Hi Writer,
Please can you complete a reflective assignment of 3000 words regarding the following scenario and including the specific indicated criteria below. This assignment is for a Non-Medical Prescribing Course at level 7 with a 50% pass mark requiring critical analysis and reflection. I am a Advanced Nurse Practitioner Trainee in Manchester who works in the community visiting patients at home and in their homes.
Please can you write this from that view point, but utilise a relevant reflective model and consultation model (The Disease-Illness Model, 1984). If able please make mention of the prescribing pyramid also with this assignment, which needs to include:
a) Assessment, history, examination and consultation
b) Knowledge of the relevant pathophysiology
c) Sources of information/advice, legislation, record keeping, public health and decision support systems used to inform prescribing practice
d) Influences identified that affected this prescribing practice, and how these were managed
e) Identify roles and relationships of others involved in prescribing, supplying and administering medicines
f) Rationale for final prescription including drug actions, numerical calculations, activities needed to monitor response to therapy, and modifications that may be necessary to treatment or the referral to other health professionals as appropriate
The assignment relates to an 88yr old gentleman with alzheimers on galantamine 8mg bd, seen at home who lives with his daughter who has lasting power of attorney (both forms i.e. health and financial) due to him being deemed to lack capacity and granddaughter (both in good health and daughter retired and at home full-time carer), he had been seen 8 days previously by myself and my mentor (doctor) and diagnosed with viral rhinosinusitis due to 4 day history of blocked nose, tenderness over frontal sinus and referred pain to the left temple. Prescribed paracetamol 1g qds oral tablet form as over 50kg in weight (77kg) but not a prescription for antibiotics which had been his daughters expectation. (Public health – overuse of antibiotics and how not appropriate) instead watch and wait used with patient and education on why not given/appropriate, advised on adequate hyfration, warm compresses. Patient and daughter reassured and happy with agreed treatment plan, advised to contact if symptoms worsened or didn’t abate. On this review symptoms of purulent nasal secretions and mucosal erythema diagnosed as bacterial rhinosinusitits and prescribed Clarithromycin PO 500MG every 12 hours for 10 days as per my trusts guidelines written to my regions population need. Not In a Streptococcus pneumonae resistant area. Following NICE guidelines (please incorporate)
The rest of details please incorporate yourself such as Exam – ENT, RESP, Observations, medical, drug history etc I leave that to yourself so can be adapted to what you write.
Many thanks for your help.
The learning outcomes, indicative content and assessment methods are a combination of the outcomes and requirements specified by the Nursing and Midwifery Council (NMC, 2006), the Health Professions Council (HPC/DoH, 2004), Royal Pharmaceutical Society of Great Britain (2006) (Now the General Pharmaceutical Council)
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- Assimilate, synthesise and systematically apply knowledge of the relevant pathophysiology and undertake a thorough history, including medication history and current medication (including over-the-counter, alternative and complementary health therapies) and use advanced reasoned judgement to inform diagnosis, engaging in critical reflection throughout the process.
- Synthesise evidence from a range of sources to demonstrate advanced reasoned judgement in the safe and competent use of diagnostic clinical equipment and synthesise results with other forms of evidence to inform advanced critical decision making.
- Demonstrate advanced client centred skills when conducting relevant physical and / or psychological examination of patients with those conditions for which they may prescribe, critically reflecting on the process ensuring that this is undertaken in a non discriminatory manner.
- Synthesise knowledge from a range of sources to demonstrate the ability to prescribe clinically effective, cost effective, safe and appropriate medications into the context of patients’ wishes and values in prescribing decisions being cognisant of how equality and diversity impacts on practice.
- Engage in the essential debates relevant to legislation and common law that inform the practice of non medical prescribing.
- Critically evaluate and synthesise sources of information/advice used in decision making support systems in prescribing practice.
- Use advanced reasoning and decision making skills to critically evaluate the internal and external influences that can affect prescribing practice, and demonstrate advanced understanding by managing prescribing practice in an ethical way at individual, local and national level.
- Synthesise evidence from a range of sources to demonstrate the ability to safely monitor response to therapy, and justify modifications to treatment or the referral of the patient as appropriate, critically evaluating the process.
- Critically determine and evaluate the roles and relationships of others involved in prescribing, supplying and administering medicines including the pharmaceutical industry.
- Systematically analyse the decision making process supporting prescription and referral as a multi – professional team member.
- Critically determine and defend a clinical management plan within legislative requirements (supplementary prescribing only).
- Use advanced reasoning in the determination, development and acquisition of advanced clinical skills to demonstrate application of in depth knowledge of drug actions in prescribing practice including safe, accurate numerical calculations.
- Critically evaluate safe practice within a framework of continuous professional practice, professional accountability and responsibility within prescribing practice.
- Engage in focused critical reflection on the process of continuing professional development related to prescribing practice.
- Demonstrate scholarly understanding of the importance of record keeping in the context of prescribing practices.
- Critically determine the public health issues related to medicine use.
- When working with children demonstrate an ability to take an appropriate history, undertake a clinical assessment and make an appropriate decision based on that assessment to either diagnose or refer, having considered the legal, cognitive, emotional and physical differences between children and adult.
