TNF Blockers In Treating RA: A Case Study

The statement that Identifies my choice from the AACN BSN Essentials that all health professions are challenged to educate future clinicians to deliver patient - centered care as members of an Interprofessional team , emphasizing communication, evidence-based practice, quality improvement approaches, and informatics. (IOM, 2003).

Another important aspect of healthcare is effective interprofessional practice. This allows practitioners from different disciplines to work together to provide the best care for patients. There are four areas of competency in interprofessional collaborative practice. They are values/ethics, roles/responsibilities, interprofessional communication, and teams/teamwork (American Association of Colleges of Nursing, 2011). Each of these areas contribute to skilled interprofessional

The Institute of Medicine (IOM) has recognized five key core competencies (CCs) that all healthcare professionals should be aware of during practice. The initial competency described concentrates on patient-centered care. Throughout history, the nursing community has continued to evolve, both in the practicing aspect and in level of caring for patients. During this evolution of nursing care, nurses providing hands on care to patients must refer to the Institute of Medicine, peer reviews and/or evidenced-based research to guide them properly as it applies to the core concepts of nursing. The first core competency according to the IOM is patient-centered care.

Nurse Practitioner Core Competencies are a set of competencies that guides and regulates the scope of practice for Certified Nurse Practitioners (CNP). Patients and organizations benefit highly from nurses working at the top of the education in their profession. As a license Advance Professional, education will help innovate and govern our needs related to patient care, safety, evidence-base practice, and improvement of positive patient outcomes. Nurse Practitioner Core Competencies consist of Leadership, Quality, Practice Inquiry, Technology/Information Literacy, Policy, Health Delivery System, Ethics, and Independent Practice Competencies.

The core competencies for the nurse practitioner is more patient-centered. The advance education and core curriculum prepares the nurse practitioner to manage complex health care needs, prevent chronic illnesses, promote quality care, integrate advance technology for health care improvement, enhance critical thinking skills, collaborate with other team members to improve patient outcomes, implementation of innovative strategies for evidence base practice within the organization and evaluation of patient health care. Most importantly, the nurse practitioner is a strong advocate for improving access to health care, increasing the quality of care patients receive while decreasing unnecessary health care cost. In order for a nurse practitioner

The Nurse Practitioner Core Competencies (NP Core Competencies) forms and builds upon ongoing Master’s and DNP core competencies and these are the channels and background for all graduating NP students. The NP Core Competencies can input their full scope of practice as an independent licensed practitioner. These essential competencies of an NP is fully developed by graduation, no matter what the NPs preferred speciality is. The core competencies are an essential part to face the multispecialty challenges of the changing health care system. By adding knowledge, skill, and ability to independently handle different

When becoming a veterinary technician, one of the utmost important steps is to take appropriate courses in high school and college and afterwards get the correct licenses and certifications. For those, each state is a little different in which certifications they require in order to pursue a career as a veterinary technician. Whether you are planning to be a LVT (licensed veterinary technician), RVT (registered veterinary technician) or CVT (certified veterinary technician), depends on which state the tech lives in. New Mexico, along with many other states, currently registers and certifies vet techs, but they do not license them. The difference between certifying and licensing is that to be certified is just a statement of qualification, while

Today’s healthcare system requires that healthcare professionals across the globe change their focus towards evidence-based practice to meet the needs of the complex clinical setting and constantly strive to improve patient care and outcomes. The United States Institute of Medicine (IOM) has created five core competencies to be utilized by all health care providers in order to enhance patient outcomes (Inter-professional Education Collaborative Expert Panel, 2011). The competencies are employing evidence-based practice, working in interdisciplinary teams, applying quality improvement, utilizing informatics, and providing patient-centered care (Institute of Medicine, 2010).

The five core competencies identified by IOM and the sixth added by QSEN, safety, are believed to be necessary to improve both quality and safety of the healthcare system within which nurses work (Multimethod teaching). The six core competencies outlined are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety (Diffusing Qsen). While all competencies are significant to the healthcare system, patient centered care is vital to positive patient outcomes and focuses on the patient’s perspective within the healthcare system.

There are five core competencies needed for health care professionals and they are provide patient centered care, work in interdisciplinary teams, employ evidence based practice, apply quality improvement, and utilizing informatics. In this paper, I will go into further detail how providing patient centered care is challenging, how to overcome the challenges, how it relates to my chosen profession, and how this competency can impact delivery of care to patients.

I have read that Raoul Dufy (1877–1953), a French Fauvist painter, suffered from RA from his early youth and later in life was one of the first patients to receive corticosteroids.

Background: Anti TNF agents are used to manage with different inflammatory diseases and since late 1990s, FDA has approved TNF alpha inhibitor to treat moderate to severe inflammatory bowel disease that prior treatment failed; though anti TNF therapy is not the first line of therapy; its priority aim is to maintain remission, mucosal healing and improved quality of life. Currently available anti TNF alpha are such as infliximab, adalimumab, certolizumab pegol, golimumab, the treatment of biologic agents significantly modify immune system with increased risk of reactivation or development of tuberculosis and other severe infections such viral hepatitis, malignancy, skill disease, drug induced systemic lupus erythematous-like syndromes and demyelinating

The primary effect of Rheumatoid Arthritis is inflammation, fatigue and daily pain. An older person experiencing pain can become fatigued and can have difficulties with daily activities. They may experience some sort of limping or they may change how they move in order to limit or avoid the pain of stiff joints. Often one of the hardest things to understand about arthritis is its unpredictable nature. For example , an individual can have days or even years without any manifestations or they can experience severe exacerbations from one day to the next. Whether you see evidence of the disease or not, it’s important to understand that the pain is genuine and the limitations are real. The elderly person might go through different emotions

2. After reading the reports by the Institute of Medicine, NLN “Excellence Initiatives”, and the IPEC “Core Competencies

TNF is a proinflammatory cytokine, and unregulated TNF production is a large contributor to many autoimmune disorders (Kollias). Antagonizing them should decrease inflammation and disease activity. However, there are two major problems with this form of treatment. The first is that it has been shown to cause unanticipated effects such as anti-dsDNA production (Kollias) and greater levels of infection in patients (Grijalva). Furthermore, tumor necrosis factor antagonists cannot be seen as a cure because, like other available treatments, they target symptoms and intermediate aspects such as organ damage rather than fixing the underlying causes