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Role of Nurses in UK General PracticeRole of Nurses in UK General Practice
Worawon Toonyasook, RN., NPDepartment of Social Medicine,
Hatyai Hospital
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Primary Care Nursing in UK
In the Practice In the community
Nurse Practitioner
Practice Nurse Midwife
District Nurse
Health Visitors
Specialist Nurse
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In the Practice
Nurse Practitioner
Makes differential diagnosis & clinical management
Practice Nurse
Flexible clinic INR clinic Travel clinic
Wound management Immunization
Smear clinic AMB ECG’s BP’s
Midwife ANC and PP
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Palliative care
In the community
District Nurse
Health Visitors
Specialist Nurse
Community staff nurses
Visit people: providing clinical care for patients
School nurse
Promote good health and prevent illness in the community
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Practice Nurses (PN)
working as part of the primary
healthcare team
treatment
Disease prevention
Health screening
Patient education/health promotion
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Flexible clinic
Chronic disease management clinic
assessment
planning
Implementation & evaluation of clinical carePatient
education
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For example, nursing for pt with COPD
For confirm the diagnosis - test called spirometry. A low value indicated that they have narrowed airways(+ typical symptoms of COPD).
PN provides nursing care after the pt have been diagnosed and prescribed treatment by the GP or NP
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For example, nursing for pt with COPD
Explains the purpose of the treatment and knowledge of COPD, breathing technique ect.
Patient education
assessment History taking with Apollo COPD guideline programme, physical examination, peakflow measurement, patient’s awareness
planning Pt and PN plan for improved self management
Implementation & evaluation
Review inhaler technique,Nicotine replacement therapy, changing or combining a kind of inhaler, inform the GP or NP
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INR clinic
To monitor patients on Warfarin
Patients need regular blood test called the INR (International Normalized Ratio)
The aim is to get the dose of Warfarin just right.
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PN has highly skilled to select equipments that are appropriate for each wound type.
Treatment room
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management of leg ulcer
Action Rationale
A clean technique is acceptable.
Most chronic wound are colonized therefore an aseptic technique is unnecessary.
Immerse or irrigate with NSS, avoiding antiseptic.
Antiseptics are unnecessary and may delay wound healing.
Moisturize with emollient.
To prevent dryness, scaling and eczema
Venous ulceration should be treated with high compression bandaging
Aids venous return and reduces venous hypertension.
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Ear Irrigation
Electronic irrigator for remove ear
wax
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At age Vaccinations
2 months (DPT, HIB, Polio), PCV
3 months (DPT, HIB, Polio), Men C
4 Months (DPT, HIB, Polio), Men C and PCV
12 months (HIB/Men C)
13 months (MMR), PCV
4 yrs (MMR)(DPT, Polio)
14 yrs (DPT)
Child immunizations and Flu vaccination
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Smear clinic
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Health Visitors
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District Nurses
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School Nurses