Chronic Care Model Essay

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As nurses we will have to take care of several types of patients; some will be acutely ill while others will be chronically ill. This information is important for a nurse to decipher because the care one receives is different based off of their acute or chronic status. In order to do this the nurse will first have to learn the difference between acute and chronic care.

The first thing that comes to mind when I think of acute is emergent. These patients typically show signs and symptoms rapidly and need care immediately. These patients are also typically short-term and recover almost fully from their illness. When caring for this patient the nurse is constantly monitoring and caring for the patient for a short period of time until recovery
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This model offers a framework of six elements that should be considered during chronic care. The first element is having an organization, mechanism, and staff that promote safe and high quality care. The second element, delivery system design, suggest that the patient receives care and support in the best way for the patient. Self-Management support is the third element; this prepares patients to provide their own healthcare. A strategy for this could be helping the patient realize what they need to work on and help them set reasonable goals they can achieve at home. The next element is decision support; this emphasizes the importance of using your multidisciplinary team to help make the best decisions for your patients. The fifth element is clinical information systems. A strategy for using this is looking at prior documentation in the electronic records to see how your patient’s health is trending. This could show you what is staying steady and what needs to be improved and talked about with the patient. Lastly we have the community element. There are several different strategies a nurse could use for this element; the nurse could give the patient information about local support groups, exercise groups, educational programs or anything in the community that would benefit the patient. (Fiandt,

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