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Commentary on: Hua Y, Lu H, Dai J, et al. Self-management challenges and support needs among patients with primary glaucoma: a qualitative study. BMC nursing. 2023 Nov 14;22(1):426.
Healthcare professionals should provide personalised and comprehensive support, addressing the medical, emotional and social challenges faced by patients with primary glaucoma. Further research is needed to explore the effectiveness of tailored self-management support programmes in improving the quality of life and treatment outcomes for patients with glaucoma.
Glaucoma is a chronic disease characterised by progressive visual field defects. It is the most common cause of irreversible blindness and is associated with a decrease in quality of life.
Commentary on: Ali MR, Lam CSP, Strömberg A, et al. Symptoms and signs in patients with heart failure: association with 3-month hospitalisation and mortality. Heart. 2023 Dec 1. doi: 10.1136/heartjnl-2023-323295.
Implications for practice and research In primary care consultations, symptoms reported by patients with heart failure (HF) could be valuable in identifying patients at risk of hospitalisation or death. Further research needs to investigate how best can support patients to monitor and report symptoms and test new patient-centred prognostic models including HF signs and symptoms.
Hospitalisation in patients with HF is associated with impaired quality of life, increased mortality and excessive medical costs.
Commentary on: Chen S, Marshall T, Jackson C, et al. Sociodemographic characteristics and longitudinal progression of multimorbidity: A multistate modelling analysis of a large primary care records dataset in England. PLoS Med 2023;20(11): e1004310. doi: 10.1371/journal.pmed.1004310
Collecting data about different physiological, psychological and sociodemographic factors is crucial to better understand the progression of multimorbidity, rather than single disease-oriented approaches. Factors that influence the development of multimorbidity seem to precede a subject’s engagement with health services, thus the implementation of preventive strategies should take place early in the disease trajectory, aiming to reduce inequalities between groups with diverse socioeconomic backgrounds and ethnicities.
Multimorbidity is the concomitant presence of ≥2 long-term chronic health conditions in a subject, it is increasingly prevalent with the ageing process and leads to poor health outcomes.
Commentary on: Feeling like I’m failing a test, parents’ and adolescents’ opinions of diabetes clinic appointments.
Implications for practice and research Developing communication skills is essential for healthcare professionals to enhance practice and avoid alienating adolescent patients. Further research should be completed with patients who disengage from the clinic to understand how to best improve services and health outcomes.
Diabetes is a long-term health condition that requires continuous high-intensity self-management to prevent complications. This can be challenging for teenagers striving for independence and developing a sense of self. Maintaining engagement with adolescents with diabetes has favourable outcomes. Coyne et al
Commentary on: Yeji Hwang, Miranda V. McPhillips, Liming Huang, G. Adriana Perez and Nancy A. Hodgson, Better caregiver mastery is associated with less anxiety in individuals with cognitive impairment, BMC Nursing. 2023; 22:307.
Implications for practice and research Anxiety is one of the common neuropsychiatric symptoms (NPs) in individuals with cognitive impairment. Considering the fluctuating and variable course of NPs in dementia, studies with longer follow-up periods are required to understand the relationship between caregiver mastery and anxiety in patients with dementia. Dementia, an umbrella condition, encompasses various neurogenerative diseases that can cause behavioural problems, movement problems, autonomic dysfunction, gait and balance problems, as well as cognitive impairment. Hence, it is important to develop caregiver skills with different strategies for each type of dementia.
As the population ages, the prevalence of dementia has increased.
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