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More About This Title The Textbook of Non-Medical Prescribing 2e
English
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. 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. 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 – public health, social and cultural issues, prescribing principles, and continuing professional development – 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:
- Accessible and study-friendly
- Each chapter has learning objectives and activities to support a deeper understanding of the theoretical knowledge base and its application to practice
- Case studies linking the topics to real-life scenarios
- 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.
English
ABOUT THE EDITIORSDilyse Nuttall is Divisional Leader and Principal Lecturer in the School of Health at the University of Central Lancashire, UK, where she is Divisional Lead for the Family, Community & Public Health Division.
Jane Rutt-Howard is Senior Lecturer in the School of Health at the University of Central Lancashire, where she is Course Leader for both Postgraduate Certificate in Enhanced Clinical Practice and BSc (Hons) Nurse Practitioner programmes.
English
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
