SUE RANDALL is Senior Lecturer and Pathway Leader for Long-term Conditions in the Department of Nursing, Midwifery and Health Care at Coventry University, where she teaches across pre-registration, undergraduate and postgraduate nursing. HELEN FEN is Senior Lecturer in the Department of Nursing, Midwifery and Health Care at Coventry University. Her main responsibility is pre-registration and undergraduate teaching. Helen has experience of both caring for and teaching about patients with long-term conditions.

“This text would be useful for students and practitioners new to the role.”  (Primary Health Care, 1 September 2012)“All healthcare professionals who treat or care for patients with long term conditions should read this book whether they are working in primary, secondary, tertiary care, for the NHS, a hospice, social services or a voluntary organisation.”  (Nursing Times, 13 September 2012)Taking a partnership approach that is focused on key issues and concepts in living with condition, rather than focusing on disease, Randall and Ford offer a textbook for nursing and health care practitioners that explores issues involved in the care of patients with chronic diseases conditions. (Book News, 2011) Well organized and easy to read, with many case studies and adequate references... This book is notable for its focus on the importance of a teamwork approach to care for individuals who live with a chronic condition. It also emphasizes the continuity of care model in order to set the framework of care delivery. It is a wonderful tool for care coordinators or care providers. (Doodys, October 2011)Well structured, attractively presented and easy-to-follow...full of useful information and through-provoking ideas (Emergency Nurse, November 2011)This excellent book takes a needs-led approach. I particularly liked the points for reflection that encourage readers to develo their own practice to improve patient experience. (Nursing Older People, December 2011)5*. This comprehensive text explores key concents with clear explanations, diagrams and case studies. I recommend it to newly qualified and experienced nurses, as well as nursing students. (Nursing Standard, October 2011)

• Contributors xiIntroduction xvSection 1 Living with a Long-Term Condition1 Nutrition 3Helen FordIntroduction 3Nutrition in context 3What is nutrition? 7Basics of nutrition 8How much do we need to eat? 16Assessing dietary intake 20Assessing nutritional status 22Nutrition problems in long-term conditions 23Conclusion 45References 45Resources 48Further reading 482 Chronic Pain: Living with Chronic Pain 49Gay JamesIntroduction 49Causes and pathology of pain 51Types of chronic pain 53Incidence of chronic non-malignant pain 56Psychology and social considerations in chronic pain 58The impact of pain 59Chronic pain assessment 63Interventions to manage chronic pain 70Conclusion 88References 89Further reading 92Organisations in the United Kingdom who may offer support 923 Depression and Long-term Conditions 93Robert TummeyIntroduction 93What is depression? 94Recognition of depression as co-morbidity with long-term physical conditions 95Prevalence of depression as co-morbidity with long-term physical conditions 99Diagnosis of depression 101Treatment for depression 104Conclusion 114References 115Further reading 118Section 2 Empowerment4 Adaptation in Long-term Conditions: The Role of Stigma Particularly in Conditions that Affect Appearance 121Andrew R ThompsonIntroduction 121LTC, Visible difference, disfigurement and body-image 122Psychosocial, social and cultural impact of living with an LTC affecting appearance 123Stigmatisation and LTCs 129Psychosocial interventions 130Conclusion 133Acknowledgements 133References 133Resources 136Further reading 1365 Self-management in Long-term Conditions 138Sue Randall and Andy TurnerIntroduction 138Context 138Historical perspective 140Self-care and self-management 141Co-creating health initiative (CCH) 152Underpinning theories 155Conclusion 159References 160Resources 163Further reading 1636 Assistive Technology – A Means of Empowerment 164Darren Awang and Gillian WardIntroduction 164Policy background 165Defining key terms 167Whole system demonstrators 179Ethical issues 183Workforce design, education and training 184A technological future? 186Conclusion 188References 188Resources 192Further reading 1927 Risk and Empowerment in Long-term Conditions 193Annette RoebuckIntroduction 193Risk in context – the bigger picture 194Wider views of risk and empowerment 195Empowerment 203Conclusion 215Acknowledgements 216References 216Further reading 218Section 3 Care Management8 Care Coordination for Effective Long-term Condition Management 221Sue RandallIntroduction 221Population contexts in England, Scotland, Wales and Northern Ireland in relation to LTCs 222Care coordination 224Frameworks of care delivery 233Service delivery models 237Other ways of working which influence care coordination 251New ways of working 254Conclusion 256Acknowledgements 256References 257Resources 261Further reading 2629 Rehabilitation in Long-term Conditions 263Bernie Davies and Jo GallowayIntroduction 263Definitions and concepts of rehabilitation 263The role of rehabilitation in the context of managing LTCs 265Models and theories informing rehabilitation 268Teams and teamwork in rehabilitation 275The principles and process of rehabilitation for people with LTCs 280Outcome measures and evaluation 286Conclusion 290References 290Resources 293Further reading 29310 Palliative Care in Long-term Conditions: Pathways to Care 294Claire Whittle and Jill MainIntroduction 294What is palliative care? 294What is end of life care? 297Illness trajectories 297Family and carers 299Dying from LTCs 300End of life symptoms and management of symptoms 304Policies 305Models of care 306Spirituality 313Conclusion 314References 314Resources 317Further reading 317Index 319

SUE RANDALL is Senior Lecturer and Pathway Leader for Long-term Conditions in the Department of Nursing, Midwifery and Health Care at Coventry University, where she teaches across pre-registration, undergraduate and postgraduate nursing. HELEN FEN is Senior Lecturer in the Department of Nursing, Midwifery and Health Care at Coventry University. Her main responsibility is pre-registration and undergraduate teaching. Helen has experience of both caring for and teaching about patients with long-term conditions.

“This text would be useful for students and practitioners new to the role.”  (Primary Health Care, 1 September 2012)“All healthcare professionals who treat or care for patients with long term conditions should read this book whether they are working in primary, secondary, tertiary care, for the NHS, a hospice, social services or a voluntary organisation.”  (Nursing Times, 13 September 2012)Taking a partnership approach that is focused on key issues and concepts in living with condition, rather than focusing on disease, Randall and Ford offer a textbook for nursing and health care practitioners that explores issues involved in the care of patients with chronic diseases conditions. (Book News, 2011) Well organized and easy to read, with many case studies and adequate references... This book is notable for its focus on the importance of a teamwork approach to care for individuals who live with a chronic condition. It also emphasizes the continuity of care model in order to set the framework of care delivery. It is a wonderful tool for care coordinators or care providers. (Doodys, October 2011)Well structured, attractively presented and easy-to-follow...full of useful information and through-provoking ideas (Emergency Nurse, November 2011)This excellent book takes a needs-led approach. I particularly liked the points for reflection that encourage readers to develo their own practice to improve patient experience. (Nursing Older People, December 2011)5*. This comprehensive text explores key concents with clear explanations, diagrams and case studies. I recommend it to newly qualified and experienced nurses, as well as nursing students. (Nursing Standard, October 2011)

• Contributors xiIntroduction xvSection 1 Living with a Long-Term Condition1 Nutrition 3Helen FordIntroduction 3Nutrition in context 3What is nutrition? 7Basics of nutrition 8How much do we need to eat? 16Assessing dietary intake 20Assessing nutritional status 22Nutrition problems in long-term conditions 23Conclusion 45References 45Resources 48Further reading 482 Chronic Pain: Living with Chronic Pain 49Gay JamesIntroduction 49Causes and pathology of pain 51Types of chronic pain 53Incidence of chronic non-malignant pain 56Psychology and social considerations in chronic pain 58The impact of pain 59Chronic pain assessment 63Interventions to manage chronic pain 70Conclusion 88References 89Further reading 92Organisations in the United Kingdom who may offer support 923 Depression and Long-term Conditions 93Robert TummeyIntroduction 93What is depression? 94Recognition of depression as co-morbidity with long-term physical conditions 95Prevalence of depression as co-morbidity with long-term physical conditions 99Diagnosis of depression 101Treatment for depression 104Conclusion 114References 115Further reading 118Section 2 Empowerment4 Adaptation in Long-term Conditions: The Role of Stigma Particularly in Conditions that Affect Appearance 121Andrew R ThompsonIntroduction 121LTC, Visible difference, disfigurement and body-image 122Psychosocial, social and cultural impact of living with an LTC affecting appearance 123Stigmatisation and LTCs 129Psychosocial interventions 130Conclusion 133Acknowledgements 133References 133Resources 136Further reading 1365 Self-management in Long-term Conditions 138Sue Randall and Andy TurnerIntroduction 138Context 138Historical perspective 140Self-care and self-management 141Co-creating health initiative (CCH) 152Underpinning theories 155Conclusion 159References 160Resources 163Further reading 1636 Assistive Technology – A Means of Empowerment 164Darren Awang and Gillian WardIntroduction 164Policy background 165Defining key terms 167Whole system demonstrators 179Ethical issues 183Workforce design, education and training 184A technological future? 186Conclusion 188References 188Resources 192Further reading 1927 Risk and Empowerment in Long-term Conditions 193Annette RoebuckIntroduction 193Risk in context – the bigger picture 194Wider views of risk and empowerment 195Empowerment 203Conclusion 215Acknowledgements 216References 216Further reading 218Section 3 Care Management8 Care Coordination for Effective Long-term Condition Management 221Sue RandallIntroduction 221Population contexts in England, Scotland, Wales and Northern Ireland in relation to LTCs 222Care coordination 224Frameworks of care delivery 233Service delivery models 237Other ways of working which influence care coordination 251New ways of working 254Conclusion 256Acknowledgements 256References 257Resources 261Further reading 2629 Rehabilitation in Long-term Conditions 263Bernie Davies and Jo GallowayIntroduction 263Definitions and concepts of rehabilitation 263The role of rehabilitation in the context of managing LTCs 265Models and theories informing rehabilitation 268Teams and teamwork in rehabilitation 275The principles and process of rehabilitation for people with LTCs 280Outcome measures and evaluation 286Conclusion 290References 290Resources 293Further reading 29310 Palliative Care in Long-term Conditions: Pathways to Care 294Claire Whittle and Jill MainIntroduction 294What is palliative care? 294What is end of life care? 297Illness trajectories 297Family and carers 299Dying from LTCs 300End of life symptoms and management of symptoms 304Policies 305Models of care 306Spirituality 313Conclusion 314References 314Resources 317Further reading 317Index 319

SUE RANDALL is Senior Lecturer and Pathway Leader for Long-term Conditions in the Department of Nursing, Midwifery and Health Care at Coventry University, where she teaches across pre-registration, undergraduate and postgraduate nursing. HELEN FEN is Senior Lecturer in the Department of Nursing, Midwifery and Health Care at Coventry University. Her main responsibility is pre-registration and undergraduate teaching. Helen has experience of both caring for and teaching about patients with long-term conditions.

“This text would be useful for students and practitioners new to the role.”  (Primary Health Care, 1 September 2012)“All healthcare professionals who treat or care for patients with long term conditions should read this book whether they are working in primary, secondary, tertiary care, for the NHS, a hospice, social services or a voluntary organisation.”  (Nursing Times, 13 September 2012)Taking a partnership approach that is focused on key issues and concepts in living with condition, rather than focusing on disease, Randall and Ford offer a textbook for nursing and health care practitioners that explores issues involved in the care of patients with chronic diseases conditions. (Book News, 2011) Well organized and easy to read, with many case studies and adequate references... This book is notable for its focus on the importance of a teamwork approach to care for individuals who live with a chronic condition. It also emphasizes the continuity of care model in order to set the framework of care delivery. It is a wonderful tool for care coordinators or care providers. (Doodys, October 2011)Well structured, attractively presented and easy-to-follow...full of useful information and through-provoking ideas (Emergency Nurse, November 2011)This excellent book takes a needs-led approach. I particularly liked the points for reflection that encourage readers to develo their own practice to improve patient experience. (Nursing Older People, December 2011)5*. This comprehensive text explores key concents with clear explanations, diagrams and case studies. I recommend it to newly qualified and experienced nurses, as well as nursing students. (Nursing Standard, October 2011)

• Contributors xiIntroduction xvSection 1 Living with a Long-Term Condition1 Nutrition 3Helen FordIntroduction 3Nutrition in context 3What is nutrition? 7Basics of nutrition 8How much do we need to eat? 16Assessing dietary intake 20Assessing nutritional status 22Nutrition problems in long-term conditions 23Conclusion 45References 45Resources 48Further reading 482 Chronic Pain: Living with Chronic Pain 49Gay JamesIntroduction 49Causes and pathology of pain 51Types of chronic pain 53Incidence of chronic non-malignant pain 56Psychology and social considerations in chronic pain 58The impact of pain 59Chronic pain assessment 63Interventions to manage chronic pain 70Conclusion 88References 89Further reading 92Organisations in the United Kingdom who may offer support 923 Depression and Long-term Conditions 93Robert TummeyIntroduction 93What is depression? 94Recognition of depression as co-morbidity with long-term physical conditions 95Prevalence of depression as co-morbidity with long-term physical conditions 99Diagnosis of depression 101Treatment for depression 104Conclusion 114References 115Further reading 118Section 2 Empowerment4 Adaptation in Long-term Conditions: The Role of Stigma Particularly in Conditions that Affect Appearance 121Andrew R ThompsonIntroduction 121LTC, Visible difference, disfigurement and body-image 122Psychosocial, social and cultural impact of living with an LTC affecting appearance 123Stigmatisation and LTCs 129Psychosocial interventions 130Conclusion 133Acknowledgements 133References 133Resources 136Further reading 1365 Self-management in Long-term Conditions 138Sue Randall and Andy TurnerIntroduction 138Context 138Historical perspective 140Self-care and self-management 141Co-creating health initiative (CCH) 152Underpinning theories 155Conclusion 159References 160Resources 163Further reading 1636 Assistive Technology – A Means of Empowerment 164Darren Awang and Gillian WardIntroduction 164Policy background 165Defining key terms 167Whole system demonstrators 179Ethical issues 183Workforce design, education and training 184A technological future? 186Conclusion 188References 188Resources 192Further reading 1927 Risk and Empowerment in Long-term Conditions 193Annette RoebuckIntroduction 193Risk in context – the bigger picture 194Wider views of risk and empowerment 195Empowerment 203Conclusion 215Acknowledgements 216References 216Further reading 218Section 3 Care Management8 Care Coordination for Effective Long-term Condition Management 221Sue RandallIntroduction 221Population contexts in England, Scotland, Wales and Northern Ireland in relation to LTCs 222Care coordination 224Frameworks of care delivery 233Service delivery models 237Other ways of working which influence care coordination 251New ways of working 254Conclusion 256Acknowledgements 256References 257Resources 261Further reading 2629 Rehabilitation in Long-term Conditions 263Bernie Davies and Jo GallowayIntroduction 263Definitions and concepts of rehabilitation 263The role of rehabilitation in the context of managing LTCs 265Models and theories informing rehabilitation 268Teams and teamwork in rehabilitation 275The principles and process of rehabilitation for people with LTCs 280Outcome measures and evaluation 286Conclusion 290References 290Resources 293Further reading 29310 Palliative Care in Long-term Conditions: Pathways to Care 294Claire Whittle and Jill MainIntroduction 294What is palliative care? 294What is end of life care? 297Illness trajectories 297Family and carers 299Dying from LTCs 300End of life symptoms and management of symptoms 304Policies 305Models of care 306Spirituality 313Conclusion 314References 314Resources 317Further reading 317Index 319