A case study to include the learning outcomes 1, 2 and 4 . To include consultation process, the shared decision of a particular problem what to prescribe and the patient being compliant. Using models of nursing. Has to be a simple problem such a a moisture lesion which would require the prescriber to prescribe some barrier cream such as “ Derma S “ .This must be in the local trusts wound care formulary as only very limited with what can prescribe as a non medical nurse prescriber once qualified.Would also need pressure relieving equipment .Needs to have up to date references/ bibliography. Will only need 40% to pass this so can be kept low key.