No abstract

Patients with chronic disease are increasingly managed by nurse practitioners and nurse prescribing affords the full completion of patient episodes in the absence of the medical team ensuring a proactive approach to patient care. In the renal services at St. Mary's Trust, it was decided to develop individualized clinical management plans to include not only those patients seen in the pre-dialysis clinic but also those patients receiving haemodialysis, peritoneal dialysis, day case procedures and transplantation.