionals would be involved..........................................................................3
What is the significance of involving the patient with a LTC and their family in the discharge
process with clear link to Dillon’s circumstances & conditions and concept of empowerment?
................................................................................................................................................4
Why is the communication important when planning discharge and what strategies would be
utilised for this specific scenario to ensure a safe discharge..................................................5
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................7

INTRODUCTION
Long term conditions refers to an illness which is not curable but can controlled with the help of
medicines and other treatments such as arthritis, asthma, diabetes, epilepsy, angina, heart failure
and high blood pressure. It can be consider as a complex medical situation of an individual when
they must follow proper routine of intake medicines and take balanced diet (Banerjee, 2015).
However, it is required for such individuals to strictly focus on their care plan activities because
carelessness many develop extreme complications for them. In context of this essay, it is based
on the case study of Dillon who is suffering from the problem of acute schistosomiasis and
syphilis. This assignment will focus on effective care package for given patient and factors
involved for discharge planning. It will also benefit of engaging patient with long term condition
and their family for discharge process. The importance of communication regarding discharge
planning along with effective strategies of communication is given below.
MAIN BODY
Identify the package of care is being utilised for Dillon
Pathophysiology of HIV contains its symptoms and causes which are responsible for developing
problem of AIDS (Haddock and et. al., 2014). It includes several symptoms like pneumonia,
tuberculosis, oral thrush, cytomegalovirus, cryptococcal meningitis, toxoplasmosis,
cryptosporidiosis and cancer including Kaposi’s sarcoma & lymphoma. However, it can be
transmitted through blood, semen, vaginal & rectal fluids and breast milk (Joseph-Williams,
Elwyn and Edwards, 2014). This severe health infection is caused due to only few of modes like
unprotected sexual intercourse, infected blood transfusion, use of infected needles or injections
and mother to foetus. It is necessary for people to take case of these causing factors and take
precautions in terms of preventing occurrence of HIV (AIDS).
Pathophysiology of infection includes the condition when a foreign organism gets entered in
human body and causes harm. Infections consists various types which are based on entry of
different kinds of organisms such as bacterial, fungal, viral, protozoans, parasitic and prion
disease (Woodhead, Northrop and Edelstein, 2016). However, it has various symptoms which are
different in differentiated infections like viral infections shows sign of common cold,
encephalitis & meningitis, warts & skin infections, gastroenteritis, polio, HIV, influenza etc.
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Meanwhile, bacterial infections cause cholera, diphtheria, dysentery, pneumonia, typhoid, food
poisoning and so on (Glasper, 2015).
Pathophysiology of syphilis consist its various types such as primary, secondary, latent, tertiary,
neuro syphilis and congenital syphilis in people. It is caused due to bacterium known as
Treponema pallidum which can be diagnosed with the help of blood test and urine tests. This
condition has different symptoms according to its stages like when an individual develop only
one chancre in primary stage then rash begins to spread on trunk but eventually covers overall
body which gain progress to become more complicated in further stages if not treated (Braun and
et. al., 2014). Moreover, it contains number of risk factors involve in unprotected sex, have sex
with multiple partners, are a man who sex with men and are infected with HIV, the virus that
causes AIDS.
As per the given case scenario, it is necessary for physicians to establish more effective as well
as efficient care plan for welfare of Dillon. It includes preparing action plan by considering the
entire condition of selected patient with effective interventions along with their description.
Syphilis has several stages as its progress like primary, secondary, latent and tertiary according
to which appropriate care package can be provided for wellbeing of patient. However, the
nursing care plan is given here. Initially, it is necessary to conduct physical examination of an
individual to gain information about general condition, awareness, nutritional status, TB, BB,
temperature, BP, pulse, respiration (Gabbard, 2017). Secondly, it includes conducting systemic
examination like head to evaluate eyes, ears, nose, teeth & mouth; neck to analyse about
enlarged thyroid; chest regarding inspection, palpitation, percussion & auscultation; genitalia,
upper and lower extremities. Thirdly, it is very important for supplementary examination like
laboratory tests including blood chemistry, urea, creatinine, blood glucose, urinalysis, routine
blood etc. (Kuipers and et. al., 2014). Basically, it is helpful to provide desired dosage of
medications such as doxycycline, azithromycin and cedtriaxone meanwhile, specific dose of
penicillin should be provide to patient because it is much effective in treating the problem of
syphilis. It has been analysed that penicillin is provided intravenously in case of neurosyphilis on
daily basis.
On the other hand, it is necessary to make sure that an individual ill not have any kind of sexual
contact until the overall sores of body get healed (Davies and Challis, 2018). It is very important
for nursing staff to support the patient for delivering non-medicinal services such providing free
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condoms and information about precautions which must be taken by individual to control their
problem of syphilis. Meanwhile, the nursing staff will elucidate an individual that they must
abstain from sexual contact with anyone until skin lesion is healed fir preventing disease
transmission. However, it is required to assist the patient in order to develop a list of an
individual’s previous sexual partners over the past 90 days along with informing them to het
checked for syphilis free of charge at the local health department. In addition to this, it is
necessary for nurse to elucidating the person in the way of preventing acquiring of sexually
transmitted diseases (Wollenhaupt and et. al., 2014). Moreover, it is essential to make patient
inform about the way of transmitting of syphilis and bacteria responsible for causing it including
side effects of treating the same and ways of further prevention in regards to being re-infected.
Furthermore, it is required to supply condoms to patient for free 90 days.
The allergic reactions for providing praziquantel must be controlled by providing specific dose
of Corte steroids in order to make patient stable by overcoming the side effect (Siniscalchi,
2018). It is favourable to overcome with reactions and impact positively of recovery of syphilis.
Define discharge planning and factors need to be considered while planning discharge and what
MDT professionals would be involved
Discharge planning can be defined as condition in which patient, carer, family members and
other staff associated with case are involved to prepare essential arrangements. It is to make sure
about smooth transition from healthcare organisation to home, residential care or somewhere
else. Basically, it involves the criterion of carrying out various clinical activities in order to
ensure overall stable health condition of a person before their discharge. It consist number of
things to be taken in account such as follow up tests, appointments and personal goals related to
health (Di Saverio and et. al., 2014). In case of Dillon, it has been analysed that several factors
are required to be considered while establishing appropriate discharge plan such as age of
patient, needs of individual, behaviour of patient and Family & social support of an individual.
The involvement of multidisciplinary team is required to gain suggestions from experts to
prepare appropriate plan of care by avoiding risk factors which facilitate better treatment
outcomes in case of Dillon.
Plan of discharge for Dillon
Steps Interventions
Step – 1 Initially, it is necessary to begin planning when patient recovery starts at high
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level to avoid delays and provide proper discharge to them.
Step – 2 It includes conducting identification of whether an individual has simple or
complicated needs according to which specific medical support or other services
can be provide for their wellbeing (Bates and et. al., 2014).
Step – 3 It consists to focus on development of clinical management plan of action for 24
hours before discharge to ensure appropriate condition for their better health
condition.
Step – 4 It is very important to coordinate among multidisciplinary team members in
terms of conducting procedure of discharge or transfer of patient after recovery.
Step – 5 It is necessary set an expected date of discharge within 48 hours of admission
which is favourable to predict overall hospital capacity, to assess progress &
outcomes of clinical plans and for patients to understand expectations (van de
Kerkhof and et. al., 2016).
Step – 6 It includes the need of carrying out review of clinical management plan on daily
basis.
Step – 7 It is necessary to conduct follow tests and check-ups to make sure about stable
condition of patient before discharging them.
Step – 8 It includes making sure them every equipment and needles should be removed
which were inserted in body of patient for treatment before discharge.
Step – 9 It is required to make patient and their relatives aware about dosage of medicines
that are must to be taken daily on time along with details about diet and other
related activities (Vashist and et. al., 2015).
Step – 10 Finally, discharge the patient by providing copy of entire medical reports to them
by making them remember about next appointment for regular check-up.
What is the significance of involving the patient with a LTC and their family in the discharge
process with clear link to Dillon’s circumstances & conditions and concept of
empowerment?
The involvement of Dillon and their family members is required in terms of making an effective
as well as efficient plan of discharge (Kiayias, Liu and Tselekounis, 2016). It includes the
criterion of establishing more accurate and secure plan for discharging the patient. However, the
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engaging of an individual is responsible for facilitating positive effects for preparing safe and
secure care that helps to boost up their satisfaction level respectively. In addition to this, it will
provide support in order to decrease the risk of readmission along with strengthens the role of
patient within a health institute (Goicoechea and et. al., 2015). It is significant to make suitable
discharge plan as per comfort level of patient which is favourable to improve health in terms of
long term condition.
Empowerment can be described as the procedure to become strong and more confident in order
to control as well as claim rights of own or other person. In terms of healthcare, empowerment
can be consider as anility of an individual to get involved in process of fulfilling their own needs,
wants, opinions, beliefs and feelings (Faust and et. al., 2017). In case of Dillon, care
professionals are required to involve them for making care plan as well as discharge plan to
maintain their better health. It is favourable to make plan which is more suitable for patient who
provide support to gain better health condition and improved patient experience.
Why is the communication important when planning discharge and what strategies would be
utilised for this specific scenario to ensure a safe discharge.
Communication can be defined as process of sharing ideas, thought and beliefs from one person
to another. It is an important aspect in healthcare because a multidisciplinary team is mostly
involved in case of Dillon the effective conversation among professional is very important.
Meanwhile, it includes the benefit of maintain efficient cooperation between practitioners that
impact positive on patient outcomes. Effective communication can increase care outcomes
whereas improper conversation may develop extreme complicated condition in given case. In
case of Dillon, care practitioners should use several communication strategies like use of simple
sentences and simple words which can be easily understand by others. It is necessary to focus on
main problem and remain genuine by communicating along with remaining flexible among
another people (Redfors and et. al., 2015). It is required to value yourself and own experience
while making conversation about patient problem with other team member.
Strategies to be utilised in case scenario of Dillon to make sure safe discharge are mentioned
here. It includes considering all the legislations such as Health & Social Care Act 2012, Care Act
2012, Equality Act 2010, and Data Protection Act 2018 and so on. Meanwhile, it is necessary
conduct effective communication to have mutual understanding with patient to make them
understand about their care plan after discharge at home or in residential care (Bodenheimer and
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et. al., 2014). Moreover ethical principles must be considering including beneficence,
trustworthy, justice, fair, autonomy etc.
CONCLUSION
From the above essay, it has been concluded that long term condition can be described as severe
health problem which cannot be cure but they can be controlled by strict care plan and treatment.
It is necessary for care professionals to maintain effective communication among them to make
discharge plan which is safe for an individual. However, it includes utilisation of ethical
principle and legislations in discharge plan of patient.
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