Nurse Prescribing V150 a Case Study

4596 Words Jan 27th, 2012 19 Pages
UNIVERSITY OF THE WEST OF SCOTLAND

NURSE PRESCRIBING V150

CASE STUDY

COURSE: NURS09125

BANNER NUMBER: B00113677

DATE OF SUBMISSION
13/12/10

COURSE LEADER

FRANCES DOWNER

WORD COUNT: 3745

CONTENTS PAGE

1. INTRODUCTION & GENERAL OVERVIEW, Pgs3-4.

2. ASSESSMENT PROCESS, Pgs 5-8

3. TREATMENT OPTIONS, Pgs 9-12.

4. EVALUATION, Pgs 13-16

5. CONCLUSION. Pg 17

6. COPY OF PRESCRIPTION, Pg 18

7. REFERENCE SECTION, Pgs 19-23

8. BIBLIOGRAPHY, Pg 24.

INTRODUCTION

In the following case study, the author will discuss the issues surrounding a seventy-year-old female with a chronic neuropathic ulcer on the sole of her right foot and the rationale and implications of
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The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

ASSESSMENT

The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.

Mrs X’s current drug regime included, Rosuvastatin 10mg nightly, Perindopril 4mg daily, Amitriptyline 50 mg nightly and Co-codamol 30/500 2 tablets every 4-6 hours for pain. Further questioning confirmed that there were no herbal
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