Independent & Supplementary Prescribing Programme: Case Study

This coursework project is a case study analysis focusing on aesthetic nurse prescribing, specifically examining the treatment of a 60-year-old woman, PF, who underwent non-surgical cosmetic treatments. The study delves into the critical understanding of national and local frameworks for medicin...Read More

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COURSEWORK PROJECT SUBMISSION AND RESPONSE SHEET
Independent & Supplementary Prescribing Programme Leader:
Student Number
Word Count:
Title of Coursework: Case Study
Coursework is receipted on the understanding that it is the student’s own and that it
has not, in whole or in part been presented elsewhere for assessment. Where material
has been used from other sources it has been properly acknowledged in accordance
with the School of Pharmacy’s Regulations regarding Cheating and Plagiarism.
Tutor’s comments
Sadly this does not meet the criteria for a pass. There are two reasons for
this. The main one is that you have not answered the question asked. You
needed to discuss national and local guidance and you have not. Just
talking about prescribing generally and the problems inherent in aesthetic
practice did not show how you will use guidance to inform your future
prescribing practice.
You were asked to cost the drugs and you did not. There was very little in
here about the drugs at all – this is a prescribing programme – you have
to convince us that you are going to be a safe and effective prescriber.
There was also very little of relevance on PF – we needed clinical detail –
you need to show that you can prescribe for people with other conditions
and on medication. Whilst this was meant to be a typical person from
your future prescribing practice, you gave yourself no chance of showing
off any skill or knowledge by picking someone with no health conditions
nor medication.
Secondly, you did not include any relevant evidence – the ref list was
woefully short – in a piece of this size at this level you need at least 15-20
references, the majority of which should be primary literature and you
need to use this primary research to support your argument. It is not
enough to say the result was ‘brilliant’ and that a particular product is
‘best’ without producing objective evidence.
You need to get help with proof reading as this was hard to follow in
places.
I think what is concerning is that a lot of the comments I am making here I
made when you submitted your draft. I suggest that you do not submit
any more written work (this includes your legislative essay) until you have
had some support from one of the team or from the subject librarian,
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David Bedford. His details are on moodle and he is always happy to help
prescribing students.
The result of this is that you cannot now pass module 1 alongside your
cohort, regardless of your score for the legislative. This will involve you
extending your studies over a longer period. Fiona will contact you to
discuss how this will work and when you should submit all future work
going forward.
Grade Awarded_35%
Agreed with markers comments.
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INTRODUCTION
Aesthetic Nurses are the registered nurses who administer cosmetic and aesthetic care
and services to patients (Berwick, and Humble, 2017). This is a report on case study analysis
that is based on PF who was a 60-year-old woman, who had undergone non-surgical cosmetic
treatments. In relation to the case study, critical understanding of national and local framework
for medicines utilised in the study along with budgetary constraints at local and national level
are discussed in the study.
MAIN BODY
Critical understanding of national and local frameworks for medicines use including
budgetary constraints at national and local level
PF had undergone many non-surgical cosmetic treatments and had no sensitivities or
allergies. The main reason of choosing this particular case study is that she had no past medical
history of serious illness, surgical procedures and not on regular medical therapy. However, she
is a typical patient as there are some risks associated with the non-surgical cosmetic treatment
which requires prescription of medications in future. At the time of initial consultation, the
patient must be providing information about the risk and benefit associated with the treatment
procedure. As per the standard operating procedure, prescribing the treatment by Aesthetic
Nurse was performed following the consultation and discussion with PF.
The main purpose of providing the treatment was to provide additional volume to the
aging face as well as to smooth the deep lines developed bilaterally through the years. The
initial phase of the treatment was that her mouth to nose lines nasolabial folds were filled by
using hyaluronic acid dermal fillers. “Juvederm” by Allergan, hyaluronic acid dermal fillers
range was chosen as a best product to treat the aging face. It is best as it delivers natural-
looking results and administer patients with plumper, smoother cheeks that do not look
artificial. (Top 7 Juvederm Benefits, 2020). The hyaluronic acid is a clear substance which is
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naturally produced by body. The main function of this acid is to retain water in order to keep
the tissues moist and well lubricated. Aesthetic Nurse working in cosmetic practice area have
high claims frequency. The most common cause for claims was dissatisfaction with outcomes.
The national framework for medicine use: Where the jurisdictions have moved to
execute particular measures associated with cosmetic medical and surgical sector, it has usually
been in response to the concerns regarding quality and safety of procedures as well as
promotional methods.
Five interdependent components were considered which formed linchpins for National
framework - the procedures, promotion of procedures, practitioner, patient and place.
Improvement of consumer safeguards needs all the five components to work together. The
principles which underpin non-medical prescribing includes enhanced patient care without
compromising with safety of patient and making it easy for them to get the medicines they
require. Apart from this, increasing patient choice in accessing the medicines and make better
utilization of skills of healthcare professionals are also the principles that underpin prescribing.
Moreover, contributing to introduction of flexible teams working across the health care services
is also the principal. The main purpose of setting up the prescribing guidance is to set up a
framework for their development within clinical commissioning group. Prescribing benefits the
patient care through improving timely access to medicines. In case of PF, prescribing assist in
providing her with proper treatment.
The prescribing decisions can be impacted by the budgetary constraints as with
innovation of new drug delivery systems, pricing policies, emergence of new pharmaceuticals
etc., the pharmaceutical expenditure is increased (Berwick, and Humble, 2017). The prescribed
medicines constitute a component of budget of fund holder and might be expected to influence
upon the decisions.
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The Juvederm is the product which attains best efficacy, however the adverse event
incidence for the medical product was significantly high in comparison to other hyaluronic acid
(Cohen, Bashey, and Wysong, 2017). The treatment which was provided to the patient gives
good outcomes and she was happy with her aesthetic appearance treatment. After the treatment
procedure, no complications were noticed and the client was provided with the advice for after
care as well as provided with the details of clinic so that she can contact in case of any kind of
concern.
CONCLUSION
As per the above provided case study, it can be concluded that there are some benefits of non-
surgical treatments, however some disadvantages are also associated with this procedure.
Juvederm is considered is considered as the best product for treating ageing face as it gives
natural looking to the face. The treatment provided to PF was effective in making her ageing
face look good with additional volume.
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References
Cohen, B.E., Bashey, S. and Wysong, A., 2017. Literature review of cosmetic procedures in
men: approaches and techniques are gender specific. American journal of clinical
dermatology, 18(1), pp.87-96.
Read, T., Noonan, C., David, M., Wagels, M., Foote, M., Schaider, H., Soyer, H.P. and
Smithers, B.M., 2016. A systematic review of non‐surgical treatments for lentigo
maligna. Journal of the European Academy of Dermatology and Venereology, 30(5),
pp.748-753.
Gunn, E.G., Loh, C.Y.Y. and Athanassopoulos, T., 2014. Cosmetic websites Scotland: legal or
lurid. Journal of Plastic, Reconstructive & Aesthetic Surgery, 67(8), pp.1144-1147.
Berwick, S. and Humble, Á., 2017. Older women’s negative psychological and physical
experiences with injectable cosmetic treatments to the face. Journal of Women &
Aging, 29(1), pp.51-62.
Dolan, M., 2015. Non-surgical cosmetic chin enhancement: treating the underdog of the
face. Journal of Aesthetic Nursing, 4(3), pp.126-126.
Top 7 Juvederm Benefits, 2020. [Online]. Available through:
<https://www.windsordermatology.com/top-7-juvederm-benefits/>
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