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district nurse
District Nurses are senior nurses in the United Kingdom's National Health Service who manage care within the community, leading teams of community nurses and support workers,〔(District Nursing ) ''NHS Careers.org〕 as well as visiting house-bound patients to provide advice and care such as palliative care, wound management, catheter and continence care and medication support. District nurses are able to prescribe medication to patients in a similar way to General Practitioner doctors, as Community Practitioner Nurse Prescribers under the Nurse Prescribers' Formulary for Community Practitioners (Part XVIIB(i) of the Drug Tariff), depending on individual qualifications. They may be trained to assess patient's needs for equipment provision such as mobility and independent living aids, medical equipment such as specialist beds and mattresses, as well as guidance in applying for grants and welfare benefits. Their work involves both follow-up care for recently discharged hospital inpatients and longer term care for chronically ill patients who may be referred by many other services, as well as working collaboratively with general practitioners in preventing unnecessary or avoidable hospital admissions.
== Scope of practice ==
District nurses assess people to see how to provide nursing care that allows people to remain in their own homes, maintain their independence, or have additional support after discharge from hospital. A district nurse will manage a team of nurses that may provide wound care, train carers to administer eye drops if individuals can not do it themselves, support catheter care, and administer complex medication within a patient's home as well as immunisations. As well as treatment, a district nurse can offer advice and support with health concerns and refer to other organisations. District Nurses can specialise in different areas such as palliative care.
In England and Wales, they are employed by Primary Care Trusts on behalf of the NHS, whereas in Scotland, they are employed by the health board and may be based at centralised health centres or general practices. District Nurses, like all qualified nurses, are regulated by the Nursing and Midwifery Council.
District nurses can also be known as community nurse specialists.
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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