Long term condition Resources

In the final part of our Monitoring matters series, Callum Metcalfe-O’Shea, advanced nurse practitioner and UK professional lead for long-term conditions with the Royal College of Nursing (RCN), discusses lipid management. Again, the term long-term conditions covers type 2 diabetes, asthma/chronic obstructive pulmonary disease (COPD), autoimmune rheumatic diseases and inflammatory bowel diseases  (Crohn’s/colitis). Lipid management is ever evolving with new and emerging treatments available, and many both positive and difficult conversations often occur between general practice nurses (GPNs) and patients around this clinical issue. This article defines lipid management in the context of long-term conditions, highlighting assessment tools alongside treatments to help GPNs identify the
evidence needed to have discussions with patients around lipid management. Treatment options will be considered, but application to local formulary and policy is required.

Eczema, also known as dermatitis, is a very common skin condition. There are several different types of eczema, affecting people throughout their lifespan. General practice nurses (GPNs) will see children and adults with eczema regularly and they are well placed to assess, manage and support them. Eczema is a chronic conditon and can have devasting effects on quality of life and mental health. GPNs can play an important role in supporting patients with eczema and their families in understanding how to self-manage this long-term conditon and help with coping strategies. This article outlines eczema as a long-term condition and provides practical advice for GPNs on assessment and treatment in primary care. Psychological effects and intervention and referral guidelines for eczema are also discussed.