Managing a long term condition

Treatment, care and support will include

  • awareness of presenting symptoms or signs warranting further diagnostic assessment
  • initial assessment
  • diagnostic assessment
  • post-diagnosis information, support and education for patient and carers
  • prescribing, and medicines management
  • health promotion and prevention
  • active planning of future needs and wishes
  • signposting to support agencies
  • monitoring of disease progression; regular review as the patient’s presentation changes, including review of carer’s needs
  • advance planning and care towards the end of life.

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