Practitioner Development UK
With years of knowledge and experience behind us, PDUK provides a range of outstanding continued professional development courses for advanced nurse practitioners, GPs, junior doctors, health visitors, practice nurses, school nurses, district nurses, paramedics, radiologists, pharmacists and other healthcare professionals.
With legislation, best practise and medical guidelines constantly changing, it’s essential that healthcare practitioners are always at the cutting edge of their profession. Remaining confident that you’re offering the very best service you possibly can to your patients is incredibly important, both now and in the future.
The training courses offered by PDUK will not only give you a heads up about new developments in your field, they also allow you to develop an impressive CPD portfolio at the same time.
Access all areas
Ready to move your skills and knowledge forward? Why not start with one of our high quality online eLearning courses.
They can be completed in just a couple of hours, and once you’ve finished there are many more to try including:
The first steps in recognising the acutely ill child – a free taster
An introduction to the assessment of minor head injuries
An introduction to paediatric minor injuries
Essential ophthalmic assessment in primary care
An introduction to skin infections
Dementia – understanding and dealing with challenging behaviour
For further information visit https://www.pduk.net
Hands-on, bespoke training for your staff
Healthcare practitioners across all disciplines and sectors can benefit from PDUK’s in-house courses
At PDUK we understand how important it is to have access to high quality CPD courses that not only match your team’s needs but are excellent value for money too. Our expert tutors will guide your staff in the latest requirements and best practice so you can rest assured their knowledge and skills are first class.
After they have completed their training, staff will feel a renewed sense of empowerment and inspiration so that they can continue on in their careers offering patients the best standard of care possible. Programmes include:
Sepsis: early recognition and management
Patient deterioration: the acutely unwell adult
Emergency paediatrics for the primary care practitioner
Chronic heart failure: assessment and management in primary care
Understanding and managing respiratory conditions in primary care
Immunisation and anaphylaxis essentials
Best practice in catheterisation and catheter care
Paediatric IV therapy workshop
Safer pharmacology for the older patient
Patient examination made easy
PDUK’s scheduled courses for 2020
Sign up for our very popular scheduled courses to boost your CPD further:
Five-day patient assessment skills workshop (CPD SO Accredited)
Minor injury essentials(RCN Accredited)
Acute wound management for urgent and primary care practitioners (including treatment for infection
Minor ailments essentials (RCN Accredited)
X-ray interpretation of minor injuries (includes Red Dot) (CPD SO Accredited)
Contraception and sexual health workshop for the primary care practitioner
(CPD SO Accredited)
Annual NMP V300 update course (CPD SO Accredited)
Paediatric minor illness(RCN Accredited)
Under the microscope:
How team work can help manage polypharmacy and reduce any risks
The regular review of a patient’s medication is crucial in protecting them, especially if they’re taking several drugs at once. In order to give the most effective treatment and manage this polypharmacy, a range of healthcare professionals should work together to optimise patient outcomes, including GPs, pharmacists and nurses working in general practice.
In 2017, the World Health Organisation (WHO) launched its third Global Patient Safety Challenge “Medication Without Harm” with a summary target for international health systems to reduce the level of severe, avoidable harm caused by medication by 50% within five years. WHO specifically highlighted that polypharmacy should be the target of work to standardise processes, including looking at regular medication review. This has been a priority for a long time in the UK as part of medicines optimisation, as established by the Royal Pharmaceutical Society, and in England as set out by NICE
What is polypharmacy?
The word polypharmacy itself simply means “many medications”. It’s defined as present in someone who is taking two or more medications at the same time.
Despite the importance of managing polypharmacy to avoid harm, it can actually be incredibly beneficial when done properly. For instance, secondary prevention of myocardial infarction requires the use of at least four different classes of drugs (statins, antiplatelets, ACE inhibitors and beta blockers).
Appropriate polypharmacy requires consideration at any point of contact involving medication. However, there are five clear stages which should be used as a trigger to do this:
·Prescribing (and risk assessment)
·Dispensing and administration
·Communication and patient engagement
·Medication reconciliation (at care transitions)
As mentioned, there are a number of different healthcare professionals involved in supporting people when taking their medicines to achieve the best results. Each healthcare professional will bring a slightly different understanding to the table, both of the patient themselves and of their needs and their medications.
More about how teamwork can play a critical role in managing polypharmacy can be found in the full article here.
On the case:
Mr Latham a 60-year-old gentleman, is brought to the emergency department/primary care practice by a lady who informs the staff that she is his wife Zoe. He is clearly in pain, and this is observed by the contortions shown on his face. He is also gripping the left side of his mid to lower back, demonstrating a great deal of discomfort.
A full consultation, including an in-depth medical history exploration, reveals Mr Latham is a gentleman with early-onset Alzheimer’s Disease. He is not able to comprehend anything apart from the simplest verbal communication. There are no other problems found and he is taking no medication.
Based on the history and physical examination, a diagnosis of left sided acute renal colic is made.
This gentleman requires pain relief. What is the best management option? With reference to current Clinical Knowledge Summaries and guided by the British National Formulary:A. You prescribe Diclofenac suppositories, and oral Paracetamol
B. You prescribe Buscopan and intravenous Morphine
C. You prescribe Diclofenac Intramuscular injection and intravenous Paracetamol with optional Oral Morphine
D. You prescribe amitriptyline orally
The answer is C.
Particular considerations for a patient with limited understanding are the route of administration, consent and appropriate guiding legislation and standards.
Read more here.
Would you welcome the opportunity for additional training?
All those who work in the healthcare sector have one thing in common: a passion for offering the very best treatments and care that they can. An excellent way of achieving this is by keeping up to date with developments and signing up for one or more continuing professional development (CPD) courses run by the experts at Practitioner Development UK.
With a fantastic range of scheduled, in-house and online courses to choose from, they’re perfect for anyone who is looking to improve their patient skills, clinical knowledge or personal attributes. There’s something for everyone, regardless of discipline or career level.
Why not browse through our new brochure to find the CPD you’re looking for, including:
1 Scheduled events: workshops that take place here in London where you can network with others in your field and build on your knowledge.
2 eLearning courses: ideal for anyone looking for a totally flexible study option where you can learn at a time and location to suit you. Great for fitting in around work, life and family commitments.
3 In-house programmes: run at a location of your choosing, PDUK’s in-house programmes are ideal for tailor-made training in groups and offer outstanding value for money.
Don’t forget to check out our Annual NMP V300 update course or our Polypharmacy: the conundrums of multiple drug prescribing made easy! to keep abreast of current practice and help to provide patients with an even better service.
• PDUK. We help everyone get better.
Ask PDUK: Amanda Drye answers your questions:
Question 1 - I have a patient who has been complaining of stomach pain and failure to open his bowels for two weeks. He has been taking over the counter co-codamol. Is there any relation between the drug and the condition?
It is common for Codeine to cause constipation and this can be responsible for more serious gastrointestinal problems such as perforation if not taken seriously and managed effectively. It's important to leave a gap between doses of co-codamol as overdose can be very dangerous. That's because the paracetamol in it can cause liver damage. Patients should not increase their dose of co-codamol or take a double dose if their pain is very bad.
Question 2 - I have just prescribed a course of Rifampicin antibiotic therapy for a patient who takes regular oral contraceptives (o/c). Are there any important precautions that she should be advised to take?
Although antibiotics in general may cause diarrhoea which could reduce the absorption of the o/c, the only antibiotics known to reduce efficacy are the rifampicin type. In this case the patient should be advised that additional contraception is necessary. The reason for this is that these types of antibiotics can increase the enzymes in the body. This is known as being "enzyme-inducing" and can affect hormonal contraception.
About our expert:
Amanda Drye is a Senior Lecturer in advanced clinical practice specialising in Non-medical prescribing and public health. Her clinical experience ranges from intensive care to health visiting.