Prescribing event?

considerThis report provides culture on a prescribing offspring, which is conducted for a 70-year-old woman, who is whop skip as a result of superficial injure on left sheen. The prescribing event is adequately structured to present key enlarge think to diligents civilise, as her holistic necessitate shake been soundly considered by the schoolchild rule defy, who has been go with by her coiffe teacher during the event. The prescribing finish taken by the guard connect to prescribing a item preparation and Allevyn mollify take a hop as a subsidiary binding. It has been place that this stopping point is evidence- ground considering its extensive benefits, as outlined in look for.IntroductionThe termination of the essay is to describe and critically take apart a prescribing event in which I was involved in my nursing practice. The concentre is on providing an evidence-based rationale of the prescribing event.Confidentiality StatementAs a scholar di se vere foster, Mary browned is allowed accession to the records of the lymph gland in this bailiwick, question subjects and functional business information. Information which is directly related to the knob and whitethorn include opus records or oral communication is identify as strictly confidential. Thus, Mary Brown is limited to the minimum amount of confidential information that is required to accomplish the mean purpose of the prescribing event.Description of the Prescribing Event and compend of the SituationThe savant district blow received a referral from the G.P. that Mrs D has a distract on the left sheen, is bed rally and conveys shock perspicacity and discourse. The nature of the prescribing event is anticipated beca employment I knew beforehand the reason for visiting the client. excerpt the learner as an active thespian in the event, other participants present were practice teacher, affected role, and patients husband. The case is be by a 70-year -old, bed bound female, with superficial pique to left sheen. Although the tegument around the go against has been identified as extremely dry and little(a), the scholar give has alike recognised it is nearly creamed. Upon assessing the client, no other broken expanses have been noniced. affected role is using pads for incontinence, gets carers 4 times a day, has hospital bed and mattress, cushion and a hoist. According to patients husband, she scratched the piques domain of a function and it broke.In the treat of examining the holistic hires of the client, the scholar has considered the invoice of the present unhealthiness (Marcum et al., 2010). This included conducting OPQRSTU mnemonic by exploring pain history checklist, such(prenominal) as onset of pain, palliative federal agents for pain, property of pain, region of body or area affected, severity of pain, timing of pain, and how it affects U in patients occasional life. The scholarly person has clearly diametriciated that patients complaint is simply a displease rather than a lesion (Tjia et al., 2012).Moreover, the savant has good explored patients past aesculapian history, family history and social history by relying on the cooperation of patients husband. detail question were asked in read to realize patients susceptibility to inveterate pain and injury. Patients pic to hazards has been determined is minimal considering that the bed bound woman is a non-smoker (Marcum et al., 2010). In this case, the student nurse has decided to prescribe 50-50 alkane series wax cream. As part of the medication estimate in the prescribing event, the student asked patient for allergies. However, no allergies were mentioned by client at that point. early(a) aspects of considering patients holistic needs included clinical investigations and physical enquiry. The student measured patients temperature and took a swab for microbiological analysis (Bradley et al., 2007). The physical exami nation involved careful physical discernment of the injure and wounds area. finis Making and Actions Taken P. and Tissue Viability fellate referral has not been indicated because the student nurse has sustain that the diagnosis is clear and does not need referral. This means that on that point are no all severe aspects related to patients diagnosis. In the decision fashioning process of the student district nurse, genuine considerations have been do in an begin to reach a germane(predicate) prescribing decision (Bradley et al., 2007). By terminal that patients wound is simple and lacks any signs of severity, the student concluded that the selection of a all important(p) fertilization and Allevyn gloomy limit as a tributary bandaging is confirm because it is evidence-based (Junqueira and Carneiro, 2005). Patient expectations for a fast convalescence of the wound have been thoroughly considered by the nurse objet dart making that particular decision for administe ring specific fontwritewrites of fertilizations.It is important to pipeline that the decision of the nurse to prescribe a prime ski binding and Allevyn Gentle Border as a second stuffing is reasonable considering the wounds condition which has been determined after professional mind and careful physical examination (Guarnera et al., 2007). The primary medical training that was official for patient has been indicated as a paraffin gauze dressing. It has important features, such as soft paraffin base, comprehensive size throw up, and sterile leno meander presentation. The major benefit of the dictate primary dressing is that it tooshie soothe and nurture the wound as well as open up the passage of cloying exudates, which can take place into the confirming collateral dressing (Chaby et al., 2007). The fact that the prescribed primary dressing is not medicated shows that it can be ideally used with a topical antiseptic of choice.It can be indicated that the mnemonic EASE has been applied in the decision making process of the prescribing event. The ware has been identified as rather useful, as all products from the Allevyn Gentle Border range have been peculiarly designed for individuals with fragile and extremely sensitive skin (Chaby et al., 2007). This instance of dressing has a soft silicone polymer gel adhesive, which makes it a convenient pickaxe for patients condition considering the readiness of the dressing to minimise trauma to the wound when the dressing should be changed. Moreover, this contributes to avoiding patient pain and ensuring adequate care (Guarnera et al., 2007). The effectiveness of the prescribed dressing is evident at its triple-action technology, which contributes to maintaining optimum balance in fluid while the wound is being heal.The choice of Allevyn Gentle Border as a secondary dressing is an appropriate decision made by the district nurse because the dressing provides optimal comfort to patient and it is liberal to be applied and removed. The product is adequate for this patient, as no allergies have been describe during the sign assessment conducted by the student (Chaby et al., 2007). In addition, the use of the prescribed secondary dressing is completely safe, as patient can even take cascade without any problem given that the dressing is shower-proof. The prescription is cost-effective, as a niche of 10 Allevyn Gentle Border dressings (7.5 cm x 7.5 cm size) cost al to the highest degree ?22.44, and a box of the same type of dressings (10 cm x 10 cm size) is approximately ?29.99 (Hurd et al., 2009).In a research by Hurd et al. (2009), the focus has been on presenting capable evidence of the effectiveness of Allevyn Gentle Border. The authors of the research based their evaluation on a multi-centre clinical assessment, which was conducted in 2008. One of the most important conclusions provided by researchers was that this type of dressing was suitable for the specific wound type treated in almost 95% of patients who participated in the probe (Chaby et al., 2007). It has been emphasised that patients wounds had healed prior to the end of the specified study period. There was substantial evidence indicating a decrement in wound area and depth upon presenting the final assessment of patients. Moreover, there was significant evidence of a reduction in the precise level of exudates in the wound, which applied to the period between service line and final assessment (Hurd et al., 2009). There was also a visible reduction in the median percentage of devitalised tissue upon concluding the final assessment of patients.In order to assess the appropriateness of the prescribed dressing, the student district nurse exhibit the initial consideration that the process of prescribing wound products cannot betide generically. The nurse has determined that this type of dressing is appropriate to patients condition. As presented in research, Allevyn Gentle Border dress ing is found to maintain moisture, implying the inability of sticky to the wound (Chaby et al., 2007). The prescribed dressing belongs to the congregation of hydrocolloids. The qualities of hydrocolloid dressings have been considered by the student in providing an optimal healing environment, insulation and autolytic debridement. In terms of outlining the proceedss of this type of dressing, it is ingrained to note that hydrocolloid dressings are impermeable to bacteria and other contaminants (Guarnera et al., 2007). The most important advantage is that they do not pose to the wound but to the intact skin undecomposed the wound. However, a significant consideration should be given to the fact that hydrocolloid dressings are not recommended for wounds with extremely heavy exudates, or in the presence of infection.The frequency of dressing changes depends on the severity of patients wound (Hurd et al., 2009). Yet, it is important to note that the primary dressing should be change d on a daily basis, while the secondary Allevyn Gentle Border dressing should be changed every 3 days (King, 2003). There have not been considerable side effects associated with the use of the prescribed secondary dressing overleap slight nausea in lofty cases.In the process of negotiating a contract, it is meaty to note the aspects of harmoniousness and adherence. The student demonstrated a high level of negotiated concordance in the sense that sufficient information was provided to client including feasible side effects, the costs of dressing and the impact on lifestyle. In an attempt to promote greater adherence of client to the prescribed interference, the student district nurse clearly certified client virtually the two types of dressings that were prescribed, as well as how to use them and their benefits (Bradley et al., 2007). It has been suggested to both client and her husband to record the time of dressing changes, which served as an additional motivating factor to client to monitor the condition of her wound. The nurse demonstrated her competence in conducting effective communication with client considering that she is from the elderly population, which implies a focus on making the prescribed treatment simple (Hurd et al., 2009). Therefore, the contract between the nurse and client was considered effective in terms of concordance and adherence.Implications for Future course sessionThis event is quite important for my hereafter day practice and learning because it has provided me with a relevant opportunity to apply all essential steps of a prescribing event in practice. Such a practical determine in prescribing has made me to a greater extent self-confident in the procedures required to indicate a properly conducted prescribing event in the future (Bradley et al., 2007). I would follow the same mannequin of prescribing for any future analogous situation, as I find it effective and accredited in bringing an optimal treatment option t o client. I have extensively focused on clients holistic needs, as this is considered fundamental in delivering adequate care and make an informed decision regarding clients complaint (King, 2003). I am prepared to put out my prescribing experience in the future by actively participating in interchangeable events and acting in accordance with strict nursing and prescribing principles outlined in the field. materializationThe prescribing event provided an opportunity to learn more about the stages of prescribing and making the best possible decision in a similar situation as the one face up by client. However, I am certified that such a decision may differ upon considering the details of another case, with different aspects of complaints. This means that I should be adequately prepared to encounter different prescribing scenarios (Hurd et al., 2009). I have not experience any major problems during this experience. Yet, I have larn a lot about wound care in relation to this incid ent. The treatment of this condition may be repugn under particular circumstances especially among the elderly population (King, 2003). Self-monitoring and management of wound may be inappropriately through and thus such individuals may need the assistance of a family member or nurse in order to adhere to the schedule outlined in the prescribing event. expiryThis report provided significant information about a prescribing event in which a student district nurse participated, tended to(p) by her practice teacher. The prescribing event was based on an incident with a 70-year-old female, who was identified as bed bound imputable to superficial wound to left sheen. The nurse critically analysed the situation and demonstrated a prescribing decision that a primary dressing should be used as well as Allevyn Gentle Border as a secondary dressing (Hurd et al., 2009). The prescribing decision was adequately justified given that the nurse provided solid evidence of the benefits of using this type of dressing. However, the only limitation considered in this event is that the nurse may not have invested sufficient time to explore the case in detail (Chaby et al., 2007). Despite this limitation, the student expressed an opinion of increased effrontery that could help her in similar prescribing situations in the future.ReferencesBradley, E., Hynam, B. and Nolan, P. (2007). Nurse Prescribing Reflections on Safety in Practice. Social Science &038 Medicine, vol. 65(3), pp. 599-609.Chaby, G., Senet, P., Vaneau, M. et al. (2007). Dressings for knifelike and Chronic Wounds A Systematic look back. Archives of Dermatology, vol. 143, pp. 1297-1304.Guarnera, G., Tinelli, G., Abeni, D., Di Pietro, C., Sampogna, F. and Tabolli, S. (2007). Pain and Quality of carriage in Patients with Vascular Leg Ulcers An Italian Multicentre Study. Journal of Wound Care, vol. 16, pp. 347-351.Hurd, T., Gregory, L., Jones, A. and Brown, S. (2009). A Multi-Centre In-Market Evaluation of Allevyn Gent le Border. Wounds UK, vol. 5(3), pp. 32-44.Junqueira, L. C. and Carneiro, J. (2005). introductory Histology. Rio de Janeiro, Brazil Lange.King, B. (2003). Pain at frontmost Dressing Change after ram Avulsion 2 Findings and Discussion of the Data outline. Journal of Wound Care, vol. 12, pp. 69-75.Marcum, Z. A., Handler, S. M., Wright, R. and Hanlon, J. T. (2010). Interventions to Improve Suboptimal Prescribing in Nursing Homes A Narrative followup. The American Journal of Geriatric Pharmacotherapy, vol. 8(3), pp. 183-200.Tjia, J., Gurwitz, J. H. and Briesacher, B. A. (2012). argufy of Changing Nursing Home Prescribing stopping point. The American Journal of Geriatric Pharmacotherapy, vol. 10(1), pp. 37-46.