Anticipatory Care for Long Term Conditions in Physiotherapy
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]
- 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[3]
- 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[4]
- In England, It's estimated that only 59% of people living with LTCs are in work, compared with 72% of the general population[3].
- 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, and health outcomes than are those without multimorbidity[5].
The estimated cost of Long Term Conditions care in the UK was at £320 million in 2017[2].
30% of diabetes patients have depressive symptoms. Coping with the long term conditions might be hard and might contribute to the progression of the condition. Lost of interest, feeling guilty or responsible and low self-esteem can worsen the development of the disease
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
- ↑ 3.0 3.1 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
