The assignment will be a written case study of 2000 words to identify the implications of a Type 1 diabetes-Long Term condition on a patient s life journey and wellbeing.

Choose a patient in practice with a Long Term condition-Type 1 diabetes.
Consider the holistic implications on their life:
.Physical, psychological, social, sexual, spiritual etc
Consider the sense of wellbeing and the total lived experience.
150 words:
Set the scene for the reader, identify patient (acknowledge confidentiality). Why is the LTC of importance? Vital stats. What is your aim?
E.g Type 1 diabetes accounts for almost 57000 death each year in the under 75 s according to the Department of Health (2008) and this group of patients are the most intensive users of high cost services.

Background to LTC-Type 1 diabetes
250 words:
brief introduction to the patient and their LTC
Discuss the pathophysiology of the condition. If you are going to discuss a disabling aspect of the condition it may be worth explaining the link to pathophysiology here.

Case study
1250 words:
Identify the impact the LTC-Type 1 diabetes has on the patient from a holistic perspective.
The focus doesn t have to be negative you can discuss some positive coping strategies/behaviours.
There should be some reference to national initiatives and policy relating to you chosen LTC and linked to the care they are receiving.
Discuss the carer s involvement in the patients journey.
Consider what life is like for your patient.

350 words: Summarise your key points and the main implications on the patient s life and wellbeing.
Don t introduce anything new here.
Conclude on your main findings
Keep it brief

Illustrative Bibliography:
DoH (2005) The National Service Framework for Long Term Conditions. Available from:

DoH (2006) Supporting people with long term conditions to self care: A guide to developing local strategies and good practice. Available from:

DoH (2008) Raising the profile of Long Term Conditions: A Compendium of Information. Available from:

DoH (2008) High Quality Care for All: NHS next stage review Final Report. Available from:

Dougherty, L. and Lister, S. (2008) The Royal Marsden Hospital manual of clinical nursing procedures. 6th edn. Oxford: Blackwell Publishing.
Mackey, H. Nancarrow, S. (eds) (2006) Enabling Independence: A Guide for Rehabilitation Workers. Oxford: Blackwell Publishing.
Margereson, C. and Trenoweth, S. (eds.) (2010) Developing holistic care for long-term conditions. Oxon: Routledge.
Sharkey, P. (2006) The essentials of community care. Basingstoke: Palgrave.
Marieb, E, N. (2009) Essentials of Human Anatomy and Physiology. 9th Ed. San Francisco: Pearson Education Ltd.
Muncey, T. and Parker, A. (2002) Chronic disease management: A practical guide. Basingstoke: Palgrave.
Rushforth, H. (2009) Assessment: made incredibly easy! London: Lippincott Williams and Wilkins.

British Journal of Nursing
British Journal of Occupational Therapy
British Medical Journal
Community Nursing
Disability and Rehabilitation
Journal of Adult Protection
Journal of Chronic Illness
Journal Community Nursing
Journal of Interprofessional Care
Primary Health Care
Independent Nurse
International Journal of Therapy and Rehabilitation
International Journal of Palliative Nursing
Journal of Advanced Nursing
Journal of Pain and Symptom Management
Palliative Medicine
Journal of Health and Social Care
Journal of Integrated Care

Web sites
Department of Health
National Institute for Health and Clinical Excellence

Kent County Council

Expert Patient Programme
National Institute of Health and Clinical Excellence
NHS Choices

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