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Optimising Care in Chronic Conditions

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Developing a care plan for optimal health outcomes for people with chronic and complex health services.Intent: This assessment assists students to integrate policy and evidence to support optimal care planning and care delivery for those with chronic andcomplex care needs.Part A (500 words): Students are to provide an executive summary of policy and evidence supporting optimal care delivery for people with chronic and complex health care needs in relation to Asthma. Key disease areas with related policy and evidence for review will be provided with students able to choose a focus area and add ...

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Question Preview:

Developing a care plan for optimal health outcomes for people with chronic and complex health services.Intent: This assessment assists students to integrate policy and evidence to support optimal care planning and care delivery for those with chronic andcomplex care needs.Part A (500 words): Students are to provide an executive summary of policy and evidence supporting optimal care delivery for people with chronic and complex health care needs in relation to Asthma. Key disease areas with related policy and evidence for review will be provided with students able to choose a focus area and add to the evidence base, as needed.Part B (1500 words): Students will be provided with three case scenario and choose 1 to focus on. In relation to this chosen case study, students consider the recommendations for the patients ( and family’s) care within one particular local health district within Sydney. This is informed by the executive summary from Part A and enhanced by investigation into local resources available, specific to a designated area health service.

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Amongst the developed nations of the world, Australia depicts increasing rates of chronic and complex conditions. It has been found out that about 35% of Australians have chronicconditions. Therefore, it is quite obvious that this set of population requires different service needs as per their level of complexity. Such patients are high users of health services. A new model has been designed to meet the needs of such patients with chronic and complex conditions. Key features of this model include: (i) Patient enrolment,(ii) Families as partners in the care, (iii) Patients have access to latest technologies such as telephone, email, videoconferencing and much more, (iv) To be able to select a clinician – who is responsible for complete care of the patient, (v) High commitment to care, (vi) Data collection by patients for improved performance.

Asthma is a chronic long term inflammatory disease – a condition related to airways of the lungs– and is a result of both genetic and environmental factors. Its symptoms include coughing, chest tightness and shortness of breath, dyspnea, prolonged expiration, tachypnea, respiratory depth changes, nasal flaring, increased mucus production and wheezing (whistling sound produced due to turbulent airflow through airways). The occurrence of Asthma is a combination of three processe: hypersensitivity of the bronchial passages, inflammation of the airway passages followed by airway obstruction and henceforth is termed as asthma attack wherein the patient is unable to breathe properly (K. Harold and M. Jorge, 2011). Few of the conditions that could lead to asthma are: viral respiratory infections, excessive smoking, obesity, lower socioeconomicstatus, family history of allergic conditions (general exposure to allergens) and few more.Asthma can be of two types: (a) Extrinsic: also termed as allergic asthma – caused by allergies(b) Intrinsic: due to a respiratory tract infection or obesity.

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