Chronic Disease Nursing: A Rheumatology Example

Integrating rheumatology care in the community: can shared care work
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Close collaboration with other organisations has proved key to promoting self-management, says Sarah.


It has also commissioned psychological support. As well working with district and practice nurses, the service has developed a strong link with the acute trust, enabling rapid access to inpatient treatment when required. Sarah adds that feedback is collected regularly and acted on.

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The team is also highly regarded by consultant colleagues. They help people to make the most of their episodes of care within the service. It allows the medical team to troubleshoot and problem solve, intervening at decision points and with complex cases.

Collaborative Care Nurses: Your Partners in Chronic Disease Management

The Nursing Standard Nurse Awards judges are also impressed, especially by the integrated holistic approach offered to patients. I was impressed by its community links and its links with other nurses for co-morbidities.

The inflammatory arthritis pathway

Their passion for their patients shines through. The team has offered its help to other areas that want to set up a similar service, but also has its sights set on developing its own.

Despite its impressive array of partnerships, it is working to make care even more holistic by developing new ones. The effect depends on the duration of the follow-up period, number of follow-up visits and personality of the nurse.

Follow-up nursing interventions for patients with diabetes can improve psychosocial and health outcomes. Education of health providers and amount of time spent with patients seem to be important for positive outcome.

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A rheumatology nurse specialist seems to provide equally good clinical results as a rheumatologist and produces better patient-related outcomes. Do you need help? Call Help Get more information.

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From January to January , a total of 98 women were referred to this service. There were no significant differences between patients who continued or failed shared care with respect to diagnosis and number of comorbidities, disease modifying anti-rheumatic drugs or other medications Table 2. Demographic and clinical characteristics Of the patients in the shared care programme, the majority were females Bridging the gap between primary and specialist care: formidable challenges ahead. The global burden of other musculoskeletal disorders: estimates from the Global Burden of Disease study.

What does the Clinical Nurse Specialist do? Hospital units Outpatient clinics Private practice Rehabilitation centers and long-term care facilities Home health agencies Public health centers What kind of training does the Clinical Nurse Specialist have?