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A FRAMEWORK FOR PRESCRIBING Rational prescribing

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Rational prescribing rests on knowledge of the patient, knowledge about the nature of the health problem, and treatment using evidence‐based guidelines, standards of care, strategies for promoting medication use, health plan coverage, and socioeconomic factors. With this information, the APRN and the patient make a shared decision through consideration of the benefits and burdens in the patient’s particular situation. Both need to be mindful of the APRN’s responsibility to act in the best interest of the patient. There are four general elements to rational prescribing: knowledge of the patient, knowledge of the disease and standard management, patient education and shared decision making, and maintaining a trust relationship with the patient.

The Advanced Practice Registered Nurse as a Prescriber

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