title: Managing long-term conditions in primary and community care.
abstract: Health care policy in the UK continues to focus on provision of care in the community. For people with long-term conditions it has long been accepted that care should be predominantly in the primary and community care setting, with a focus on case management for those with complex needs. Community nurses are ideally placed to provide care to all people with long-term conditions, from health promotion, prevention and encouraging self-care to caring for people with more complex needs, comorbidities and end-of-life care. Community nurses are an essential element of the multidisciplinary team and should take the lead in delivering complex care at home to people with long-term conditions, while maintaining a focus on developing self-care, empowerment, community engagement and acting as an advocate for clients and their carers.
authors.affiliation: Senior Lecturer/Director of the Wales Centre for Evidence Based Care, School of Healthcare Sciences, Cardiff University.
authors.forename: Judith
authors.initials: J
authors.lastname: Carrier
authors.affiliation: Lecturer/Senior Admissions Tutor, School of Healthcare Sciences, Cardiff University.
authors.forename: Gina
authors.initials: G
authors.lastname: Newbury
mesh_terms: D002908:Chronic Disease / Q000453:epidemiology / Q000451:nursing*; D003152:Community Health Nursing; D019468:Disease Management; D006801:Humans; D024802:Nurse's Role; D015995:Prevalence; D011320:Primary Health Care; D006113:United Kingdom / Q000453:epidemiology
keywords: chronic illness; community care; community nurse; district nurse; long-term conditions; primary care