Non-medical Prescribing

Title page......Page 4
Copyright......Page 5
Contents......Page 6
Preface......Page 10
About the editors......Page 12
Contributors......Page 14
Introduction......Page 16
Competency......Page 18
Competency framework......Page 19
Reasons for measuring competence in healthcare......Page 20
Successful prescribing......Page 23
References......Page 25
Introduction......Page 27
The law relating to prescribing......Page 28
The Medicines Act 1968 and the Misuse of Drugs Act 1971......Page 29
Medicinal products and the licensing system......Page 30
The importance of a medicine being licensed......Page 31
Legislation covering the supply of medicines......Page 32
Controlled drugs (CDs)......Page 33
NHS regulations......Page 36
Who can prescribe what in non-medical prescribing?......Page 37
Legislation on other ways of supplying medicines......Page 38
Legislation on prescription writing......Page 40
Accountability and non-medical prescribers......Page 41
Clinical negligence......Page 42
Ethical aspects of non-medical prescribing......Page 43
Further reading......Page 45
References......Page 46
Introduction......Page 47
Clinical governance......Page 48
Clinical governance in community pharmacy......Page 49
Clinical governance in non-medical prescribing......Page 50
Principles of clinical governance and non-medicalprescribing......Page 51
Responsibility and accountability......Page 60
Poor performance......Page 62
Risk management and patient safety......Page 64
Conclusion......Page 69
Further reading......Page 70
Websites......Page 72
References......Page 73
Introduction......Page 76
A rational approach to safer prescribing......Page 77
Prescribing principles......Page 78
Design of dosage regimens for safe and effective prescribing......Page 80
Adverse drug reactions and interactions......Page 81
Patient safety issues in prescribing......Page 85
Case studies: Interpretation of drug levels as an aid to prescribing......Page 87
References......Page 98
Introduction......Page 100
Principles of clinical decision making......Page 101
Consultation skills and history taking......Page 103
Consultation with non-medical prescribers......Page 106
Diagnostics and screening......Page 108
Focus on practice and implementation......Page 110
Conclusions......Page 112
References......Page 113
Introduction and background......Page 115
Brief summary of the knowledge areas and skills required for safe prescribing......Page 117
Prescribing scenarios – diabetes......Page 118
References......Page 122
Introduction and background......Page 123
Knowledge and skills required in prescribing in palliative care......Page 125
General principles of prescribing in palliative care......Page 127
Conclusion......Page 129
Case studies......Page 130
References......Page 137
Hypertension......Page 139
Ischaemic heart disease......Page 142
Heart failure......Page 145
Case studies......Page 148
Further reading......Page 157
References......Page 158
Introduction......Page 159
Is it asthma or COPD?......Page 160
How to perform spirometry......Page 162
Case studies......Page 163
References......Page 186
Pathophysiology, signs and symptoms, and prevalence......Page 190
Knowledge and skills required for prescribing in oncology......Page 191
General principles of prescribing in oncology......Page 192
Prescribing issues from personal experience......Page 197
Case studies......Page 198
Further reading......Page 207
Introduction......Page 208
Pathophysiology of mental health disturbances......Page 209
Common signs and symptoms of mental health disturbances......Page 210
A closer look: schizophrenia......Page 211
Holistic approach in the treatment of mental health disturbances: the role of spirituality issues......Page 213
Non-medical prescribing in mental health: an overviewof the recent literature......Page 214
Prescribing issues from personal experience......Page 217
Case studies......Page 218
References......Page 227
Index......Page 230