According to Dr Michael Dixon chair of the NHS alliance, Medicines management services are the processes for designing, implementing, delivering and monitoring patient-focused care, based on need, and include all aspects of supply and therapeutic use of medicines within healthcare settings. It can also lead to organisational issues such as, unmet targets, inappropriate allocation of resources, inefficient services, and risk.
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 a negative impact on their own body image Parker, Rationale When having my yearly appraisal I identified that I wanted to undertake the 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.Self-reflection and reflection upon events that happened within a work environment are important for individuals within the nursing profession (Paget, ).
Reflection allows medical professionals to challenge and develop their existing knowledge, maximising the opportunity for learning and to avoid mistakes that may have been made in the past (Royal College of Nursing, ).
Although nurse prescribing has been taught for a number of years and that the literature suggests that patients are comfortable with this, in my own practice I have found that a few patients view it as a novelty.
The focus on prescribing within nursing profession was first brought into discussion by Royal College of Nursing (RCN) in but has proven to be cornerstone after was part of the government agenda as a result of Cumberlege report in This report outlined the need for nurse to become a prescriber especially in community settings to provide .
May 19, · How to Write a Reflective Essay With Sample Essays.
Updated on August 17, Doctors can use reflective essays to fine-tune their ability to provide effective health care in a caring manner that makes patients not only believe them, but also follow their advice. They can reflect on how well their body language, words, and Reviews: 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.
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