Anticipatory Care for Long Term Conditions in Physiotherapy: Difference between revisions
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=== Stats & Facts === | === Stats & Facts === | ||
* Long term conditions are responsible for 41 million deaths each year , accounting for 70% of all deaths around the globe<ref name=":0" /> | * Long term conditions are responsible for 41 million deaths each year , accounting for 70% of all deaths around the globe<ref name=":0" /> The number is estimated to reach 52 million by 2030<ref>Kelland K. Chronic disease to cost $47 trillion by 2030: WEF. Reuters 2011. Available from: https://www.reuters.com/article/us-disease-chronic-costs-idUSTRE78H2IY20110918 (Accessed 20 May 2020)</ref>. | ||
* Accodring to the World Health Oganization, Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.0 million), respiratory diseases (3.9million), and diabetes (1.6 million)<ref name=":0" /> | * Accodring to the World Health Oganization, Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.0 million), respiratory diseases (3.9million), and diabetes (1.6 million)<ref name=":0" /> | ||
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Long term conditions are associated with multimorbidites that impact the quality of life of the individual and burdens the healthcare system. | Long term conditions are associated with multimorbidites that impact the quality of life of the individual and burdens the healthcare system. | ||
People with multimorbidity have poorer functional status, quality of life, and health outcomes than are those without multimorbidity<ref>Prevalence, expenditures, and complications of multiple chronic conditions in the elderly.''Arch Intern Med.'' 2002; 162: 2269-2276</ref>. | People with multimorbidity have poorer functional status, quality of life,working capacity and health outcomes than are those without multimorbidity<ref>Prevalence, expenditures, and complications of multiple chronic conditions in the elderly.''Arch Intern Med.'' 2002; 162: 2269-2276</ref>. | ||
LTCs can negatively affect the individual's mobility and result in '''social''' consequences such as home-bounding, self-care disability and bed-bounding, the ultimate consequences being social isolation, family conflicts and even stigma<ref>Roca M, Mitu O, Roca IC, Mitu F. Chronic Diseases--Medical and Social Aspects. Revista de Cercetare si Interventie Sociala. 2015 Jun 1;49.</ref>. | |||
Coping with the long term conditions might be difficult and is maybe '''stressing or disabling''' . Lost of interest, feeling guilty or responsible and low self-esteem can worsen the development of the disease. The person might also lose the ability to engage in activities that bring a sense of meaning and purpose to life<ref>Roberts L. Psychological Aspects of Chronic Illness. Sheffield APT.Available from: https://www.sth.nhs.uk/clientfiles/File/Mental%20Health%20Awareness%20presentation%20-%20based%20on%20Maria%20and%20Ian's%20POTS%20training.pdf (Accessed 20 May 2020)</ref>. | |||
The economic burden of LTCs is significant. The United Nations has estimated that the cumulative loss to the global economy could reach $47 trillion by 2030 due to LTCs<ref>Institute for Global Health Sciences. Non-communicable Disease Could Cost Global Economy $47 Trillion by 2030. Available from:https://globalhealthsciences.ucsf.edu/news/non-communicable-disease-could-cost-global-economy-47-trillion-2030 (Last Acessed 20 May 2020)</ref>. | |||
The estimated cost of Long Term Conditions care in the UK was at £320 million in 2017<ref name=":2" />. | |||
== Healthcare Policies == | == Healthcare Policies == | ||
Revision as of 15:07, 20 May 2020
Original Editor - Mariam Hashem
Top Contributors - Mariam Hashem, Jess Bell, Kim Jackson, Lucinda hampton, Tony Lowe, Tarina van der Stockt, Vidya Acharya and Olajumoke Ogunleye
Introduction[edit | edit source]
Long term conditions (LTCs), also known as chronic diseases or Non-communicable diseases (NCDs)[1], are defined as physical and mental health condition that require management over a long period of time.[2]
Examples:
- Heart disease
- Stroke
- Cancer
- Diabetes
- Chronic lung disease such as chronic obstructive pulmonary disease and asthma
Stats & Facts[edit | edit source]
- Long term conditions are responsible for 41 million deaths each year , accounting for 70% of all deaths around the globe[1] The number is estimated to reach 52 million by 2030[3].
- Accodring to the World Health Oganization, Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.0 million), respiratory diseases (3.9million), and diabetes (1.6 million)[1]
- 15% of young adults aged 11-15 have an LTC[4]
- 15 million of all deaths attributed to NCDs occur between the ages of 30 and 69 years[1]
- In Scotland, LTCs account for 80% of all GP consultations and they twice as likely to be admitted to hospital[5]
- In England, It's estimated that only 59% of people living with LTCs are in work, compared with 72% of the general population[4].
- NCDs disproportionately affect people in low- and middle-income countries[1]
Causes and Risk Factors[edit | edit source]
Unhealthy Harmful behaviour such as sedentary lifestyle, unhealthy diets, exposure to tobacco smoke or the harmful use of alcohol are all contributing factors to LTCs[1].
The World Health Orgaization classified LTCs contributing factors into two categories[1]:
Modifiable behavioural risk factors:
- Tobacco (including second-hand smoking)
- Excess salt/sodium intake
- Alcohol use
- Lack of or insufficient physical activity
Metabolic risk factors:
- Hypertension
- overweight/obesity
- hyperglycemia (high blood glucose levels)
- hyperlipidemia (high levels of fat in the blood)
Impacts on Individual and society[edit | edit source]
Long term conditions are associated with multimorbidites that impact the quality of life of the individual and burdens the healthcare system.
People with multimorbidity have poorer functional status, quality of life,working capacity and health outcomes than are those without multimorbidity[6].
LTCs can negatively affect the individual's mobility and result in social consequences such as home-bounding, self-care disability and bed-bounding, the ultimate consequences being social isolation, family conflicts and even stigma[7].
Coping with the long term conditions might be difficult and is maybe stressing or disabling . Lost of interest, feeling guilty or responsible and low self-esteem can worsen the development of the disease. The person might also lose the ability to engage in activities that bring a sense of meaning and purpose to life[8].
The economic burden of LTCs is significant. The United Nations has estimated that the cumulative loss to the global economy could reach $47 trillion by 2030 due to LTCs[9].
The estimated cost of Long Term Conditions care in the UK was at £320 million in 2017[2].
Healthcare Policies[edit | edit source]
Physiotherapy and health Promotion[edit | edit source]
Note on Self-management[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 World Health Organization. Noncommunicable diseases. Available from:https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases (Accessed 20 May 2020)
- ↑ 2.0 2.1 Haentjens M. Anticipatory Care for Long Term Conditions in Physiotherapy. Physioplus course 2020
- ↑ Kelland K. Chronic disease to cost $47 trillion by 2030: WEF. Reuters 2011. Available from: https://www.reuters.com/article/us-disease-chronic-costs-idUSTRE78H2IY20110918 (Accessed 20 May 2020)
- ↑ 4.0 4.1 Pharmaceutical Services Negotiating Committee. Essential facts, stats and quotes relating to long-term conditions. Available from:http://psnc.org.uk/services-commissioning/essential-facts-stats-and-quotes-relating-to-long-term-conditions/ (accessed 20 May 2020)
- ↑ Scotland A. Managing long-term conditions. Edinburgh: Audit Scotland. 2007.
- ↑ Prevalence, expenditures, and complications of multiple chronic conditions in the elderly.Arch Intern Med. 2002; 162: 2269-2276
- ↑ Roca M, Mitu O, Roca IC, Mitu F. Chronic Diseases--Medical and Social Aspects. Revista de Cercetare si Interventie Sociala. 2015 Jun 1;49.
- ↑ Roberts L. Psychological Aspects of Chronic Illness. Sheffield APT.Available from: https://www.sth.nhs.uk/clientfiles/File/Mental%20Health%20Awareness%20presentation%20-%20based%20on%20Maria%20and%20Ian's%20POTS%20training.pdf (Accessed 20 May 2020)
- ↑ Institute for Global Health Sciences. Non-communicable Disease Could Cost Global Economy $47 Trillion by 2030. Available from:https://globalhealthsciences.ucsf.edu/news/non-communicable-disease-could-cost-global-economy-47-trillion-2030 (Last Acessed 20 May 2020)
