I will achieve this by presenting and analysing a prescribing scenario which I have encountered in my current area of practice within a District Nursing Team.
Get Full Essay Get access to this section to get all help you need with your essay and educational issues. Get Access Prescribing Case Study Essay Sample As my learning needs and areas of development have been identified within my portfolio, the following case study will focus on the assessment and prescribing process for a 64 year old lady with a history of venous leg ulcers.
The identified patient, who will be known as Jane to maintain confidentiality NMC, was chosen due to the high number of patients who have venous leg ulcers that are nursed by community teams.
Venous leg ulcers are costly to treat, and respond best to early diagnosis and treatment McKenzie, Patients often find leg ulcers painful, embarrassing and they have Nurse prescribing essays negative impact on their own body image Parker, Rationale When having my yearly appraisal I identified that I wanted to undertake Nurse prescribing essays non-medical prescribing course as I felt this would enhance my nursing practice and provide better continuity of care to patients that I was caring for.
I find it very frustrating when trying to obtain the correct dressings for patients and often find myself waiting outside the GP office to obtain a prescription which is not an effective use of time. Undertaking further training to expand the nurse role can improve patient care by being able to access items required in a much more cost and time effective way Dekkar et al.
However Bryant suggests that this can be a daunting experience for the nurse when faced with taking on the sole responsibility for the treatment of the patient and this can prove to be a deterrent to some nurses when offered the opportunity to study for this role.
Non-medical prescribing improves access to services, extends patient choice, reduces hospital admissions and generally improves the quality of patient care Department of Health, a. Non-medical prescribing will enable greater patient choice and satisfaction in their care Department of Health, Nurses are able to prescribe under the Medicines Act and Medicinal Products: Prescriptions by Nurses Actin the last few years there have been policy drivers from the Department of Health to encourage and support nurses to expand their roles to improve patient care.
Care in the community setting has been encouraged to provide effective care in the home and assist patients to avoid hospital admissions when possible, Department of Health a suggests that nurse prescribing is a valuable resource within the community health care setting.
The white paper Our Health, Our Care, Our Say Department of Health, b described a new direction for community services focusing on more effective links between health and social care services, moving essential services to enable the patient better access to them.
With the population aging and more services needed within the community setting, district nursing teams have to evolve to meet the needs of their patients Department of Health, and nurse prescribing is a part of this change.
The Framework used for this case study will be the Seven Principles of Good Prescribing which assists the nurse to ensure that their prescribing is evidence based, cost effective and appropriate.
This framework uses a seven step model to assist the nurse through this complex process. Examine the needs of the patient Effective history taking is an essential component of the assessment process and is vital to ensure safe practice and for the prescribing process Young et al, The Nursing and Midwifery Council state that nurse prescribers are accountable for decisions in regards to prescribing practice NMC, even if the nurse chooses not to prescribe.
Nurses are taught to assess patients using a model based on the activities of daily living to assist in the nursing process and to plan the care needed for that patient Cray, The model I prefer to use is Neighbour as I find it fits well with the Seven Principles of Good Prescribingthe model has a five point check list for the consultation process which are: Connecting — discussing with the patient the nature of the problem Summarising — feedback to the patient, ensuring information is accurate so no misunderstandings take place Handing over — form and discuss management plan, ensuring patient understands what has been agreed on Safety-netting — further follow up, referrals and investigations Housekeeping — writing up clinical notes and dictating referral letters Jane is a 64 year old lady who lives with her husband and they enjoy a reasonably active social life.
She has been retired for 4 years from her employment as a primary school teacher and although she had not been very physically active since retirement she has recently commenced golf lessons. Jane is known to the district nurses as she has had a history of venous leg ulcers for the past 3 years and attends the district nursing leg ulcer clinic on a weekly basis.
The patient should be thoroughly assessed by the nurse, taking a complete clinical and medication history, before a decision is made Young et al, After this assessment the nurse should only prescribe if they are practising within their own area of competence and if not then the nurse has a responsibility to refer the patient to a health professional who is competent in that area NMC, By using the Neighbour model I was able to clinically assess Jane and formulate a plan of care.
Connecting- I discussed the reason for the visit with Jane, took past medical history, medication currently being taken including herbal remedies and over the counter medicines, any allergies known.
Handing over — I formed a management plan which included further assessment and confirmed this with Jane.Introduction. The following assignment will discuss and analyse a prescribing episode, within practice, furthermore will outline safe prescribing from the Nurse Prescribing Formulary (NPF, ).To be able to analyse and reflect on my new role as Community Practitioner Nurse Prescriber (CPNP) I will use Gibbs () reflective .
Professional Issue: Registered Nurses Prescribing Medications Esther Amanfi Laurentian University Descriptive Précis The Premier of Ontario Kathleen Wynne announced in a press conference that she would expand the registered nurse (RN) scope of practice in Ontario to include prescribing medication and the nurse practitioner scope of practice to include ordering CT scans and X-Rays (Campbell, .
Nurse prescribing is a fairly new initiative but one which is developing to meet the current climate of changing health care needs of the population. Popular Essays The barber's Trade union Summary.
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Essay writing mechanics review locavorism essay short essay about . Independent prescribing is defined as “prescribing by a practitioner (e.g. doctor, dentist, nurse, pharmacist) responsible and accountable for the assessment of patients with undiagnosed and diagnosed conditions and for decisions about the clinical management required, including prescribing” (DH, p2).
Nursing and Midwifery Council () Standards of proficiency for nurse and midwife prescribers. London, NMC. National Prescribing Centre () Signposts for prescribing nurses-general principles of good prescribing.
London, Prescribing Nurse Bulletin. Nurse Prescribers Formulary () London, BMJ Group and RPS.