Acute Long Term Care Research Paper

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

Who is the target client? The targeted clientele for long-term care would be people or persons who have a disability or a life altering accidents. Patients who had Surgery or A physical complication or threatening illness that takes away their ability to do for themselves, the senior citizen population who's need can not be at home but in a facility to help them heal or to keep them from being at risk for future injury.

Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.

As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).

The adult-gerontology acute care nurse practitioner (AGACNP) has many responsibilities. In addition to providing excellent patient care, the AGACNP must also know how to code for patient services, bill appropriately and know how much they should expect in reimbursement for specific treatments. Many legal issues arise for the AGACNP, including several forms of negligence; the AGACNP should be educated on the essential elements. Finally, the AGACNP must educate themselves and be prudent to avoid legal issues related to malpractice. In the following paragraphs, each of these issues will be discussed.

This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.

A nurse practitioner (NP) are trained, educated and knowledgeable professionals that flourish in primary care. There is no comparison between NP and physician, their aim should be to provide exceptional care for patients. With all respect to the medical doctors, nurse practitioners are capable of managing the medical problem as well as nursing problems (Weiland, 2015). There are many barriers which APNs have to face within their scope of practice especially in the state of Georgia (Shilling, & Hodnicki, 2015). This barrier impedes the type of care which are delivered by NPs to their patients.

The practicum experience is at Communities at Indiana Haven. It is mainly a long-term home facility. It has three units: rehabilitation unit, Alzheimer unit, and resident long-term home unit. Staff enter each unit using their cards and they have to make sure that each door is closed behind them. For the three units, there are two RNs working during the day-shifts, while only one RN working at the night-shifts. Also during the day there are six LPNs and nine nursing assistants. At night, there are four LPNs and five nursing assistants. Moreover, to be admitted to this community, patients have to meet certain criteria. For example, Indiana Haven does not accept patients who need tracheostomy care or nasogastric tubes because of the decrease number

They can influence the people throughout their state, in order to practice independently. They can conduct quality assurance and add improvements to healthcare (Chilton 2015). The nurse practitioner can affect health care policy by writing to their state legislators; they work closely with their patients and can help to reduce complications and provide a method of care (Chilton 2015). As the Affordable Care Act brings more patients into the healthcare system, the demand for NP’s services can only increase and therefore there will be a need for their services. NP’s can move beyond their limitations and restrictions and have more control and autonomy into their practice to better assist their patients. NP’s have to deal with inequalities in the healthcare system and they are qualified to practice independently (Edmunds 2013). Nurse practitioners have been excluded or restricted on a scale and are not recognized or supported to practice independently in their state (Edmunds 2013). NP’s have the ability to apply their knowledge & clinical expertise to influence and initiate a health care policy (Danna 2009). The suggestion of a policy concept is regarding the issues in healthcare that are require for modification. NP’s can provide possible solutions

Over the years I have had the opportunity to provide music performances for those who have had to move into nursing homes and memory care facilities. I have taken that opportunity to brighten the spirits of those whom I love and respect. I have been impacted by the sadness of the individuals within the walls of these homes with their loneliness that pierces my heart. To paint the picture I reflect on a recent experience. “I walk into a nursing home where my grandparents had recently been relocated. It smelt like some sort of sanitizing spray that failed to mask the smell of urine. Once I spotted my grandparents, my heart sank to a level of complete disbelief. They sat hand in hand with their wrinkly fingers intertwined with one another. It

The health care reform in the United States has increased the patient quality of care and cost -effectiveness. However, it has affected to the roles of nurse incredibly. According to American Academy of Family Physicians (2012), the patient -centered medical home (PCMH) has become a fast-growing and remarkable model care. More organizations such as Utilization Committee for Quality Assurance and the Joint Commission currently has credited the PCMH led by nurse practitioner (NP) (Stokowski, 2012).

I had my first visit at the Piedmont Family Practice in Warrenton, Virginia on 1st of September 2016. My preceptor visits two different nursing home between 8am to 10am. She gave me orientation to both Fauquier Health Rehab Nursing Center and Brookside nursing home. Brookside nursing home is the state funded and Fauquier Health Rehab is the private own nursing home. It was interesting to see the differences in the care provided by the nursing staff at two different nursing homes. Brookside Nursing home does vitals once a month and providers order are completed by the nurses as soon as they write the order. However, at Fauquier Health Rehab, vitals are done on a daily basis, but providers order are not completely in a timely manner. I realized

Finding meaningful, useful and appropriate gifts for nursing home residents can be challenging. Whether the occasion is a birthday, holiday, or just because, the following options should serve to brighten their day while reassuring your loved one that they are valued and cherished.

The integration of the advanced nurse practice in the health care has changed the healthcare tremendously in improving patient care. In this case, there is a critical need for nurses globally to practice in an evidence-based framework. Despite the role change in the healthcare industry, the advance nurse practitioner encounters many issues that prevent them to practice the health care in their full instance. As a result, the issue that would bring to the state board is the nursing autonomy. I believe that nurses should work according to their scope of practice. There are too many barriers for the nurse practitioners like there are certain types of medication they can’t prescribe to their patients. “About 43 percent of the NPs in the United States have hospital privileges, and just over half of these

In the medical field, there are many forms of caregivers that can tend to a diverse population of patients. Of these caregivers, a nurse practitioner (NP) has the ability to treat specific conditions without a doctor’s observation. However, NPs also carry with them a great amount of responsibility, especially when it comes to the business management and legal considerations that go along with patient care. NPs need to have a complete comprehension of these two aspects of as their profession grows. This paper will discuss the following: principles of fiscal management and budgeting, reimbursement issues, and several legal concepts embedded in patient care.