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V150 Nurse Prescribing Essay Writing

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…show more content…

Furthermore, Stenner and Courtenay (2010) agree that certain drugs can induce both liver and kidney function problems to name but a few and that nurse prescribers must be aware of these potential hazards, as they are accountable for their actions as prescribers.

Red flags highlighted from obtaining the past medical history were neuropathy and raynauds disease because, in this particular scenario, it made the author aware of decreased sensation in the foot due to raynauds and the pain associated with her neuropathy when considering a differential diagnosis such as arterial disease or recurrent osteomyelitis. Culley (2005) agrees that identifying and exploring red flags is crucial and very salient with regard to a robust assessment and subsequent safe prescribing. The British National Formulary (BNF) (2010pg 24 a) indicates that the ageing process can alter the pharmacodynamics and pharmacokinetics which induce a decrease in both hepatic and renal function. These pharmacokinetic changes akin with decreased mobility will hinder how they absorb, distribute, metabolise and excrete drugs, which will result in an increase in the tissue concentration of a drug. Routine bloods were obtained by the nurse, which would confirm both liver and kidney function and what caution if any had to be taken prior to treatment options.

...Role of a Nurse Essay Throughout this essay I seek to analyse the role of a nurse and the attributes and skills required in different contexts, e.g. specialist hospitals, specialist hospital departments, residential homes and the community. I will also explain the difference between the different types of nursing: i.e. adult’s, children’s, mental health and learning disabilities, and midwifery; and will explore the range of ethical and moral dilemmas faced by nurses. Henderson provides a succinct definition: “The role of the nurse is to assist the individual, sick or well in performance of those activities contributing to health or its recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge and to do this in such a way as to help him gain independence, as rapidly as possible”. (Henderson 1966) The role of the nurse depends on which field the nurse operates in. However all nurses have a common role to improve the quality of health and wellbeing for the patient, family or community. The nurse’s role can vary dramatically and include being a caregiver, communicator, teacher, advocate, and a counsellor. As a caregiver the nurse will provide personal care which includes hygiene and daily care. As an advocate the nurse’s duty is to protect the patients’ rights, and exercise them and assist them to speak...