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The care of patients in pre-treatment (for example contrast-based X-ray examinations) also offers scope for the use of PGDs similar to those for diagnostic radiographers, but again it is not known how widespread this is. The philosophy of supplementary prescribing is well suited to the management of therapy patients. Cancer is a chronic condition and it is highly feasible to set up a CMP between the independent prescriber and supplementary prescriber (therapy radiographer). In many respects, supplementary prescribing is better than PGDs and the values of this mechanism with respect to toxicity management are indicated below: PGDs are inflexible, being restricted to specific medicines at specific doses. Doses cannot be altered and medication cannot be changed to an alternative medicine (within a specific PGD); PGDs require regular updating in accordance with Trust policies, and the associated processes can be labour intensive; supplementary prescribing allows therapy radiographers to have broad professional latitude within their competence in the medicines they prescribe and the amount they administer.
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