Advanced Practice Nursing Case Study

Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.

Physician-assisted suicide helps those who are suffering from a grave condition to be able to die easily. For instance, the state of Oregon requires a physician to prescribe medication, but it must be self-administered by the person ending their life, and not the physician. The prediction of the person’s remaining life span must be 6 months or less and they must be a resident of Oregon in order to begin another series of requirements. A written request for prescription and two oral requests from the patient are needed to avoid criminal accountability, as well as written confirmation by the doctor stating that the act is voluntary and informed. It is up to both the patient and physician to come to an agreeable conclusion of whether taking his or her life is the appropriate decision for them and the physician is responsible to deliver a reasonable

There is at least 113 suicides each day or 1 every 13 minutes. Suicide among males is the seventh leading cause of death and the fourteenth leading cause in females. Most suicides are with a firearm and are carried out with a “ Saturday night special”. (Dilaura,Cynthia DiLaura) “More than 90 percent of suicide attempts with a gun are fatal. “ (Brady Campaign) There are a number of reasons why suicide occurs. Stress is the number one cause among our youth, bullies, peer pressure, depression, and abuse. 41,100 people committed suicide in the United States in 2013. Our young teens today does not take time to look deeper into there problem and to seek out a better solution. They are looking for a quick fix but not realizing once the trigger is pulled the result is final with no turning back. Most people who has attempted suicide is more likely to try a second attempt and most have an underlying mental illness. There is many warming that someone may be in a suicide crisis. We most learn how to see things through their eyes. No matter what one is facing in life or the difficult that lie ahead of them Nothing is worth taken your own

Texas has a rapidly growing population with complex healthcare needs, but has limited resources in terms of healthcare provider workforce. There is an expanding need for healthcare in Texas even without taking federal reform into account. Currently, more than forty percent of states have adopted full practice authority licensure and practice laws for Advanced Practice Registered Nurses (APRN). Texas is not one of them. Currently, APRN’s are regulated by both the Texas Board of Nursing and the Texas Medical Board. Passage of Senate Bill 681 would grant full practice authority to APRN’s, and therefore be regulated exclusively by the state nursing board.

Palumbo, Marth, and Rambur (2011) stipulate that over the years, advanced practice nurses have continued to avail care that is of top quality. Subsequently, they have been able to create a recognized place within the healthcare system. By 2012, it was reported that there was an approximate number of 240, 000 advanced practice nurses (Newhouse et al., 2012). The report also added to the assertion by Palumbo, Marth, and Rambur (2011) through the indication that advanced practice nurses offer their services in settings that need a heightened range of professional independence while providing healthcare. What concerns their function, LaBrocca and Angosta (2016) indicate that as a health expert, an advanced practice nurse foresees issues in healthcare

Advanced Practice Registered Nurse (APRN) has evolved tremendously since it was establish in 1965 to service vulnerable populations, however there are still barriers that must be addressed in order to free APRNs from limitation imposed by state scope of practice (SOP) laws and payers, which disrupts health care financing/costs, access, delivery, and quality patient care. Currently, only one third of the states in the U.S. permit APRNs to fully practice within their scope without limitations (Hain & Fleck, 2014; Yee, Boukus, Cross, and Samuel, 2013).

This paper discusses the advanced practice nurse (APN) roles and need to act as a financial participant within healthcare(Butts &Rich, 2015). County General Hospital, a nonprofit hospital that serves 200,000 persons surrounding rural communities provided financial statements representing fiscal year end (FYE) 2014, 2013 for analysis. The APN will extrapolate ratios that depict liquidity, efficiency, profitability, and solvency. The implications of the balance sheet, income statement, and statement of cash flows will be discussed in terms of general impact on general business entity as well as the specific impacts of this data on CGH. Lastly, a brief financial forecast will be developed by the APN for CGH

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).

The role of an Advanced Practice Nurse (APN) is evolving as the shortage of primary care providers occurs as a result of an aging population and the implementation of Affordable Care Act (ACA) (Laurant, 2014). The advancement in medical technology, increasing aging population, and the prevalence of chronic diseases increase the expectation of public in healthcare system. In order to meet those needs various nursing roles evolved, and all those fall under the umbrella of APN (Ramis, Wu, & Pearson, 2012). Evidences support the role of APN in reducing patient length of stay, subsequent hospital costs, and functions as a recruitment strategy to encourage nurses to stay within the profession (Bauer, 2010). In order to be a successful APN, a nurse needs to have the advanced knowledge and expertise in the designated area. The APN is one who has advanced knowledge and skills in meeting the needs of a population with complex and unpredictable health needs. The skills needed to be successful as an APN is critical thinking, leadership skills, and clinical judgment in addition to the mastering of core competencies required by the National Organization of Nurse Practitioner Faculty (NONPF). For the purpose of this project I interviewed Mrs. A.C, who is an APRN for the Cardiovascular Surgeon. The main focus of the interview was to analyze the NONPF core competencies possessed by Mrs.A.C. The part of this paper includes the Description of the NONPF NP core competencies, Interview

Medical care in America is estimated to cost $2.7 trillion each year with roughly 30 percent of that cost attributed to ineffective or redundant care, approximately $800 billion (America's Health Insurance Plans, 2014; FOX, 2010). Within this section $44.6 billion is attributed to suicide treatment and medical cost (Center for Disease Control and Prevention, 2015). The CDD further estimates that with approximately 40,000 people dying of suicide annually suicide contributes to the 10th leading cause of death for Americans, narrowly being outstrode by kidney disease and influenza yet still achieving a higher overall medical cost than the ninth and eighth ranked causes of death (Keren, Zaoutis, Saddlemire, Luan, & Coffin, 2006;Webberley, 2015).

As our healthcare continue to evolve, Advanced Nurse Practitioners' role is a crucial key component in the way health care is delivered in multiple settings, particularly in the primary care to improve patient's health outcomes. Nevertheless, the existing barriers limit nurse practitioners to practice to full capacity or extent of their training and education. One of the main obstacles faced by the advanced practitioners are the laws that govern the profession. Presently, NP practice rules and regulations vary from state to state(Hain and Fleck, 2014).

Tennessee board of nursing offers advanced nursing registration to nurses with qualifications at graduate levels who have achieved certifications in various areas of specializations. The state board applies the title Advanced Practice Nurse (APN).The state board also recognizes the advanced practice obligations as provided in the National Council Of State Boards Of Nursing (NCSBN). The four advanced practice roles are Nurse Practitioner, Clinical Nurse Specialist, Nurse Anesthetist and Nurse Midwife. APNs in the state of Tennessee must also be licensed as registered nurses. In the event that the nurse resides in another state, RN licensing is done in the state of residence. The

Advanced practice nurses provide care in many areas in the healthcare arena. They provide care to patient and family for better patient outcome. According to Kleinpell et al. (2014), the global characteristics of the APRN roles include the “Right to diagnose, authority to prescribe medication, authority to prescribe treatment, authority to refer clients to other professionals, and the authority to admit patients to the hospital. There are four roles of the advanced practice nurse; Certified Nurse Practitioner, Certified Nurse Midwifery, Clinical Nurse Specialist, and Certified Registered Nurse Anesthetist

Advanced Practice Nurses (APNs) caring for the underprivileged helped to advance the process of becoming primary care providers. With advanced nursing skills and primary care abilities APNs are able to give care to rural and poor communities. The concept of APNs providing care to the poverty-stricken communities has broadened APNs scope of practice. Lillian Wald, a public health nurse, established the Henry Street Settlement (HSS) to provide care to the poor in the Lower East Side of Manhattan. She had a vision to reach out and help as many poverty-stricken people as possible. Wald states that the demand for healthcare was increased (Wald, 1922). Loretta Ford stated that chaos with social, political, and legal created time for greater nursing

Maine needs a better proactive prevention program for suicide. Maine’s suicide rate among all ages is unreasonably high. It is especially disconcerting to have a high rate among young adults. According to the Maine Suicide Prevention Program, one suicide happens every two days or 180 suicides year in Maine. It is the tenth leading cause of death among all age bracket in Maine. It is the second leading cause of death for ages 15 to 24; and the fourth leading cause in ages 10 to 14. (“Maine Suicide Prevention Program”) There are programs in place to help. They do not seem to be enough.