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Competency Framework in Prescribing

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Date added: 18-12-19


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Communication between the doctor and the patient determines the success of the consultation. Hence, there is a high correlation between medical outcomes and the consultation that exist between medical practitioners and patients. Point to note is that patients are not only physically ill or distressed emotionally but also are likely to be suffering from both conditions exclusively. During the consultation process it is hard to determine whether both states prevails or not. Therefore, the medical practitioner, is required to use the skills attained in the medical training to learn the prevailing condition. Being keen and listening to the patient is what the doctor is expected to show in the commencement of the treating of the patient. Moreover, the medical practitioner will determine while noting whether the patient is physical or emotionally distressed or even both.it goes without to mention that the medical practitioner is required to involve the patient actively in the process (Shirley 2012). Traditionally medical consultation did not evidently show the involvement but till lately the status quo where the society and health sector has embraced the changes. Also, the reduction in the risk factors has been emphasized mostly, to persuade the patients to embrace the preventive measures and convince them to avoid risks to their health. Consequently, most of the patients have shown the urge to know more than they see some issues(Dean 2013).Additionally, they have demonstrated the need to be involved in the decisions concerning their welfare and treatment in that matter. This decides the probabilities of the success in the treatment and probably the side effects of the medical treatment. However, some patients decide to leave the decision making of their health to the medical practitioners. Though this is right, but it is crucial and advisable to be the part of patient treatment. When the decision is left on the doctor's freedom, he or she has supposed to advice accordingly the patient on the probabilities of success and the side effects as well (PSNC 2013) Worth to note, while building the relationship between the patient and the doctor, the medical practitioner is expected to greet the patient and welcome them warmly, and if possible would be appropriate to greet them by their name. This creates a good a rapport and the patient has the feeling of belonging in the medical facility. Next, the medical practitioner is expected to observe and detect any emotional distress and respond accordingly (Shirley 2012). That said, the medical practitioner now is involved in keen listening to the patient noting down the physical and psychological distresses that they may be prevailing in their reach of treatment. Also, the medical practitioner takes the data from the patient noting them down without interruption. Consequently, creates trust and confidence, crucial to the treatment process. The patient gets the first impression from the medical practitioner by the rapport they build by listening to their health matters. That said, the doctor brings forth the detailed explanatory design to get more of what the patient expects from him or her, it involves considering additional factors to assist in making decision. Finally, the medical practitioner will give a comprehensive understanding about the issues raised by the patient and share with the patient (Selye 2011) A management plan is provided by ensuring the appropriate information is available to the patient and reassure the dependency of the info. Moreover, the proposal created should be negotiable, to give the patient the freedom to express them on the likelihood of attaining every set goal in the plan. Also, further consultations are made by creating more links (Kvinkina 2010) Better medical practice requires that any practitioner must work and recognize the limits at which ones competence has reached. Also keeping the skills and knowledge gained up to date (Murray 2002).Hence developing and maintaining skills and knowledge in pharmacology is required.in addition, medicine management, and prescribing expertise is essential in the one's skills of prescribing. Prescribing safety can be improved by use of electronic system whereby for instance you highlight the interactions as well as the allergies accompanied by your prescription (Dean 2013). Also, compatibility and consistency of the medicine prescribed, administered and supplied are of importance in the practice.it is critical to note that the medicine and healthcare regulatory bodies provide the information to support the use of medicine that is safe, as well as the medication you tend to prescribe. Therefore, for safe prescribing of medicine, clinical governance creates a framework in which NHS institutions can improve the safety and quality of patient services. Consequently, SFT priority is to ensure that the safety and quality of the health services to patients is preserved.in addition, every prescription is done under standards of prescribing practice. On-medical practitioners (NMPs) might prescribe in the medication range as per qualification (IP or SP) and under competence and experience (Robert 2009) In the practice of prescribing by NMPs must let the patients know that they are getting services from an NMP as well the limit at which is allowed to give the prescription. The reason behind making the notifications is to ensure that the patient to some particular point is expected to be referred to another higher professional level to access more advanced health services. Clinical management plans are put in place and ensured that is followed by the letter.NMPs in case of prescription is expected to give the limit of their practice and keep the records appropriately (Marcel 2005) Prescribing practice is expected to fall under the local and international guidelines and SFT medicine policies. Hence, NMPs have to be aware of the latest BNF while prescribing.in reporting of the adverse side effects of the drugs administered must be reported using the yellow card system guidelines. Therefore, NMPs should be updated on the skills and knowledge on the prescribing to maintain the safety of the patients. The prescription must be recorded on the SFT prescriptions forms to whether in the inpatient medicine charts or the discharge summary. Although the NMP is not expected to prescribe and administer the prescription, they have written and advisable to let the other competent practitioner be involved in measuring the accuracy (PNMC 2013) Consultation and prescribing in the medical field is inevitable and forms the foundation of the treating process of the patients. Consequently, helps to build trust among the patients and medical practitioners. Therefore, knowledge and skills are required to make it a success.it is essential to that due to the rise of many cases involving misinformation given by non-medical practitioners, then the government should come up with strict rules and regulations to curb the cruel practices.

References

Marcel. D. (2005). Dietary Suppliments.McGraw-Hill.New York. Shirley F. & Barbara J. (2012). Health Professional's Style Manual.? Robert W. (2009). Successful Scientific Writing: Guide for the Biological and Medical Sciences.? Murray P & Rosenthal K, (2002). Medical Microbiology. 4th ed. St. Louis: Mosby. Dean.W. (2013).Smart Drugs and Nutrients; Santa cruz.p222. Sokolowaska.M. (2011).Medicine and Society, Problemy. Kvankina.E (2010).Body Resistance and Adaptions, Rostov State University, p126. Selye.H. (2011).Stress Without Distress.Toronto.Stewart. Standards for medicines management', NMC, Sept 2012 Prescribing Rights' PSNC, June 2013
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