medical writing guidelines essay

morphine. Shared decision making has received particular emphasis in relation to the prescribing of drug treatments.


Medical Writing Certification Examination Content The Medical Writing Certification Examination content is based on the definition of a medical writer and the associated Examination Content Outline shown below. Absent or diminished breath sounds strongly suggest an effusion (Kalantri et al, 2007) unfortunately Congestive heart failure is the most common cause of a pleural effusion. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you!

This patient presented with clear signs of congestion and volume retention of which a diuretic therapy plays a central role in the treatment (Felker and Mentz, 2012). High-dose diuretics were more effective than low dose without clinically important negative effects on renal function. The principle of these is the European Society of Cardiology (ESC) and the American College of Cardiology (ACC) and the American Heart Association (AHA). Diagnosis of heart failure relies on a detailed history and accurate physical examination (NICE, 2010). A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure): Developed in collaboration with the International Society for Heart and Lung Transplantation; Endorsed by the Heart Failure Society of America. Having great ideas and articulating them are different things.

Disclaimer: This work has been submitted by a university student. Diaz-Guzman, E. and Budev, M., 2008.

Prior to 1992, doctors, veterinary surgeons and dentists were the only professions legally permitted to prescribe. (Bruyne, 2003) Appendix three shows how loop diuretics work. Also contributing factors which may cause non-complicance whether intentional or not for example: polypharmacy, complicated dose regimens, unpleasant side effects, and cognitive problems or physical disability preventing the patient taking the medicines. For those who are intolerant of ACE; ARB should be used. Study for free with our range of university lectures! The most recent changes have occurred to the Misuse of Drugs Regulations (2012) which now means that appropriately qualified nurses and pharmacists will be able to prescribe controlled drugs like morphine, diamorphine and prescription strength co-codamol.

(Van der wal, 2006). The UK now has the most extended non medical prescribing rights in the world. Journal of Ambulatory Care Management, 31(3), pp.244-252. Non Medical Independent And Supplementary Prescribing V300 Nursing Essay. Journal of the American College of Cardiology, 59(24), pp.2145-53. The 125-question multiple-choice examination is completed via computer-based answer entry at a testing center. (Van der wal, 2006). Pursuing the example of heart failure further, international guidelines are issued by a number of bodies.

The role of both is, at least in part, to assist in ensuring that, for any prescription, the correct dose and timing of administration are correct and appropriate for the indication. and O’Connor, C.M., 1999. It emphasizes ‘shared decision making’ and is designed to help physicians and other health professionals align medical treatment options with the wishes of the patients.

Some implications for the health care management delivery system.

(Mcmurray et al, 2002) In 2002, The British Heart Foundation (BHF) piloted a scheme and funded with the help of Big Lottery Fund ninety two Heart failure nurses throughout the United Kingdom.

New England Journal of Medicine, 364(9), pp.797-805. Understanding of these various trials and guidelines is important to understanding how local guidelines and daily prescribing practice come about and are supported by evidence. Weight 97kg.

(ESC, 2012). It has been shown that registered nurses are extending their roles and responsibilities to work in new ways (Furlong + smith, 2005). We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. Cleveland Clinic Journal of Medicine, 75(4), pp.297-303. Beyond the hospital setting, a number of sources provide guidance on what should actually be prescribed, or considered, for a given condition.

Health Manpower Management, 21(3), pp.3-10. Journal of the American Academy of Nurse Practitioners, 15, pp.260-265.

For the purpose of the essay the following learning outcomes are discussed: Evaluate understanding and application of the relevant legislation and political context of the practice of non-medical prescribing. Patient lives with wife in a two bedroom bungalow, they are both normally well and independant. Allen, L.A., Stevenson, L.W., Grady, K.L., Goldstein, N.E., Matlock, D.D., Arnold, R.M., Cook, N.R., Felker, G.M., Francis, G.S., Hauptman, P.J., Havranek, E.P., Krumholz, H.M., Mancini, D., Riegel, B. and Spertus, J.A., for the American Heart Association; Council on Quality of Care and Outcomes Research; Council on Cardiovascular Nursing; Council on Clinical Cardiology; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Surgery and Anesthesia, 2012. This patient was treated with Furosemide intravenously (IV), most patients receive a ‘loop’ diuretic as first line treatment for heart failure (Faris et al, 2012.) A large number of factors need to be incorporated into the thought process prior to getting to the point and writing a prescription. Their thought was that many of these could have been preventable, with greater input from pharmacists, physicians, nurse specialists, and greater consideration to social elements; reducing readmission also reduces other risks involved in exposing patients to hospitalization.

Critically appraise sources of information/advice and decision support systems in prescribing practice and apply the principles of evidence based practice to decision making. Such sources might include national bodies, in particular National institute of clinical excellence (NICE) and specialist societies. Non-compliance in patients with heart failure (HF) contributes to worsening HF symptoms and may lead to hospitalization. Custom Work, 24/7 Support, 30-Day Free Revision, Min.Deadline 6 Hour. Diuretics and ultrafiltration in acute decompensated Heart failure. Guidance recommends spironolactone, or eplernone if not tolerated (most usually due to gynaenomastia in men).

Patient was an inpatient on the Cardiology ward; he was admitted the day before and had been referred to Heart failure clinical nurse specialist for review. Only those with proven @@@ in heart failure should be used; these are ……… Aldosterone Antagonists should also be used for patients with advanced heart failure (NYHA III/IV). Circulation, 125(15), pp.1928-1952. Develop your vocabulary, study sentence structures, learn the craft of essay writing, and improve your skills by following these guidelines: Read textbooks, articles, or other relevant sources in medical and health fields; Practice on a regular basis; (A, B, C). Diagnosis and timing of 30 day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia.

Felker, G.M., Lee, K.L., Bull, D.A., Redfield, M.M., Stevenson, L.W., Goldsmith, S.R., LeWinter, M.M., Deswal, A., Rouleau, J.L., Ofili, E.O., Anstrom, K.J., Hernandez, A.F., McNulty, S.E., Velazquez, E.J., Kfoury, A.G., Chen, H.H., Givertz, M.M., Semigran, M.J., Bart, B.A., Mascette, A.M., Braunwald, E., O’Connor, C.M., for the NHLBI Heart Failure Clinical Research Network, 2011. The Medicinal Products Act (1992) permitted qualified District Nurses and Health Visitors to independently prescribe, and this was only a limited number of medicines from a Community Practitioners Formulary. The changing legislation of Non medical Prescribers has changed alongside with the environment of the NHS services.
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