Nurse Practitioner Case Study

Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.

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.

As the clinic RN, I assisted and learned to do many types of wound dressings, wound care debridement, and with wound care equipment. My strengths and skill sets are from years of OR experience with incisions/wounds, infection control, assessment and direct patient care. I offer wonderful interpersonal skills that include leadership through mentoring and building rapport with professional and nonprofessional staff, experienced and effective public speaker in any venue, and patient/community education through honest and effective communication. I have been successful in every nursing area I have worked and I would like to join and add to your Wound Healing team.

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.

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

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

The road of a Nurse Practitioner has multiple educational stages including organizations that help the students interested in this field. These professional organizations have played a huge role in supporting their members and the institution they work for. For instance, these organizations use a variety of activities such as communication, education, recognition, advocacy, and research to develop a sense of leadership while making the students able to make decisions that will improve the quality of the healthcare practice. There are many organizations that work on the growth and quality of the healthcare service, however, the following not only are on the top of the list but they also are specifically dedicated to the role of a Nurse Practitioner. A well-known national professional organization that supports the development and encourage leadership skills for the Nurse Practitioner students is the American Academy of Nurse Practitioners (AANP). The American Academy of Nurse Practitioners or (AANP) is the only full-service national professional membership organization for nurse practitioners of all specialties, without mentioning that it is the largest one. As a student, the enrollment

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.

This week has started with a bang! I learned last Friday that my preceptor does not want to finish precepting me because she felt I was not competent enough. I do not know why she would choose to abandon a student rather than choose to attempt to teach them. I do not expect to be fully competent at being a nurse practitioner or completing a comprehensive assessment at this point. We have not even completed going through all of the body systems. Perhaps the problem was that most of her clients were children between the ages of 2 months to 15 years and this is the last section that we study in this course, so I was not able to answer all of her questions that she would constantly blurt out, such as what is the blood pressure range for a 3-year-old

The patient in case study number one presents with signs of pregnancy. A missed period, nausea, breast tenderness, and positive home pregnancy test (Schuiling & Likis, 2017). The estimated date of date of delivery on September 8th of the following year (2013) based on the Nagele's rule (Date 12/1 +8 days then month December - 3 months) (Schuiling & Likis, 2017). The patient factor related to the last menstrual period (LMP) led to this conclusion. This patient presents in the first trimester. Therefore, a prenatal workup is indicated.

assist in walking. In addition, there are now “smart” homes for frail elders. Smart homes are wired with sensors to detect motion and thus monitor safety of activities in the home, such as overuse of stoves and alert emergency services.” As the older team of nurses are ageing and becoming of retiring age, many are considering to retire thus others nurses of the new generation are entering into the workforce without the knowledge and experience that they could gain from the perspective of a seasoned nurse that has worked for many years nursing. A shortage of physician has been triggered due to the nurse shortage which would call for an increase in Nurse Practioners. The demand in healthcare would call for several specialists to increase in hospitals as well.

A wound by definition is a breakage in the skin, there are varying causes of this however the most common recurring wounds in the elderly population are pressure areas and skin tears (Wild, Rharbania, Kellner, Sobotka & Eberlein, 2010). Due to comorbidities, wound healing is often compromised therefore the healing process can be prolonged which can lead to a chronic wound (Wild et al., 2010). It is therefore vital that proper wound management regimes are implemented to reduce the risk of hospitalization. The current Ministry of Health scheme has put a big emphasis on the primary health care sector in reducing numbers of those hospitalized in order to cut costs (Ministry of Health, 2008). The rest home nurse has the role of overseeing many clients throughout the day. In relation to wound management it is this nurse’s duty to monitor clients wounds in ensuring conditions aren’t worsened to the point of which a district nursing referral is required. The scribes current placement is within the community health sector, the role of the district nurse within the healthcare system is primarily for wound care however this position also encompasses things such as continence, new stoma monitoring and catheter cares. A huge component of the district nurses duty involves health education. The student will use peer reviewed literature to source her