Advanced Patient Navigation Certificate - Lesson 5: Stigma and Chronicity

Please watch the following recorded lecture, video, and respond to the discussion question below.

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Multiple Chronic Conditions: A Day in the Life


Think back to your patient/client population. What are the challenges they face?

Instructions: You must post your responses in the comments section below before the next live lesson. The instructor will review your comments and have a debrief discussion at the start of the next live session. The comments section will not be moderated otherwise.

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6 comments on “Advanced Patient Navigation Certificate - Lesson 5: Stigma and Chronicity

  1. Some of the barriers in LTC are transportation, mobility and basic day to day routines. Having to set up a ride to get to their appointments is not always easy. Being able to get groceries and cook for themselves can be a challenge. Medication is often difficult form them to organize so that they know which medication they should take a what time of the day. Dealing with loneliness and depression is a real issue, not having human interaction o a regular basis. Some may not have families that can fill the gap and support their needs. They feel anxious about upcoming appointments.

  2. Some challenges in the client population in my area are
    Chronic health conditions, mental health, addictions, financial issues, and drastic life changes.
    These challenges affect patient care drastically. Sometimes with homeless patients we loss touch with them and unfortunately never see them again even though they have been diagnosed with a chronic illness and need on going care.

  3. As Jannick already stated, our client population's challenges faced include: health literacy for management and secondary prevention, concurrent chronic health conditions, mental health (anxiety, depression, grief), transportation, access to care (either not enough, or too many things which feels overwhelming), financial concerns/lack of eligibility, inequity in social system program availability, lack of self-advocacy experience/confidence, and return to work process understanding.

    We are also working to offer supports and service/program navigation to caregivers. Often we are trying to be flexible to accommodate their schedules, needs, values, own chronic conditions, financial concerns, mental health, etc. in addition to the person who has experienced the stroke.

    New Brunswick is also unique in being the only official bilingual province in Canada. Meaning when coordinating services and supports on our end, we work with two different health authorities and create connections/stakeholder relationships and do outreach to two different organizations for health. This can also add access issues in receiving proper care in your language of choice.

  4. The challenges of the clients that I support include...
    -care coordination between appointments and various health care providers
    -transportation - limited/availability - some are not able to drive - strain on families
    - dependency on friends and family
    -functional / physical - falls, mobility concerns
    -health literacy - knowledge of available resources and understanding their health condition/s
    -health management - diet, exercise, sleep etc.
    -psycho - social challenges - anxiety, depression, coping skills

  5. As mentioned in Lesson 5, Stigma as well as labelling an individual can have dire consequences in that person receiving the appropriate health care needed to manage their illness. Whether it be a senior or an adult living with mental health concerns, most patients in one way or another face various challenges throughout their journey. Challenges can be something relatively simple to fix like having an expired health card or needing an accessible parking permit to the more complex like an isolated senior with dementia in need of ACP and SDM/POA decisions or an individual suffering from mental health concerns who does not have the resources to get and manage his/her medication needs. The list of possible challenges in my opinion is long unfortunately.

  6. With my client population some of the challenges that come up include: education/health literacy, other comorbidities/chronic health conditions, mental health, social supports/psychosocial issues, functional abilities, transportation, access to care, advocacy, financial, and return to work.

    Most clients come to us after a stroke with pre-existing challenges that are only accentuated after having had a stroke which makes it hard for our clients. For some this will increase feelings of isolation, depression and mental health issues. For others they are left feeling overwhelmed, stressed about finances or returning to work to provide for their families. It is important to consider the whole person and to understand their current reality and the complexities and challenges that they are living with.

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