The New Prescriber: An Integrated Approach to Medical and Non-medical Prescribing
September 2010, ©2010
Divided into three sections, this text first looks at the consultation with the patient, and outlines legal, professional and ethical frameworks which guide medical and non medical prescribing. The second section is devoted to evidence based practice, highlighting key skills essential to all clinicians. This section encourages the student to identify why evidence based practice should underpin prescribing decisions. The third and final section is concerned with pharmacology. The student is introduced to basic concepts of pharmacodynamics and pharmacokinetics, adverse drug reactions and variability of response. The importance of these pharmacological principles is highlighted throughout the subsequent discussion of drug groups affecting major body systems.
- Pulls together all key elements of prescribing using an integrated approach.
- ‘Stop and think' boxes and ‘practice applications' activities provided throughout, enabling the reader link theory to practice
- Key terms and glossary provided
This text will be invaluable for all nursing, health and medical students taking courses in prescribing and pharmacology.
SECTION 1 THE PATIENT.
1 The consultation (Frank Coffey and Dianne Bowskill).
2 Accountability and prescribing (Nigel Plant and Richard Pitt).
3 Legal aspects of prescribing (Joy Wingfield).
4 The ethics of prescribing (Richard Cooper).
5 Prescribing in practice (Dianne Bowskill).
6 Record keeping (Fiona Dobson).
7 Public health issues (Michael Watson).
SECTION 2 EVIDENCE-BASED PRACTICE.
8 What is evidence-based practice? (Fiona Bath-Hextall).
9 How do we find the evidence? (Finola Delamere).
10 What are the different types of study design? (Sarah Armstrong).
11 Appraising the evidence (Fiona Bath-Hextall and Sarah Armstrong).
12 How do we interpret the evidence? (Jo Leonardi-Bee).
13 How do we apply the evidence? (Nick Allcock).
SECTION 3 PHARMACOLOGY.
14 General principles underlying drug action (Joanne Lymn).
15 Pharmacokinetics 1 – absorption and distribution (Joanne Lymn).
16 Pharmacokinetics 2 – metabolism and excretion (Joanne Lymn).
17 Routes of administration (Roger Knaggs and Joanne Lymn).
18 Variations in drug handling (Margaret Stone).
19 Adverse drug reactions and interactions (Margaret Stone).
20 Introduction to the autonomic nervous system (Joanne Lymn).
21 Clinical application of the principles of the autonomic nervous system (Joanne Lymn).
22 The respiratory system (Michael Schachter).
23 The cardiovascular system (Martyn Kingsbury and Joanne Lymn).
24 Haemostasis and thrombosis (Joanne Lymn).
25 The renal system (Judith Gregory and Sarah Jones).
26 The gastrointestinal system (Briony Leighton).
27 The endocrine system (Alison Mostyn).
28 Contraception (Alison Mostyn).
29 Introduction to the central nervous system (Dave Skingsley).
30 Neurodegenerative disorders (Dave Skingsley).
31 Depression and anxiety (Dave Skingsley).
32 Schizophrenia (Dave Skingsley).
33 Epilepsy and aticonvulsant drugs (Michael Schachter).
34 Pain and analgesia (Roger Knaggs).
35 Antibacterial chemotherapy (Tim Hills).
36 Antibiotic resistance and Clostridium difficile (Tim Hills).
37 Antifungal and antiviral drugs (Tim Hills).
Dianne Bowskill is a Lecturer in Non Medical Prescribing, University of Nottingham.
Fiona Bath-Hextall is an Associate Professor and Reader in Evidence-Based Healthcare, University of Nottingham.
Roger Knaggs is an Advanced Pharmacy Practitioner - Anaesthesia and Pain Management, Nottingham University Hospitals NHS Trust.