Working with people living with complex health needs is an everyday part of the nursing role. It requires an understanding of different conditions and co-morbidities, of the health and social care services available to manage them and of the influence of societal and political factors. This book joins the dots between the biological, social, and psychological drivers that add complexity to care. From knowledge of key concepts like polypharmacy and the social and political determinants of health, to practical skills in assessment and shared decision making, this book will provide you with a holistic understanding of complex care.

Key features
• Mapped to the 2018 NMC Standards of Proficiency
• Includes new discussions of trauma informed care and cultural competence. 
• Case studies – including insights from experts by experience – explore what complexity means in action, encouraging you to reflect on what you’ve learned, draw on your own experiences and apply your knowledge to practice
• Covers all four fields of nursing in primary and secondary settings, as well as the voluntary sector

As a specialist nurse in Parkinson’s, with experience with older people in complex care situations, Sally-Anne lectures on Long-Term Conditions and Complex Care at the University of Gloucestershire.  Her experience of working in a Chronic Care team in Australia allows her to bring a unique perspective to writing. Nikki joined the team at the University of Gloucestershire at the start of the academic year of 2019. Previously, she had worked for a number of years as a lecturer in a London University where she taught predominantly third year BSc students the module ‘Leading Care for Complex Patients’. The module involved developing the students’ knowledge and skills and in turn, learning to apply this in caring for complex care patients.  Nikki am privileged to say that she is a neonatal intensive care nurse and engages with the role on a regular basis; she thoroughly enjoy the exact and precise nature of caring for patients who are so small and providing support to their families. Nikki has been a member of the Bereavement Team offering support and advice to patients’ families in the most difficult situations, as well as to professional colleagues. This developed her interest in ergonomics which she have researched throughout her MSC studies. Nikki is passionate about being involved in the provision of excellent education to the future healthcare professional.