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For instance, a specialist physiotherapist in neurology may know more about specific use of anti-spasticity medication (Chapter use of bronchodilators and they could use this knowledge for more effective prescribing. In a hospital setting a consultant physiotherapist may specialize in the rehabilitation of older patients, who have had falls or experienced physical decline following infection.
They would be able to provide a better service for patients if they were prescribing under a CMP. A CMP could be written with a doctor as soon as the patient is admitted into hospital, providing the patient agrees.
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A PGD is a relatively new method (an amendment to the Prescription Only Medicines [Human Use] Order supplied or administered without a normal prescription to specified groups of patients. These are written directions made in favour of health care professionals and require the signature of a doctor and a pharmacist.
Since podiatrists, dieticians, occupational therapists, orthoptists, paramedics, physiotherapists, prosthetists and orthotists, radiographers and speech and language therapists comprise the list of professionals able to supply medicinal products under PGDs. A PGD can include a variable dose range, so the health care professional can decide on a suitable dose for individual patients.
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It is a blind ending tube, which begins with the Bowmanвs capsule. The Bowmanвs capsule is the dilated closed end that surrounds the knot of capillaries known as the glomerulus. Blood is supplied to the glomerulus by an afferent arteriole and removed by an efferent arteriole. From the Bowmanвs capsule the nephron becomes the proximal convoluted tubule, followed by the loop of HenlВe, the distal convoluted tubule and finally the collecting duct. See Figure nephron.
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