RESUMO
The prescribing practices of 18 primary care nurse practitioners (NPs) with 1,683 patients over a six-month period were examined through a randomly selected audit of over 1,700 prescriptions. The results showed that NPs prescribed a very limited number of well known, relatively simple drugs to a young, female healthy population. The prescription/visit rate was 0.26. Most drugs were initiated for the first time rather than refilled. There was minimal physician consultation regarding drug use during the visit. The results provide evidence of the ability of nurse practitioners to prescribe drugs and should aid in the further legalization of this aspect of the primary care role.
Assuntos
Prescrições de Medicamentos , Profissionais de Enfermagem , Enfermagem Primária , Adolescente , Adulto , Fatores Etários , Antibacterianos/administração & dosagem , Feminino , Humanos , Estudos Longitudinais , Masculino , Fatores Sexuais , Estados UnidosRESUMO
Aerobic exercise is receiving increasing emphasis as an important health promoting behavior. This paper provides a model for assessment and management of the healthy exercising adult. A data base is presented that enables the practitioner to determine the presence of risk factors and/or disease, to identify health problems which might modify exercise prescription and to collect information to individualize the prescription. The remainder of the paper details the elements of exercise prescription with a specific focus on patient education.