The new catalogue of chronic conditions introduced by the AIHW is represented by COPD, endometriosis and dementia due to their increasing burden on people and the healthcare system (AIHW, 2024). These disorders result in long-term disability and costly management, and also affect the quality of life is highly affected, and for this reason, it is recommended to make an effort to include them in the national health agendas on a strategic basis.
2. Nurses can assist families in a palliative care environment at home by providing culturally sensitive emotional support, contacting respite services and specialist services, and discussing advanced care planning (Becqué et al., 2021). Such artistic interventions as the use of memory boxes, music therapy, or legacy letters help families in bereavement and bond.
3. Since chronic disease is very common in Australia, nurses are in a central position to prevent and manage it. They offer early learning, symptom observation, self-management support and inter-health services communication (Field, 2023). Their convenience and their comprehensive patient-centred care approach minimise emergency presentations and give patients the power to have control over their health.
4. In the case of Peter, collaborative goal-setting can be based on motivational interviewing. A nurse could enquire about his values, such as time with his grandchildren, and refer to them when making healthier decisions, such as drinking less alcohol or taking better care of wounds. This is a person-centred approach that makes sure that goals are realistic, respectful and partnership-based with trust.
5. In the case of Jane, empowerment would entail guiding her in making time-saving, healthy meals. Through partnership, we would develop some loose goals following her habit. Autonomy would be facilitated by self-management measures such as keeping a food diary or including walking activities during working hours (Sallay et al., 2021). This also commends beneficence and non-maleficence since it is concerned more with her well-being and not causing harm.
References
AIHW. (2024). Chronic Conditions. Australian Institute of Health and Welfare. https://www.aihw.gov.au/reports/australias-health/chronic-conditions
Becqué, Y. N., Rietjens, J. A. C., van der Heide, A., & Witkamp, E. (2021). How nurses support family caregivers in the complex context of end-of-life home care: A qualitative study. BMC Palliative Care, 20(1). https://doi.org/10.1186/s12904-021-00854-8
Field, P. E. (2023). How can access to cardiac rehabilitation in rural and remote areas of North Queensland be improved? Jcu.edu.au. https://doi.org/10.25903/q56x-d441
Sallay, V., Klinovszky, A., Csuka, S. I., Buzás, N., & Papp-Zipernovszky, O. (2021). Striving for autonomy in everyday diabetes self-management—qualitative exploration via grounded theory approach. BMJ Open, 11(12), e058885. https://doi.org/10.1136/bmjopen-2021-058885
