Julian Bradley wrote:
> instead the standard view is that they should be looked after by
> people who are not trained nurses, either RGN or psychiatric nurses
> (for dementia, depression etc.)
You forgot to mention pharmacists - more of my time is being spent
managing dementia patients medical needs. My training? There was an
afternoons multidisciplinary training the other week - but it's for the
most part internet searches - reading the Alzheimer's forums - and the
nurse (now dispensing assistant) - who used to work in the local nursing
home.
Lots of phone calls to GP's, patients and carers.
It would be an nice acknowledgement if supervised dosing was funded
(but that seems to be reserved for methadone, subutex and diazepam) -
nice if I could refer directly to the diabetic foot care clinic instead
of via a GP, nice if the hospital could operate a system that reminded
the patient and carers of impending appointments on the day.
It would be nice if ENT could communicate with cardiology before
prescribing atenolol for migraines.
It's rapidly approaching the stage that my pharmacies systems need
organising rather than just responding.
Jeff
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