Independent prescribers include doctors, dentists and nurses. I choose Neighbour model for consistency and easy to apply in any circumstances moreover stand as a journey establishing relations with the client through empathy and in the same time identify the need for balance between practitioner prescriber and client Tate, In the same time final part of Neighbours consultation model refers to Housekeeping and this stands as another stage that give me the opportunity to reflect on my prescribing decision and consultation. Pg 17 6. Record Keeping Following guidance of the Nursing and Midwifery Council NMC, it is practitioner accountability to ensure records are maintain accurately and prescription details it is recorded in the infant health record NPC,
This indicated to me that an infection could be imminent. It was also necessary to determine whether or not a prescription was needed, as this is not always the case NPC,
I undertook a full wound assessment which showed a wound 3cm by 3. International Wound Journal. Pg 17 6. If Jeans wound were not to heal within a six week period she would be referred to The Tissue Viability Team for a wound assessment as per local trust policy. How to cite this page Choose cite format:.
The disease causes changes in central neurotransmitter function especially the cholinergic system. This recommended that a certain nurses holding District Nurse or Health Visitor qualifications should be allowed to prescribe from a limited formulary. Pg 17 6. Mary has a diagnosis of Alzheimers Dementia and was presenting with increased confusion and according to her care givers Mary was a resident in a nursing home had been showing signs of depression and aggression over the last few months culminating in a series of aggressive outbursts which ended in a serious attack on a member of her care home staff.
Effective medicines management also frees up resources which means that NHS money can be used where it is most effective. Neighbour, R. One aspect that I found difficult was the environment ,at the time the baby clinic was busy and noisy and it was difficult to find a private area to conduct the consultation ,but such issues I could reflect on it for my future prescribing practice. Nursing and Midwifery Council The Code: Standards of conduct, performance and ethics for nurses and midwives. Nurse Prescribing 6 7 There was moderate haemoserous exudate present which Jean stated had increased over the past couple of days.
This was however still limited to those nurses with a specialist practitioner qualification.
Cutting et al suggested that the use of silver dressings should be determined by clinical need and discontinued if there are no positive results. The choice of primary dressing was aquacel AG, a silver containing hydrofiber with hydrocolloid fibres. Atopic dermatitis or eczema is a chronic skin disorder inflammatory with pruritic skin that appears mostly on the face ,neck ,bends of the arms or legs caused by the malfunction in the skin barrier NICE,
Furthermore Lisa confirmed that James did not have any allergies and was not on any medication. Going thru such topic area Lisa explain that her husband James dad was suffering with atopic eczema since childhood. The Consultation The purpose of the consultation model in prescribing practice is to assist nurses in identifying strategies to deliver a diagnoses and ultimately the appropriate prescription. Reconsidering prescribing authority to registered nurses will decrease wait times and improve the efficacy of the care provided and it reduces the cost of health-care delivery system in Canada as it is publicly funded. London, Quay Books.
They found that by the end of there were over 14, nurse prescribers, pharmacist and supplementary prescribers and many community nurse prescribers and allied health professional prescribers that had qualified to prescribe within their competence. In the changing atmosphere of health care, Fraser believes it will be nurses who play a major role in shaping future policy. Edwards suggest that using a holistic assessment it is very important when coming in contact with the client as the problem presented can have a drastic impact on the quality of life for child and the family. On reflection the case study has enabled me to appreciate the benefits of nurse prescribing to both the patient and the nurse.