Integrated Nursing Concept

Question: Discuss about the Essay for Integrated Nursing Concept. Answer: 1. An illness which occurs for a long duration of time and cannot be cured easily is known as chronicity. It can occur to people of all ages and it takes a long duration of time to relieve the symptom to save the life of a person. The engagement of Australian staff are limited who has a support of self management which the other services can provide. The people having chronic diseases have to be cared after and they should be given support psychologically and they should also be educated. Children at the hospital should be given safe medication and therapy. People with chronic illness should be educated so that they can self medicate themselves. Chronicity depends on ageing, attitudes of health professionals towards the illness, people who live with cancer, transplantation and rehabilitation (Whittemore and Dixon, 2008). Chronicity is a major burden in Australia and its prevalence increases which drives the ageing and an enhancement of risk factors. People should participate in their own health care and requires developing skills for management of the risk factors and also scrutinise their disease, using the healthcare services as well as medication successfully is necessary so that the people can cope with th e diseases which impacts their lives. Patients require being empowered in order to manage their health safely and to get skills as well as knowledge for using health care systems successfully (Nolte and McKee,2008) Depression is the most common disease among the general population, people with heart diseases, stroke or cancer. Depression is a common risk factor for the patients having a heart disease, diabetes mellitus and stoke. For the treatment of depression, it is necessary to use Antidepressants which can also be used to treat anxiety. The moods of the patients who has arthritis and cancer can be improved by behavioural as well as psychological treatment. Depression is co morbid or multi morbid. Depression is a problem in the discussion of psychiatry. On one hand, depression leads to anxiety as well as depressive disorders. Co morbidity of mental disorders can be viewed as the coexistence of the diseases (Fortinash and Holoday-Worret, 2008). . 2. Supporting the self management is a collaboration which helps the patients as well as their families to have knowledge as well as confidence and skills for managing their condition. This would help the patients in managing their health while working in partnership with the providers of health care. The providers of health care can help the patients in engaging with their own care and give them the support as well as information for self managing their conditions. There are education programs in self management aiming at empowering the patients through teaching skills as well as information for improving self care and doctor patient interactions for the enhancement in the quality of life. A patient centred care focuses on self management and a shift towards the health care policy (Kemppainen et al., 2013). Patients having better skills in self management can use the time of the professionals of health care and increase their self care. There should be formal education on self manag ement in order to help the patients engaging in self care (Harris et al., 2008). Failure in communicating successfully has resulted in the difficulty in the recruitment of sustainable number of patients for participating in programs in order to make sure the assessment of traditionally marginalised group. There are many barriers for engaging the professionals of health care including the uncertainty of benefits of programs of self management and the limited local evidence on the impacts of such programs on the self care ability of the patients (Richard . and Shea, 2011). For convincing the professionals as well as the patients, this information is required. Self management education programs aid the patients in developing the techniques and skills to increase self care of the chronic conditions. The professionals of health care ensure that there are enough people who can attain such programs and benefit from them as well. A systematic approach requires being there across the system of health care in order to enhance the coordination of patient care who has chronic conditions. There are Models like Primary Care Partnership which is adopted by Victoria having facilitated the alliance formation among the agencies of health care and the professionals. The partnership varies in size and structure and funding is provided for supporting the formation of the partnership and also establishing the structural information and referral management processes for maximising the access of the patients to the healthcare services. Such a model can enhance the coordination of services for the facilitating of training and education among the health care professionals for supporting management of chronic diseases. The current health care system works well with Australians building a strong general practice foundation and is critical in the efficiency and cost effective of the Australian health care system. The primary health care centre is equipped well in responding to short term ailments. The acknowledgement of the risk factors with complex and chronic conditions is essentia l. The right intensity of the treatment is essential. The size, diversity, cultural and population distribution creates profound variations in the type of care which delivered in different regions (Shives, 2008).. The Health Care Home builds 7 principles which are complementary to the current approaches to the provision of primary health care in Australia. There would be a partnership between the Health Care Home and the patients in accordance to an agreed plan. In order to make this agreement, providers and patients work together in order to address the cause of the conditions optimally address their impact, in order to lead a better life and the acknowledgement of the best local clinical as well as other services which are appropriate to their requirements. Empowering the patients in taking an active role for self treatment, makes them understand and communicate with the healthcare providers about their issues of health and reduces unnecessary tests and the duplication of healthca re services. They support better care of health across the system which is supported accurate and current information. The government aims at putting the patients in the control of their own care with skills and knowledge and confidence for managing their own health supported by the health care team and the carers and families which is proper. Factors contributing to the outcomes includes the supporting the patients for keeping themselves healthy, sharing the making of the decisions, self management, the choice of the provider and an estimation of the services through the structured feedback using evidence based tool like patient reported outcomes (Shift, 2008). Patients require help in understanding the options for their treatment and outcome probabilities if there are multiple health conditions for managing to support evidence based patient choice. Patients should have increased access to the service through the Health Care Homes including non face to face service clinically successful and proper (Timby, 2009). These services are enabled by email, video conference and telephone which may be augmented and supported by home monitoring devices and digital health. The health Care Home includes the access to the after hour support which includes care or advice for enrolled patients for avoiding unnecessary emergency departments and out of hours admission to hospitals. Planning of Care and clinical decisions are evidence- based patient healthcare pathways and supported by best practice decision making tools. References Whittemore, R. and Dixon, J., (2008). Chronic illness: the process of integration. Journal of clinical nursing, 17(7b), pp.177-187. Richard, A.A. and Shea, K., (2011). Delineation of Selfà ¢Ã¢â€š ¬Ã‚ Care and Associated Concepts. Journal of Nursing Scholarship, 43(3), pp.255-264. Fortinash, K.M. and Holoday-Worret, P.A., (2008). Psychiatric mental health nursing. Mosby. Nolte, E. and McKee, M., (2008). Integration and chronic care: a review. Caring for people with chronic conditions. A health system perspective, pp.64-91. Shives, L.R., (2008). Basic concepts of psychiatric-mental health nursing. Lippincott Williams Wilkins. Shift, A.W., (2008). Chronic disease management: what is the concept?. CJNR, 40(3), pp.7-14. Timby, B.K., (2009). Fundamental nursing skills and concepts. Lippincott Williams Wilkins. Kemppainen, V., Tossavainen, K. and Turunen, H., (2013). Nurses' roles in health promotion practice: an integrative review. Health Promotion International, 28(4), pp.490-501. Harris, M.F., Williams, A.M., Dennis, S.M., Zwar, N.A. and Davies, G.P., (2008). Chronic disease self-management: implementation with and within Australian general practice. Medical Journal of Australia, 189(10), p.S17.