The Textbook of Non-medical Prescribing

prescribing, bringing together essential knowledge, key issues, and skills in a single text.

This accessible, engaging and comprehensive resource explores: the history of nonmedical

prescribing; prescribing in context; ethical, legal and professional issues in relation to prescribing practice; factors influencing prescribing; effective consultations; essential pharmacology; the role of the multi-disciplinary team; clinical skills; prescribing for specific groups; and the future of nurse prescribing. With case studies throughout, The Textbook of Non-medical Prescribing will be essential reading for all students on non-medical prescribing courses. It will also be of use to qualified health professionals, be they prescribers themselves or interested in the concepts of non-medical prescribing.

KEY FEATURES:

• An essential core text for students on non medical prescribing courses
• Accessible, lively and interactive in style
• Student-friendly, including learning objectives, activities, and case studies, enabling readers to apply prescribing principles to practice
• Interactive companion website www.wiley.com/go/nuttall

For extra resources, please visit the companion website for this book, featuring:

• multiple choice questions
• case studies
• numeracy exercises
• web links

www.wiley.com/go/nuttall

Jane Rutt-Howard is Senior Lecturer in the School of Nursing and Caring Sciences at The University of Central Lancashire, where she is course leader for both MSc Professional Practice (Nurse Practitioner) and BSc (Hons) Nurse Practitioner programmes.

Foreword.

Introduction (Dilyse Nuttall and Jane Rutt-Howard).

1 Prescribing in Context (Dilyse Nuttall).

The prescribing journey.

Defining non-medical prescribing.

The non-medical prescribing vision.

Changes in clinical practice.

The economic context.

The private sector.

The public health context.

Need and expectations.

Differentiating between prescribers.

Nurse non-medical prescribers.

Pharmacist non-medical prescribers.

Allied health professional non-medical prescribers.

Access to education programmes.

Summary of the context of prescribing.

References.

2 Ethical, Legal and Professional Issues in Relation to Prescribing Practice (Ruth Broadhead).

PART 1: PROFESSIONAL ISSUES.

The regulatory framework for prescribing.

Remote prescribing.

PART 2: LEGAL ISSUES.

The UK legal system.

Legal aspects of autonomy and gaining consent.

The importance of consent.

PART 3: ETHICAL ISSUES.

Consequentialism.

Deontology.

Virtue ethics.

Doctrine of double effect.

Conclusion.

Table of cases.

References.

Acts.

3 Factors Influencing Prescribing (Val Lawrenson).

The prescriber.

The patient.

The product.

Other professionals.

References.

4 Effective Consultation and ‘the Consultation Umbrella’ (Jane Rutt-Howard).

Presenting the consultation umbrella.

The consultation umbrella – explained.

Clinical decision-making.

Conclusion.

References.

5 Essential Pharmacology, Therapeutics and Medicines Management for Non-medical Prescribers (Anne Fittock, Jane Alder, Alison Astles, David Kelly, Joseph Quinn and Samir Vohra).

Pharmacology as part of prescribing practice.

Brief introduction to pharmacological terms.

Guide through processes to build and develop one’s own formulary, with examples.

BNF: practise using this essential resource.

Prescribing in co-morbidity.

Management and avoidance of medicine interactions.

Management and avoidance of adverse medicine reactions.

Drugs with a narrow therapeutic index or range.

Medicines management.

Other resources to support your learning.

References.

6 The Multidisciplinary Prescribing Team (Dawn Eccleston).

Defining ‘the multidisciplinary prescribing team’.

The benefits to prescribing.

Understanding roles.

Non-medical prescribing lead.

The multidisciplinary non-medical prescribing team.

Commissioning and the MDPT.

Education and learning.

Conclusion.

References.

7 Clinical Skills (Gill Armitage and Jane Rutt-Howard).

Vital signs.

Conscious level.

Respirations.

Temperature.

Pulse.

Blood pressure.

Additional vital signs.

Clinical examination.

Examination of body systems.

Numeracy skills.

Conclusion.

References.

8 Prescribing for Specific Groups (Janice Davies and Dilyse Nuttall).

Prescribing in liver disease.

Prescribing in renal disease.

Prescribing in pregnancy.

Prescribing for older people.

Prescribing for children and young people.

Other groups.

References.

9 Enhancing Non-medical Prescribing (Jean Taylor and Anne Lewis).

Current practice in prescribing.

UK history of prescribing.

Non-medical prescribing in other countries.

The impact of prescribing.

Issues emerging from the introduction of non-medical prescribing.

Medicines management.

Conclusion.

References.

Patient Case Studies.

Case study 1: Harold.

Case study 2: Barbara.

Case study 3: Clare.

Case study 4: Julie.

Case study 5: Annette.

Case study 6: Yasmin.

Case study 7: Amy.

Case study 8: Louis.

Case study 9: Callum (with CMP).

Health Professional Case Studies.

Case study A: Debbie.

Case study B: Mark.

Case study C: Rebecca.

Case study D: Gail.

Case study E: David.

Case study F: Andrew.

Case study G: Andrea.

Case study H: Lisa.

Case study I: Christine.

Case study J: Simon and Janice.

Index.