Practical Prescribing for Musculoskeletal Practitioners.
Article Type: Book review
Subject: Books (Book reviews)
Author: Reid, Duncan
Pub Date: 11/01/2008
Publication: Name: New Zealand Journal of Physiotherapy Publisher: New Zealand Society of Physiotherapists Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2008 New Zealand Society of Physiotherapists ISSN: 0303-7193
Issue: Date: Nov, 2008 Source Volume: 36 Source Issue: 3
Topic: NamedWork: Practical Prescribing for Musculoskeletal Practitioners (Nonfiction work)
Persons: Reviewee: Dawson, Julie; Hennell, Sheena
Accession Number: 207945648
Full Text: Practical Prescribing for Musculoskeletal Practitioners. Julie Dawson and Sheena Hennell 2007. M&K Update Ltd. ISBN 978-1-905539-09-3. Soft cover, 92 pages. RRP UK 13.00 [pounds sterling]

This book is intended as a convenient guide for non medical prescribers for patients with musculoskeletal problems. The two authors, Dawson and Hennell, are British (although their professional affiliations are not stated) and therefore the book is written for the United Kingdom context. This is important to state as the initial chapters of the book cover the legal aspects of prescribing and liability pertinent to that context and not the New Zealand context. However, having said that, the legal issues are of interest particularly as the physiotherapy profession in New Zealand is exploring the possibility of prescribing rights and the New Zealand Society of Physiotherapists has working party looking at these issues at this time. This book will be of interest to all allied health professionals and in particular Podiatrists as they have just been awarded prescribing rights.

The book is an excellent pocket sized guide and is divided into nine chapters. The first two chapters cover legal issues and safe prescribing and the remaining seven chapters cover the main drugs prescribed for musculoskeletal conditions.

The format of each drug chapter is consistent and provides the following information; An overview of the prescribed drug with its primary actions and requirements for prescription, the different types of drugs (for example the various types of analgesics one may use) and then the following key pieces of information specific to each drug are provided under the following headings:

* Mechanism of action

* Evidence of effectiveness from clinical trials

* Preparation of the drug (tablet, liquid etc)

* Dosage

* Side effects

* Cautions

* Contraindications

* Interactions

* Prescribing Advice

While the New Ethicals Drug Guide has much of this information, the relevant information for allied health professionals is more easily accessed in this text. The prescribing advice is particularly useful and whilst prescribing is not within the scope of physiotherapy in NZ, it is often the physiotherapist who needs to explain to the patient how the drug works and how it should be taken. This is not to say that patients have not already received this information but more that often physiotherapists need to demonstrate how the drug fits in with the physiotherapy management. In other cases we may need to discuss with the patient's medical practitioner which drug options may be of value. This is particularly so with difficult pain syndromes such as neuropathic pain. A comprehensive reference list concludes the book. In summary, the information provided in this book will be a great value to those physiotherapists working in the musculoskeletal area and of even greater value if the profession is granted prescribing right in future.

Duncan Reid MHSc (Hons),MNZCP, Senior Lecturer, Auckland University of Technology, School of Physiotherapy, Private Bag 92006, Auckland.
Gale Copyright: Copyright 2008 Gale, Cengage Learning. All rights reserved.