Nurse Practitioner: A Case Study

While reflecting back on the previous weeks, I have to say that this was the foundational class for the FNP students. Before this class, I used to think how I am going to fulfill the role of a Nurse Practitioner (NP). This class helped me to better understand my role and gave me the confidence that I can fulfill the role of an NP. Today, when I look at myself, I know I am in the stage of advanced beginner in Patricia Benner’s Novice to expert theory. The case studies in the discussion threads really put me in the real world of practical nursing as an NP fulfilling the role of a provider. Thorough the case studies, I have learned how to make a best differential diagnosis based on the patients presenting symptoms. The interaction and sharing

For my Clinical experience, I was referred to one of community clinics run by nurse practitioners - yes, NPs- in Suffolk County in Long Island by my coworker. It is called “Nightingale Preventative Care.” I am working in the ER and at first, I thought this clinic would be a type of urgent care office which is a similar setting to the ER. I was totally wrong. For the past two weeks, this place has surprised me many ways and I learned about what the community clinic is alike to its neighbors. Patients can be seen by NPs by the appointment. However, it is located inside of K-mart and has many walk-in patients as well. Many patients who come to visit for their check-up have no medical insurance. Every Wednesday, a representative from Fidelis Care insurance company comes and provides information about Medicaid and Medicare service the company has. I really like to sit down with patients and assess about their medical histories and family histories which I cannot do often in the ER. I had a patient who was Hepatitis A Ab, Total positive Abnormal first day I work at the clinic. He didn’t understand what the test result meant and neither did I. I printed out an article from National Library of Medicine and went over with him. Patient’s education in the ER rarely happens from nurses. I felt great to listen what patients tried to lose their weight or quit smoking. I like to continue on developing skills on patient’s education and preventative care measure for patients.

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.

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.

Mental health is one fascinating specialty one can choose as an Advanced Practice Registered Nurse (APRN). Medication adherence and how far one can go to promote medication adherence can be quite an issue. Mental health patients often stop taking medications for a variety of reasons. Consequently to that decision is a decline in stability.

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

According to the National Institute of Health (NIH, 2015), obesity has escalated to epidemic levels in the United States leading to dramatic increase in disease conditions and economic burden. As the prevalence of obesity varies by socio-economic groups, race and ethnicity, it creates health disparities in US population (NIH, 2015). The nurse practitioner (NP) with a focus on evidence-based and patient-centered care is in a unique position to provide obesity reduction treatment. This paper explains the background, significance, hypothesis and study variables of an NP-led weight reduction faith-based program for a group of African-American women attending the Lutheran Church in

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

Healthcare is changing. The medical field has advanced and healthcare professionals must adapt. With increasing needs for affordable and available healthcare, there is a strong need to maintain the role of family nurse practitioners. By clearly understanding and defining the scope of practice, supporting the consensus model, and ensuring collaboration among other professionals will help preserve the role of family nurse practitioners in advanced practice nursing.

The role of an advance practice nurse (APN) is vital in health care of women with PCOS. In been knowledgeable of PCOS, its complications and treatment measures, APN can treat women with this problem though a holistic approach. The role of the APN is to appropriately manage the issue of PCOS in a manner that will offer health promotion and the best quality of life physically and mentally (Bazarganipour et al., 2015).

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.

Nurse’s Aide: The patient was confused and got tangled in the IV tubes.- This is an opinion. There is no actual facts that can confirm the reason the patient was tangled by the IV tubes was due to confusion.

In healthcare, an advanced practice nurse (APN) has achieved additional education beyond an undergraduate degree in order to provide either direct patient care or direct employee support. Advanced practice nurses include nurse administrators, educators, researchers, nurse practitioners (CNP), certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS). All nurses that can give themselves one of the above titles should be considered advanced practice, as they have advanced their base nursing knowledge in order to provide additional care in the health care industry (DeNisco & Barker, 2016). In addition, the scope of practice within each of these roles is expanded in various ways (Wisur-Hokkanen,

Brittany, thank you for providing your insight on advanced practice nurses (APNs) and physicians assistants (PAs) in this discussion. With the increase demand for primary care providers (PCPs), the APNs, predominantly nurse practitioners (NPs) and PAs are in a position to help bridge the gap due to the shortage of physicians.