Advanced practice in the management of children with eczema.

Undertaking a physical assessment, making a diagnosis and prescribing treatment are traditionally the domain of medical practitioners. For some childhood illnesses, these activities are now undertaken by nurse consultants and advanced nurse practitioners, particularly in nurse-led community services. A case example of a child with eczema is used to explore the scope of the advanced nurse practitioner role, including: an example of a consultation model; physical assessment to aid diagnosis and treatment of the eczema; and prescribing responsibilities. The integration of these roles with nursing care that promotes communication and concordance can benefit children with chronic conditions and their families.