Nurse prescribing was first suggested by the Royal Collage of nursing (RCN) in 1980, it was to take another six years for it to become part of the government’s agenda with the Cumberlege Report in 1986 (Department of Health and Social Security (DHSS)(1986). These two report as well as the Crown report (DH 1989), Prescription by Nurses Act, (1992) and the Medical Prescription by Nurses Act (1994), lead to The Nurse Prescribing Formulary being introduced nationally in 1998. These acts give community nurse like myself the opportunity to improve their skills and improve patient’s access to care.
The patient a 32 year old man attended the district nurse clinic with a laceration to his right shin. Within my practice I assess patients with the use of the Neighbours (1987) consultation model. By using this model i feel that I can build a therapeutic relationship with my patient which helps gain an understanding and concordance with their treatment. I introduced myself informing him of my name and asked him to explain what the current problem was in his own words. Timmins (2007) believes that by introducing yourself warmly and welcoming you begin to build a good rapport with your patient, thus building a good nurse-patient relationship which is an important aspect of patient concordance Latter (2010). I used open questions to help my patient divulge as much information as possible and then close questions to extract specific information.
With any patient a full holistic assessment is needed, the skill... [continues]
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