Advanced Practitioner in Primary Care

Josey Coaten is a lecturer and Programme Director for the MSc Advanced Clinical Practice at the University of Hull. An experienced registered nurse and Advanced Clinical Practitioner, she is also a non-medical independent prescriber. Josey brings extensive experience from primary care, having held roles from practice nurse to Senior ACP. She holds a postgraduate certificate in academic practice and is a Fellow of AdvancedHE. Sarah Pay has experience as a lecturer in the MSc Advanced Clinical Practice programme at the University of Hull and currently works as an ACP and clinical educator at Haxby Group. With a background in adult nursing, she has worked extensively in primary care as both a practice nurse and a Senior ACP. She is a non-medical prescriber and holds a postgraduate certificate in academic practice, as well as being a Fellow of AdvancedHE.

• Preface xxiiiAcknowledgements xxvUnit 1 The ACP Role in Primary Care 1Chapter 1 Scope of Practice and Role Within Primary Care 3Chapter 2 How to Get the Most from Supervision in Primary Care 14Chapter 3 Patient-centered Care 28Chapter 4 Clinical Uncertainty 43Unit 2 Leadership 53Chapter 5 Leadership 55Chapter 6 Research 68Chapter 7 Education and Teaching in Primary Care 79Unit 3 Consultation Skills 89Chapter 8 Consultation Models 91Chapter 9 Advanced Clinical Reasoning 105Unit 4 Clinical Examination and Assessment 119Chapter 10 History Taking in Primary Care 121Chapter 11 Introduction to Clinical Examination in Primary Care 138Chapter 12 The Respiratory System 156Chapter 13 Cardiovascular Assessment 180Chapter 14 Abdominal and an Overview of Genitourinary Assessment 197Chapter 15 Neurology Assessment 225Chapter 16 Musculoskeletal and RheumatologicalChapter 17 Ear, Nose, and Throat Examination 278Chapter 18 Dermatology in Primary Care 294Chapter 19 Pediatric Presentations in Primary Care 317Chapter 20 Mental Health Presentations in Primary Care 339Chapter 21 Frailty Assessment 357Chapter 22 The Advanced Clinical Practitioner as a Prescriber 368Chapter 23 Completing the Consultation and Developing as anIndex 393