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The Textbook of Non-Medical Prescribing. Edition No. 3

  • ID: 5225504
  • Book
  • November 2019
  • 360 Pages
  • John Wiley and Sons Ltd

The Textbook of Non-Medical Prescribing is an authoritative and accessible overview of the vital skills, contemporary issues and essential knowledge relevant to both students and healthcare practitioners. Written as a response to the growing emphasis placed on prescribing in the modern health service, this text provides up-to-date information on safe and effective prescribing. This wide-ranging book helps students and trainees develop foundational knowledge of the key areas and prescribing competencies and provides healthcare professionals with a continued source of current information.

Now in its third edition, this text has been fully updated and revised to reflect changes in legislation, current practices and new guidelines. New and updated topics include independent prescribing for therapeutic radiologists, supplementary prescribing for dietitians, paramedics working in advanced roles to independently prescribe and the Royal Pharmaceutical Society's Competency Framework for all Prescribers.

  • Provides up-to-date information essential to safe and effective prescribing in a clear, easy-to-understand style
  • Discusses current issues and practices in pharmacology, prescribing and therapeutics and medicine management
  • Links to the Royal Pharmaceutical Society's Competency Framework for all Prescribers for non-medical prescribers
  • Presents learning objectives, key theme summaries, activities and numerous case studies
  • Offers access to additional online resources including interactive exercises, quizzes, self-assessment tests and web links

The Textbook of Non-Medical Prescribing is an essential resource for students, nurses, dieticians, pharmacists, and allied health practitioners pursuing a prescribing qualification or looking for an updated refresher on the subject.

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Acknowledgements xiii

Notes on Contributors xiv

About the Companion Website xvi

Introduction xvii
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

Attitude shifts 3

Non‐medical prescribing, medical prescribing or prescribing 5

Changes in clinical practice 6

The role of non‐medical prescribing 6

Compassion in practice, the 6 Cs and leading change 7

The economic context 7

The private sector 8

The public health context 9

UK public health policy 9

Need and expectations 10

Differentiating between prescribers 11

Independent prescribing 11

Assessment 12

Supplementary prescribing 14

Nurse non‐medical prescribers 19

Pharmacist non‐medical prescribers 22

Allied health professional non‐medical prescribers 23

PGDs 26

Access to education programmes 28

Summary of the context of prescribing 28

References 30

2 Professional, Legal, and Ethical Issues in Prescribing Practice 35
Ruth Broadhead

Part 1: Professional issues 36

Part 2: Legal issues 48

Part 3: Ethical issues 80

Conclusion 86

Table of cases 87

References 87

Acts and statutory instruments 91

3 Factors Influencing Prescribing 93
Georgina Louise Ritchie and Val Lawrenson

The prescriber 93

The patient 101

The product 107

References 114

4 The Consultation Umbrella Supporting Effective Consultations 117
Jane Rutt‐Howard

Presenting the consultation umbrella 118

The value of therapeutic communication 119

Consultation models in context 126

The consultation umbrella – a consultation model 130

Clinical decision‐making 141

Conclusion 147

References 148

5 Essential Pharmacology for Non‐medical Prescribers 152
Janice Davies

Pharmacology as part of prescribing practice 153

Example of potential pharmacokinetic impact on patient care 153

Example of potential pharmacodynamic impact on patient care 154

Brief introduction to pharmacological terms 154

Guide through processes to build and develop one’s own formulary, with examples 167

BNF: practise using this essential resource 169

Prescribing in co‐morbidity 170

Management and avoidance of drug interactions 172

Management and avoidance of ADRs 174

Drugs with a narrow therapeutic index or range 178

Other resources to support your learning 180

References 181

6 The Multidisciplinary Prescribing Team 183
Dawn Eccleston

Defining ‘the multidisciplinary prescribing team’ 183

Confusion in terminology 184

The drivers in multidisciplinary team working 184

The benefits to prescribing within a team 185

Models for the multidisciplinary approach 185

Putting the ‘P’ in MDT 188

Understanding roles 188

Pharmacists 188

Nurse and midwife prescribers 189

Allied health professionals 190

Physiotherapists 191

Radiographers 191

Optometrists 192

Podiatrists 193

Dietitians (Nutritionists) 194

Paramedics 194

Non‐medical prescribing lead 195

The multidisciplinary non‐medical prescribing team 195

Benefits to patients and clients 196

Commissioning and the MDPT 198

Problems with multidisciplinary team working! 199

Education and learning 201

Conclusion 201

References 204

7 Clinical Skills 207
Jane Rutt‐Howard and Kathryn Smyth

Holistic assessment and initial impressions 208

The national early warning score 209

Vital signs 211

Clinical examination 222

Examination of body systems 228

Conclusion 231

References 235

8 Prescribing for Specific Groups 238
Janice Davies and Dilyse Nuttall

Introduction 238

Prescribing in liver disease 238

Renal 244

Prescribing in pregnancy 248

Prescribing in breastfeeding 253

Prescribing for older people 255

Prescribing for children and young people 260

Other groups 266

References 270

9 Enhancing Non‐medical Prescribing Through Reflective Practice, Evidence‐based Prescribing and Continuing Professional Development 274
Janice Davies and Charlotte Smith

Introduction: non‐medical prescribing – a success story 274

What is reflective practice? 276

Evidence‐based prescribing practice 280

Medicines management and medicines optimisation 282

Medication review 286

Polypharmacy 288

Medicines at the interface 291

Medicines reconciliation 292

Building concordance 293

Continuing professional development 296

Numeracy and NMP 299

NMP: into the future 299

References 303

Patient Case Studies 309

Case study 1: Harold 309

Case study 2: Barbara 310

Case study 3: Meihui 310

Case study 4: Julie 311

Case study 5: Annette 311

Case study 6: Yasmin 311

Case study 7: Amy 312

Case study 8: Louis 312

Case study 9: Viktor (with clinical management plan) 312

Case study 10: Joanne 314

Case study 11: Mrs Elliott 314

Case study 12: Miss Richards 314

Health Professional Case Studies 315

Case study A: Debbie 315

Case study B: Mark 316

Case study C: Sabina 316

Case study D: Farhad 317

Case study E: David 317

Case study F: Andrew 318

Case study G: Andrea 318

Case study H: Lisa 318

Case study I: Christine 319

Case study J: Simon and Janice 319

Case study K: Lucja 319

Case study L: Katy 320

Case study M: Emyr 320

Index 321 

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Jane Rutt-Howard University of Central Lancashire.

Dilyse Nuttall University of Central Lancashire.
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