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In een gezin is er altijd een dynamiek aanwezig waarbij gezinsleden bewust en onbewust op elkaar reageren. Er kunnen patronen ontstaan die moeilijk te doorbreken zijn.

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For this to become a reality, the profession needs to build a case for moving towards independent prescribing. Pharmacology would have to be incorporated into undergraduate programmes as it is in podiatry programmes.

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Rheumatic diseases are chronic inflammatory diseases primarily affecting the joints, but with involvement of other tissues and organs. Gout is included as a chronic inflammatory joint disease and osteoarthritis as a chronic degenerative joint disease.

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They should be used together with anticholinesterase drugs and once an improvement is seen the dose should be decreased.

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This must be agreed with the patient before supplementary prescribing begins. Templates are available for CMPs, which can be adapted or individuals can develop their own.

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