The Textbook of Non-Medical Prescribing is an easy-to-read, comprehensive overview of the essential knowledge, key issues and skills relevant to non-medical prescribing.a Now fully updated and linked to the National Prescribing Centre Single Competency Framework for non-medical prescribers, with activities to help you link your continuing professional development within the competences required as a prescriber.a This practical title remains an ideal resource for all qualified health professionals to practice safe and effective non-medical prescribing. The section edition is structured around four core themes O public health, social and cultural issues, prescribing principles, and continuing professional development O which are threaded throughout the text. It also includes additional material on the importance on continuing professional development in prescribing, as well as the history and context of non-medical prescribing; ethical, legal and professional issues; effective consultations; essential pharmacology; clinical skills; prescribing for specific groups; and the role of the multidisciplinary team. Key Features: O Accessible and study-friendly O Each chapter has learning objectives and activities to support a deeper understanding of the theoretical knowledge base and its application to practice O Case studies linking the topics to real-life scenarios O Companion website at www.wiley.com/go/nuttall with a range of self-assessment questions, quizzes, numeracy exercises, case studies and weblinks. The Textbook of Non-Medical Prescribing provides support to anyone studying for a prescribing qualification or looking for a refresher on the subject.
Notes on Contributors ix Acknowledgements xi About the companion website xii Introduction xiii Dilyse Nuttall and Jane Rutt-Howard 1 Prescribing in Context 1 Dilyse Nuttall The prescribing journey 1 Defining non-medical prescribing 2 The non-medical prescribing vision 3 Changes in clinical practice 6 The economic context 7 The private sector 8 The public health context 9 Need and expectations 10 Differentiating between prescribers 11 Nurse non-medical prescribers 19 Pharmacist non-medical prescribers 23 Allied health professional non-medical prescribers 24 Access to education programmes 27 Summary of the context of prescribing 29 References 31 2 Professional, Legal and Ethical Issues in Prescribing Practice 35 Ruth Broadhead Part 1: Professional issues 36 The regulatory framework for prescribing 36 Part 2: Legal issues 47 The UK legal system 47 Part 3: Ethical issues 77 Conclusion 82 Table of cases 84 References 84 Acts and statutory instruments 88 3 Factors Influencing Prescribing 89 Val Lawrenson The prescriber 89 The patient 96 The product 102 References 110 4 Effective Consultations and the Consultation Umbrella 113 Jane Rutt-Howard Presenting the consultation umbrella 114 The value of therapeutic communication 115 Consultation models in context 124 The consultation umbrella a consultation model 126 CDM 138 Conclusion 144 References 145 5 Essential Pharmacology: Therapeutics and Medicines Management for Non-medical Prescribers 148 Jane Alder, Alison Astles, Anne Bentley, Janice Davies, David Kelly and Samir Vohra Pharmacology as part of prescribing practice 149 Brief introduction to pharmacological terms 150 Guide through processes to build and develop one s own formulary, with examples 160 BNF: Practise using this essential resource 165 Prescribing in co-morbidity 165 Management and avoidance of drug interactions 167 Management and avoidance of adverse medicine reactions 169 Drugs with a narrow therapeutic index or range 174 Medicines management 177 Medicines optimisation 178 Other resources to support your learning 179 References 180 6 The Multidisciplinary Prescribing Team 183 Dawn Eccleston Defining the multidisciplinary prescribing team 183 The benefits to prescribing 185 Understanding roles 188 Non-medical prescribing lead 194 The multidisciplinary non-medical prescribing team 194 Commissioning and the MDPT 197 Education and learning 200 Conclusion 200 References 203 7 Clinical Skills 205 Jane Rutt-Howard Vital signs 206 Conscious level 206 Respiratory rate 207 Temperature 210 Pulse rate 211 Blood pressure 213 Additional vital signs 214 Clinical examination 216 Examination of body systems 218 Numeracy skills 232 Medication review 235 Conclusion 237 References 239 8 Prescribing for Specific Groups 241 Janice Davies and Dilyse Nuttall Prescribing in liver disease 241 Prescribing in renal disease 247 Prescribing in pregnancy 251 Prescribing for older people 257 Prescribing for children and young people 262 Other groups 268 References 272 9 Enhancing Non-medical Prescribing 277 Jean Taylor and Anne Lewis Current practice in prescribing 277 UK history of prescribing 278 Non-medical prescribing in other countries 280 The impact of prescribing 281 Issues emerging from the introduction of non-medical prescribing 284 Medicines management 298 Conclusion 298 References 300 Patient Case Studies 305 Case study 1: Harold 305 Case study 2: Barbara 306 Case study 3: Meihui 306 Case study 4: Julie 307 Case study 5: Annette 307 Case study 6: Yasmin 307 Case study 7: Amy 308 Case study 8: Louis 308 Case study 9: Viktor (with clinical management plan) 308 Health Professional Case Studies 310 Case study A: Debbie 310 Case study B: Mark 311 Case study C: Sabina 311 Case study D: Farhad 312 Case study E: David 312 Case study F: Andrew 313 Case study G: Andrea 313 Case study H: Lisa 313 Case study I: Christine 314 Case study J: Simon and Janice 314 Index 315
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