Essays on Prescribing

Imaginary Clinic

The clinic is a general practice clinic. It provides person-centred, progressive as well as comprehensive whole-person health care to persons and families in their society. It encompasses the foundations of an efficient health care system (“Capterra” par.1).

Branches of the Clinic

The clinic is a stand-alone clinic. However, satellite offices will be opened in different towns within a year in an attempt to reach more people (“Capterra” par.1). The clinic has four physicians and 7 physician extenders. That is, four nurse practitioners and three physician assistants. More physicians and physician extenders will be recruited as time goes. The new physicians will be sent ...

Interview with a pharmacist

Interview:

Apparently, over the counter medications are those that can be sold to the client without necessarily having any prescription by the provider. The Food and Drug Administration has been at the forefront in monitoring the adherence to issues of over the counter medications so that pharmacists do not sell other medications not classified as OTC. Similarly, the FDA has over time made changes and reviews on the regulations and rules that guide OTC medication sales (West, Wilk, Rae, Muszynski, Stipec, Alter & Regier, 2015). One of the emerging issues that have affected the pharmacists is the introduction of a ...

Approaches in configuring Clinical Decision Support (CDS) System

The development of an effective CDS system to facilitate the healthcare delivery of a chain of hospitals and outpatient clinics warrants the systematic incorporation of clinical guidelines, documentation templates, patient summaries, HPI and medication history recording tools, condition-specific orders and diagnostic support system across the electronic health record (EHR) (CMS, CLINICAL DECISION SUPPORT:More Than Just ‘Alerts’ Tipsheet, 2014). The association of these approaches in EHR is warranted in the context of incorporating the entire aspects of patient care to facilitate the patient outcomes across the clinical settings. The EHR across clinical settings requires the effective incorporation of the research ...

Introduction

A career in nursing seems fulfilling, but nurses encounter challenging situations every day. Regardless of their roles, nurses face ethical dilemmas that may affect them and the patient. Importantly, there is no right or wrong solution to a particular ethical dilemma. However, nurses rely on the legal papers related to nursing standard of health care practice according to legal aspects of nursing. This paper involves the standard and legal relation between nurses and their patient. Even with the nursing standard of health care practice literature, ethical dilemmas still occur in healthcare institutions. The aim of this paper is to ...

Overview

The significant outcome related to the over prescription of antibiotics by the physicians attributes to the pattern of antimicrobial resistance that develops inside the patients who consume extra doses or combination of antibiotics for treating their sore throat manifestation . The antibiotics resistance across the patient population is effectively determined by the measurement of their minimum inhibitory concentrations (MIC) through laboratory analysis . The configuration of dilution solution of antibiotics stock and interpretation of the MIC findings through the analysis of bacterial growth over agar plates provides an insight regarding the MIC of antibiotics and the corresponding resistance of the developed ...

Dr. KJ is a registered pharmacist who works as the head of the pharmaceuticals department in hospital M. He holds a baccalaureate in nursing from the Nova Southeastern University. He is currently pursuing a doctorate program in the pharmaceuticals field and has already completed four years plus the required pre-requisites. I sought to have a one on one with him with the intentions of having him expound on several issues surrounding the profession. To this effect, therefore, we planned for an interview with him in his office at hospital M to help in seeing to it that this objective ...

Sore throat is one of the most common medical problems being encountered by people. In terms of prevalence, it is comparable to flu (influenza) and cough. Aside from the discomfort and in more severe cases, pain, that it causes, sore throat may also disrupt a person’s life. A person who has a sore throat, for example, would most likely have a concomitant fever as this usually accompanies medical problems that are associated with infection. Having fever can prevent a person from going to work and or fulfilling his daily responsibilities. So, despite the fact that sore throat is ...

[Author Name] [Author Affiliation] [Author’s notes with more information about affiliations, financial obligations, conflicts of interest and how to contact] At any given time, we are in contact with millions of bacteria; some of these bacteria are beneficial to us, while others are not. On occasion, the harmful bacteria are allowed access to our bodies and begin to replicate. Subsequently, we become sick and visit the doctor who prescribes an antibiotic. The antibiotic enters our system and destroys all of the bacteria it comes in contact with, including the good bacteria that helps the body fight off disease. ...

Ray WA, Chung CP, Murray KT, Hall K, Stein C. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain Wayne A. Ray, PhD1; Cecilia P. Chung, MD, MPH2; Katherine T. Murray, MD2,3; Kathi Hall, BS1; C. Michael Stein, MB, ChB2,3 [+] Author Affiliations JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

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Abstract ABSTRACT | INTRODUCTION | METHODS | RESULTS | DISCUSSION | CONCLUSIONS | ARTICLE INFORMATION | REFERENCES Importance  Long-acting opioids increase the risk of unintentional overdose deaths but also may increase ...

The question of the validity of the use of stimulants for the treatment of attention-deficit hyperactivity disorder (ADHD) is highly connected to the question of attempting to balance the effectiveness of the drugs and the dangers inherent in their use. ADHD is a problematic mental and behavioral disorder especially among children and it is very important that we as a society find an effective method to treat it with the least amount of adverse effects to patients. It is a very good question to ask if a treatment is worth the risks and this definitely the case with the ...

1. The patient is diagnosed to have congestive heart failure. This is a heart disorder resulting to pulmonary vascular congestion with a reduced cardiac output. Among the diagnostic symptoms of the disorder include pulmonary complications, such as pulmonary edema, obstructive sleep apneas and pleaural effusions (Figueroa and Peters 2006). It is also characterized by the main symptoms of orthopnea, fatigue, dyspnea, paroxysmal nocturnal dyspnea and peripheral edema (Grimshaw, Khunti and Baker, 2001), which are all present in the clinical symptoms presented by the patient Mabel. During the exacerbation of the congestive heart failure, the patient will benefit from continuous ...

Impact of the Controlled Substances Act on Assisted Living Facilities

Impact of the Controlled Substances Act on Assisted Living Facilities In 2009, the United States Drug Enforcement Administration (DEA) started auditing some long-term care facilities to establish the extent of compliance with the Controlled Substance Act regulations for prescribing and dispensing controlled drugs to residents (Elon et al., 2011). Ohio was first in this program, followed by Virginia, Wisconsin and Michigan. It has been found that the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, oversees more than 3,000 assisted living facilities that offer skilled nursing care to about 250,000 disabled ...

Advanced Practice Nurses involve people who are in registration with relevant certifications and have enhanced training. It makes them able to provide healthcare services in every setting. Given the fact that care demand surpasses its provision, advanced professional nurses are valuable. They cater for every individual who is in need of health services. There exists a shortage of healthcare professionals and for this reason; there is a requirement to develop nursing education curriculum reforms to enable more production of advanced practice nurses (APNs).It would ensure the nursing institutions fill the gaps found within heath provisions are correct. Professional ...

The Ethical and Legalities of Medication Disclosure Error

In nursing, it is quite uncommon that patients are sometimes exposed to risks of particular harms. Such harms may be erroneous and unintentional. The errors in a sense may be unpredictable and a proper informed consent may not be easily obtained. Some prescription errors might not necessarily materialize to harm while others could be fatal. This paper is going to look into the ethical and legalities of prescription disclosure error by a nurse and the proper way to write a prescription while minimizing the possibility of a nurse running into an error. When an error occurs during the process ...

What are the physicians trying to accomplish through buying the same EHR product at their hospital? What are the pros and cons?

Why are the physicians not able to send a medication order to the hospital from their e-prescribing device?

Physicians are unable to send medication orders to the hospital from their electronic prescribing devices because the devices don’t work with the clinical pharmacy. They are able to send prescriptions to major pharmacies excluding smaller ones. This is an example of the reason for not rushing to buy systems before making sure they are compatible. It leads to double spending and wastage of resources and time. The can still use the electronic prescribing devices in future, ...

Chronic back pain is one the key health problems encountered especially in primary care. As such, proper evaluation of patients with a history of back pain is an essential step that guides and enables healthcare professionals to come up with suitable interventions as well as management strategies. In the light of this, the evaluation should include a comprehensive history assessment as well as the physical examination. Among the key components to include in the patient’s history assessment includes; a brief description in regard to the onset of the pain, duration, pattern and intensity of the back pain, activities ...

I will use the Institute for Clinical Systems Improvement (ICSI, 2013) assessment protocol to evaluate the patient. I will conduct a history, physical, and assessments of pain and function. I will next ascertain the biological causes of the patient’s back pain, i.e. if the pain is neuropathic, muscle-related, inflammatory or compressive/mechanical (ICSI, 2013). If the pain is chronic, it is necessary to find out if the cause can be corrected which may require referral to a specialist. If not, I will perform assessments of work, disability, psychological and spiritual wellbeing, contributing factors, and barriers to pain management (ICSI, ...

{Author Name [first-name middle-name-initials last-name]} {Institution Affiliation [name of Author’s institute]} Urinary tract infection (UTI) is the most widespread problem, especially among women. It is observed the second most common incidence in primary and secondary care that requires antibiotic treatment (Shah & Goundrey-Smith, 2013). The UTI incidences are high among women and around 50% women face it once in their lifetime. The statistics suggest that women are more prone to UTIs in comparison to men and data shows that 7-8% women between the age of 60-80 and around 20% women above the age of 80 years are more susceptible ( ...

Critique

The following is the systematic critique of the article titled, “Implementing a Competence Framework for Administering Medication: Reporting the Experiences of Mental Health Nurses and Students in the UK” (Hemingway et al., 2012). The nursing critique has been done in accordance with the guidelines provided in the article title, “Step-by-step guide to critiquing research. Part 2: qualitative research” (Ryan, Coughlan and Cronin, 2007). The research article is published in the journal of Issues in Mental Health Nursing, which is a peer reviewed journal. The research article by Hemingway et al., 2012, is a qualitative study that employs an assortment ...

Medication errors have been one of the leading causes of iatrogenic illnesses in patients, and they are said to cause harm and results in additional costs to both the patient and medical facilities. Every year, 3.8 million inpatient admissions cases are reported with preventable medication errors whereas 3.3 million outpatient visits are reported (Runciman et al. 2003). These errors occur as a result of dosing errors, high volume of medications that are dispensed to the patient and also due to harmful drug interactions and drug allergies. These medication errors can be prevented if some steps are taken in incorporating ...

Introduction:

Nursing is a profession that deals with the taking care of people who are sick or injured. With the vital cases that nurses do seal with at times, like ordering for drugs, subscribing for a patient and administering of the same, they do undergo training to be able to handle such tasks. During their training, they familiarize themselves or get skills that might enable them handle the different cases that might arise when they are practicing their profession in the field. In the process of their medical practice, they do undergo many challenges that affect both their profession and the people ...