Independent Prescribing Case Study

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Case Study for Independent Prescribing There are many definitions of Independent prescribing, the Department of Health (2006 para 7 & 8)) working definition is: ‘Independent prescribing is prescribing by a practitioner (e.g. doctor, dentist, nurse, and pharmacist) responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and for decisions about the clinical management required, including prescribing. In partnership with the patient, independent prescribing is one element of the clinical management of a patient. It requires an initial assessment, interpretation of that assessment, a decision on safe and appropriate therapy, and a process for ongoing management. The independent prescriber is…show more content…
For nurses extending their role to include prescribing there is much to consider. Revelay (1999) states that, accountability involves an individual giving an account of their actions with the rationale and explanation given for these actions. The decisions regarding boundaries of practice are firmly placed in the hands of the individual practitioner (Carlisle 1992). Accountability means being able to justify any actions and accepting responsibility for them, and is an integral part of nursing practice (Rowe 2000) The NMC Code of Professional Conduct (2004) states that a nurse is personally accountable for her practice, has a duty of care to patients and must work within the laws of the country. Examine the Holistic needs of the patient To enable me to comprehensively assess Betty I decided it would be appropriate to use a structured approach to the consultation including history taking and physical examination (Bickley 2004). There a various consultation models, the use of the mnemonic framework PQRST (Atkinson 1993) used for describing pain can be adapted for most physical examinations within a consultation. P Proactive/Palliation Q Quality R Radiation S Severity T Temporal/Timing Although this framework was used the consultation was essentially based around the well documented and established Calgary-Cambridge model of communication (Silverman et al 2005), which consists of five distinct areas: 1. Initiating the session *
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