medical writing guidelines essay

Pursuing the example of heart failure further, international guidelines are issued by a number of bodies. From the above, it may be seen that the National guidance indicates which drugs from each class should be considered for each purpose. New England Journal of Medicine, 364(9), pp.797-805. (Armstrong, 1995) In 2006, DOH (2006) permitted trained nurses and pharmacists to independently prescribe all medicines within their clinical competence. Anterior lateral Myocardial infarction 7 years ago (2005) followed by Angioplasty to the right coronary artery. Surrounding issues that directly and indirectly support patient orientated prescribing. Our non clinical or non regulatory medical writing services include medical manuscript writing service for journal submission, publication support for medical journals, medical abstract writing and poster presentation for medical conference, systemic review and meta analysis. Studies have shown that if patients are treated by Cardiology clinicians or Heart failure specialist nurses, clinical guidelines are more likely to be followed and readmission rates are lower for these patients. Diuretics and ultrafiltration in acute decompensated Heart failure. An example of prescribing within heart failure is an investment for the patient and the NHS is the use of Angiotensin-converting enzyme inhibitors (ACE I). Evaluate effective history taking, assessment and consultation skills with patients/clients, parents and carers to inform working /differential diagnosis. 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. 1st Jan 1970 Nursing Reference this Disclaimer: This work has been submitted by a university student. Crowther et al (2003), Gattis et al (1999), Paniagua (2011) Lambrinou et al (2012) and Jaarsma (2010) have all shown that Heart failure nurse specialists are optimal providers to assist physicians with Heart failure care for this complex and time-consuming patient population. For many conditions, these are ultimately based on evidence derived from clinical trials, in some areas these will be the ‘gold standard’ RCT. Moynihan et al (2002) recognises that the adoption of more effective and/or safer drugs, new technologies are usually more expensive, aging of the population leads to increased morbidity and drug therapy, all play a role in increasing drug expenditure. Below are some guidelines for writing easy-to-read material for patients. First Prize. The patient was comfortable and stable enough for a steady and methodical examination and history taking. Case study two identifies a patient whom is another example of heart failure but offers a different presentation; this accentuates the importance of a careful physical examination and valuable accurate history taking. Medical Students. We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. The National Prescribing Centre (2012) designed a competency framework which can be seen in appendix 3. Chemistry: Sodium 128mmol/l, Potassium 4.8 mmol, Urea 9 mmol/l, Creatinine 145 mmol/l, LFTs, HB and clotting was all unremarkable. Nursing and O’Connor, C.M., 1999. In addition, the pharmacists role includes ensuring that medications prescribed are available for administration. 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. The Crown Report (1999) recommended that legal authority to prescribe should be extended to include new groups of healthcare professionals, this also bought about the differentiation between Independent and Supplementary prescribers. How to write medical essay and win? Some implications for the health care management delivery system. In 2003, nurses and Pharmacists were permitted to prescribe from the whole of the British National Formulary (BNF) as supplementary Prescribers, except controlled and unlicensed drugs. Do you have a 2:1 degree or higher? The study found no difference in the primary end point for continuous versus bolus infusion. 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. On examination the patient was tachypnoeic, pulse was 95 and regular, sitting blood pressure was 110/62 standing 105/55. Using skills that were taught during basic nursing training is imperative in conducting a beneficial and effective clinical examination, these interpersonal skills may dictate how the patient and carers perceive and acknowledge there diagnosis and may have an influence on the approach the patient has on his/her own health. (A, B, C). Having great ideas and articulating them are different things. Reference this. Decision making in advanced heart failure: a scientific statement from the American Heart Association. A recent study by Dharmarajan et al (2013) covering three million hospitalizations showed that more than a third of readmissions (within 30 days of discharge) were for heart failure. 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. You can view samples of our professional work here. Societal guidelines tend to focus more on a particular disease and the available evidence to provide best treatment, whereas NICE guidelines have greater emphasis on appraisal of cost-effectiveness, which is of greater relevance to the local health economy in the UK. The absent breathe sounds over the right base of lung field along with the history was an indication of pleural effusion and initiated the prescription of a radiograph chest to be performed. This is not an example of the work produced by our Essay Writing Service. These symptoms can be related to either a reduction of cardiac ourput (fatigue) or to excess fluid retention (dysapnea, orthopnea and ‘cardiac wheezing’) fluid retention also results in peripheral oedema and occasionally an increasing abdominal girth secondary to ascites. These policies may be produced by the hospital or by regional bodies, including SHA, Network PCTs, for example, local arrangement may mean that a particular statin is used for primary prevention of coronary heart disease, due to local procurement agreements or cost effectiveness analyses. Therefore getting patients involved in the planning and management of care, being sensitive to the individuals need, spending time figuring out what is important to them, will hopefully reduce some of the confusion and complexities concerning heart failure. Of these, the ESC guidelines are most applicable to the United Kingdom. ++. Clinically patients present with typical symptoms; breathlessness, ankle swelling and fatigue. VAT Registration No: 842417633. 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; He had been to see the General Practitioner two weeks ago who treated him for a chest infection with a course of oral antibiotics (Amoxycillin). Integrate and apply knowledge of drug actions in relation to pathophysiology of the condition being treated, Demonstrate the ability to prescribe safely, rationally, cost effectively, and in consideration of the public health issues around medicines use, Integrate a shared approach to decision making taking account of patients/carers wishes, values, religion or culture. (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. For all patients ACEI: should be given. 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. Health Manpower Management, 21(3), pp.3-10. Although no difference was found between IV and bolus dose there are benefits to both elements so clinical judgement would be made on the specific patient needs and requirements, for example, immobilization, duration of therapy requirements, haemodynamic status. Furthermore, ESC guidelines give a strength of recommendation for a particular treatment (Class I, IIa, IIb) and an indication of the level of evidence behind the recommendation. The decision making process and the importance of a shared approach in relation to heart failure is highlighted incorporating the importance of compliance in the maximising the treatment of heart failure. 1st Jan 1970 Gattis, W.S., Hasselbied., V., Whellan, D.J. 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. There were numerous high-quality entries for the essay competition, and we would like to congratulate everyone for their efforts. Journal of the American Academy of Nurse Practitioners, 15, pp.260-265. 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. It takes years of experience to make it part of everyday writing habits. Beta-blockers are recommened but not any betablocker. (Armstrong,1995). Our academic experts are ready and waiting to assist with any writing project you may have. As the heart fails, there is a reduction in both blood pressure and cardiac output, in response to this the body conserves water which results in oedema. Essay Writing Service Without Freelance Writers from India, Africa and etc. Copyright © 2003 - 2020 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. Kalantri, S., Joshi, R. and Lokhande, T., 2007. Cooper, R., Guillaume, L., Avery, T., Anderson, C., Bissell, P., Hutchinson, M., Lynn, J., Murphy, E., Ward, P. and Ratcliffe, J., 2008. (Van der wal, 2006). The guidelines also presented various recommendations to the patients and to the medical practitioners who are involved in the process. These have been shown to improve symptoms, survival and slow progression of heart failure. Oxygen Saturations on air 94%. You can view samples of our professional work here. These recommendations include providing the patient and their caretakers with clear and concise information regarding the surgery and also on surgical site infections. These rapid changes in the development of non medical prescribers in the United Kingdom were a contrast to the gradual introduction to prescribing rights in the United States of America. , V., Whellan, D.J implications for the health care management delivery system ankle and! Orientated prescribing end point for continuous versus bolus infusion shown to improve symptoms survival. Of everyday writing habits, W.S., Hasselbied., V., Whellan,.. Received widespread press coverage since 2003, Your UKEssays purchase is secure and we 're rated 4.4/5 on reviews.co.uk is. Study found no difference in the process congratulate everyone for their efforts to... Entries for the essay competition, and we would like to congratulate everyone for their.! 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