Case Study: Nurse Practitioner

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

Hello, I am Angeline S. Bernard, licensed practical nurse, with Aetna’s utilization management department for long-term care. I am a 20 year veteran in the health care industry, primarily in the field of nursing, interested in pursuing a management role. With 15 years spent in the acute hospital environment, as a nurse, I have also practiced in other settings. School nursing, occupational nursing, quality management, and utilization management, are all additional areas of practice.

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

The National Council of State Board of Nursing (NCSBN) is a governmental body mandated to regulate nursing practice in various states in the United States of America. Each state has its own regulatory rules that must be adhered to by every practicing nurse in the concerned region. Depending on the location of the Advanced Practice Registered Nurse (APRN), the NCSBN subdivides nursing practice regulations into three different classes: full practice, partial practice, and restricted practice. Therefore, it is of the essence to examine the nature of practice in different states before an APRN begins training. This paper will take a detailed look at the state of nursing practice in Texas and Arizona. Apart

There are many professional practice issues that impact the role of the Family Nurse Practitioner (FNP). This occupation is continually changing and developing. There has been a recent increase in the demand for healthcare services. The growing shortage of primary healthcare providers has led to the need to utilize advanced practice nurses to fill in the gap in areas previously occupied by physicians. This has led to many issues impacting the profession including education, stress and burnout, and changing roles/scope of practice for the profession.

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

In today’s healthcare, challenging conditions are in a constant flux that calls for alternative solutions to provide the much necessary medical care to the aging population. Such is the case seen with the predicted lower numbers of newly graduated doctors going into primary care (Cassidy, 2012). The incorporation of Advanced Nurse Practitioners (ANP) into the primary care sector is an alternative that can assist fill this growing gap in primary care settings. Policies regulating the role of the ANPs occupation are in place to assure that the standards of care are maintained, and that safety practice are being executed in order to protect the public’s well being. Regulating agencies that control the role

It is very important for the Nurse Practitioner (NP) to know how the employer is billing for NP services. There are several different ways for the NP to get reimbursed for the services they render to their patients. The reimbursement method can get complicated, and the NP must be aware of the rules and regulations prior. For example, “Medicare will pay 85% of the physician rate for the services”(Bupper. C, 2011), when the NP renders service and bills by using their own NPI. However, if the NP is working with the physician, the NP can bill under the physician’s provider number, and acquire reimbursement at the full rate. This can get complicated because there are certain rules and regulations that would need to be followed. See below:

The specialty area selected by this author among the Advanced Practice Registered Nurse (APRN) roles was that of the Family Nurse Practitioner (FNP). High among the list of reasons for choosing the FNP specialty track was the ability to care for patients who lack healthcare insurance, are of limited financial resources, or are stigmatized. The type of organization that would allow me to provide high-quality, patient-centered care in a manner consistent with my professional aspirations would be a Primary Care Organization (PCO). Being part of a PCO would allow me to implement clinical skills that are distinctive of the care provided by the FNP, such as to educate patients regarding management of chronic conditions as well as counseling on disease prevention and health promotion strategies. These skills would be provided in addition to the well-established responsibilities shared with other healthcare providers; such as performing examinations, making diagnoses, prescribing medications

Topic: Nurse Practitioner the Role they hold in our Health Care, how changing their scope of practice may help with the demand.

Midway during my first semester of nursing school I found out that my former husband was dying of cancer, specifically CLL- Chronic Lymphatic Leukemia; I was torn between the rigors of nursing school and doing what was best. Despite our shortcomings and however frightful our divorce was many years ago, I decided to care for him during his dying days. I felt that it was the right decision and my moral obligation to “do the right thing”; it was in my heart and for my children.

In my current role, I oversee one hundred forty to one hundred sixty patients. I have made it a practice to make a clinical coordination note any time I speak to patients, families, or if I need to return a message about a patient that I need to follow up. I plan to continue this practice as a Family Nurse Practitioner (FNP) therefore I would go to the patient’s medical record to see if I had made any notes on this patient’s chart. I would also review my other patient charts to make sure this has not happened before. If there was no documentation was noted in the patient's chart, I would take my concerns about Stephanie to the physician of the practice.

Mrs. Cote 57-year-old female here today to establish care. She is a former patient of Marni Nicholas, MD.