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Quality Project in Health

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Submitted By Nades77
Words 3341
Pages 14
Introduction
There is an increasing need for better management of Long Term Conditions (LTC) within Primary Health Care (PHC) that requires practice development processes and adaption to models of care that are person centred. Within my clinical setting implementation of a pilot scheme is underway with a common vision to work alongside the accompanying community pharmacy for better sharing of knowledge and information to enable optimum care for our mutually registered LTC patients. Analysis of evidence based practice, facilitation of roles and responsibilities, and appropriate health care frameworks will support how a plan is being developed that reflects nursing management and integrated service collaboration towards best health outcomes. Important to note that throughout this essay, reference will be made to Long Term Conditions, Chronic Conditions and Chronic diseases, these terms all relate to the same context.
Evidence
Mismanagement of chronic conditions is the leading cause of hospitalisations in New Zealand (NZ) (National Health Committee, 2007). The mantra ‘better, sooner, more convenient’ targets the role that primary health care in NZ must assume in order to reduce acute hospital admissions, through better management of patients with chronic conditions and, active support of high needs populations (Ministry of Health, 2011).
The World Health Organisation (WHO, 2005) define long term / chronic conditions as having one or more of the following descriptions – permanence, disability, irreversible pathology, requiring rehabilitation or care for a longer period. Non-communicable chronic diseases are inclusive of, but not defined to: cancer, heart disease, stroke, diabetes and chronic respiratory disease. Collectively, these chronic diseases represent a significant cause of global mortality, accounting for 63% of all deaths (WHO, 2011). In NZ the

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