Nurse Prescribing Essay

2149 Words Nov 10th, 2011 9 Pages
The aim of this assignment is to demonstrate the use of safe and effective prescribing in practice. I will achieve this by presenting and analysing a prescribing scenario which I have encountered in my current area of practice within a District Nursing Team.
During the case study the patient I have chosen will be referred to as Jean. This is to maintain her anonymity in line with the Nursing and Midwifery Council (2008) guidelines of confidentiality.
I feel it is important for the purpose of my scenario to acknowledge the new skills which I have acquired whilst undertaking the V150 and explain the background to Nurse Prescribing.
The Cumberledge Report (DHSS, 1986) made the initial recommendations for nurses to
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She told me this was effective and I discussed with her that she should not exceed 4g of
Paracetamol in any 24 hour period (NPF 2009-2001).

She informed me she was already aware of this. Jean had no known allergies or previous adverse reactions to medicines, dressings or adhesives and was not taking any other prescribed or over the counter medication or alternative therapies.
We also discussed Jeans nutritional intake. I explained to Jean the importance of a balanced diet as optimal wound healing requires adequate nutrition. Deficiencies in a persons diet can impede progression through the normal stages of wound healing.
Malnutrition has also been related to an increase in infection rates.
Jean understood this and assured me she would take this in to account to enable the healing process. Jean went on to explain that the injury was caused when somebody ran into her leg with a supermarket trolley. She had initially applied a dry dressing but attended her GP’s when the wound became wet and painful. The
Practice Nurse at the GP’s surgery had administered a tetanus booster injection as Jean could not remember when she had one last and the trolley had appeared to be rusty.
I undertook a full wound assessment which showed a wound 3cm by
3.5cm to the left calf area. The wound bed was 70% yellow sloughy fibrous tissue and 20% granulation tissue. There was