New Article January 2020

Kevin Doughty, Gareth Williams and Jan Costa

University of Cumbria; T-Cubed Ltd.; Betsi Cadwaladr University Health Board
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Health and Social Care systems are under intense pressure across the developed world. It is partly the result of ageing populations who are more prone to ill-health and disability; it is also due to an increasing expectation that individuals should have access to new therapeutic and surgical procedures offered or delivered using expensive human, pharmaceutical and/or technical resources. The result is that more people are surviving life-threatening illnesses such as cancer, stroke and heart disease, but also living with long term conditions such as diabetes, kidney disease, depression and chronic obstructive pulmonary disease.
It is often the skills of the surgeons, physicians and nurses that enable people to overcome the immediate impact of disease and ill-health; but it is likely to be the expertise of allied professionals, and the on-going support of families, friends, communities and primary care teams, that help them to recover, and thereafter to restore much of their previous function and quality of life. The ultimate objective, or goal, is to enable people to be able to perform and take responsibility for their own care i.e. self-care, and to manage each of the 8 domains shown…..

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