Nursing in Practice May/June 2020 (issue 114) | Page 14

8 RESEARCH UPDATE
Personal prefer
for advanced c
Kathryn Waldegrave
recaps the fi ndings
of two studies: one
that explores the
experience of people
living with multiple
chronic conditions;
the other examines
intellectual disabilities
Kathryn
Waldegrave
is a lecturer
in community
nursing at the
University of
Leeds
Coping with MCCs: the
While multiple chronic cond
as hypertension, type 2 dia
back pain can affect all age
increases with age, and cu
coping mechanisms. Peop
longer, with multiple morbid
a need to explore how pati
variety of symptoms MCCs
A recent study explored
the rising number of Chines
with MCCs and looked at h
symptoms. Adopting a qua
approach, researchers iden
participants continued to liv
coping with MCCs, these c
impact on wellbeing. Four m
from the data: by ‘appraisin
demonstrated ‘sense-maki
how to deal with them. In ‘a
management’, participants
a desire to control symptom
a variety of strategies, eithe
medications or traditional C
As family support and netw
regard in Asian populations
referred to the need to limit
Palliative care plans fo
People who have intellectua
known to have more health
who do not. Improvements
mean these can now be tre
conditions, rather than brief
sudden death. As a result, m
are requiring palliative care.
area of care often fraught w
not always considered in po
when people with IDs have
communicative function, as
able to participate in advanc
(ACP) conversations or fully
A study in the Netherland
how ACP is undertaken wit
a mild to moderate ID by an
documentation of ACP in m
15 people at end of life, and
were newly deceased. Alon
interviews were conducted;
33 with healthcare professio
highlight the complexities o
IDs. Care planning conversa
the patient, usually as a res
nursinginpractice.com May/June 2020