Worawon Tosonyasook, RN., NP Department of Social Medicine, Hatyai Hospital

1. Role of Nurses in UK General Practice Worawon Toonyasook, RN., NP Department of Social Medicine, Hatyai Hospital

2. Primary Care Nursing in UK In the Practice In the community Nurse Practitioner Practice Nurse Midwife District Nurse Health Visitors Specialist Nurse

3. In the Practice Nurse Practitioner Makes differential diagnosis & clinical management Practice Nurse Flexible clinic INR clinic Travel clinic Wound management Immunization Smear clinic AMB ECG’s BP’s Midwife ANC and PP

4. Palliative care In the community District Nurse Health Visitors Specialist Nurse Community staff nurses Visit people: providing clinical care for patients School nurse Promote good health and prevent illness in the community

6. Flexible clinic Chronic disease management clinic assessment planning Implementation & evaluation of clinical care Patient education

10. PN has highly skilled to select equipments that are appropriate for each wound type. Treatment room

13. management of leg ulcer To prevent dryness, scaling and eczema Moisturize with emollient. Aids venous return and reduces venous hypertension. Venous ulceration should be treated with high compression bandaging Antiseptics are unnecessary and may delay wound healing. Immerse or irrigate with NSS, avoiding antiseptic. Most chronic wound are colonized therefore an aseptic technique is unnecessary . A clean technique is acceptable. Rationale Action

14. Ear Irrigation Electronic irrigator for remove ear wax

16. Smear clinic

18. Health Visitors

19. District Nurses

20. School Nurses