Edinburgh Napier University

  The aim of this case study is to illustrate how prescribing decisions can be enhanced through the use of systematic consultation, reflection on practice and relevant information seeking. The enhanced Calgary-Cambridge model was used to structure the consultation. Reflection on practice was achieved using Gibbs' model. The case study involved a 74-year-old gentleman admitted to a UK-based intensive therapy unit for high flow nasal oxygen, invasive monitoring and further management of an ongoing pneumonia and sepsis that were not improving, despite intravenous antibiotics on the ward. Treatment decisions throughout are backed by guidelines and evidence, and the power of reflection on practice is considered in relation to growing competence as a prescriber.