The Textbook of Non-Medical Prescribing

Description

• An easy-to-read, comprehensive overview of the essential knowledge, key issues and skills relevant to non-medical prescribing
• Includes legal and ethical issues, key information on pharmacology, clinical skills, therapeutics and medicines management, and prescribing for specific groups
• Supported by a range of activities and case studies to root material in a real-life context
• Companion website at www.wiley.com/go/nuttall with a range of further self-assessment questions, quizzes, numeracy exercises, case studies and weblinks.

Table of Contents

Notes on Contributors
Acknowledgements
About the companion website
Introduction
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