Through this course I have learned that history taking and performing a physical assessment and being able to differentiate normal from abnormal findings is one of the most important roles of a health care provider. If an accurate physical assessment is not performed, whether for baseline data or when the patient’s condition changes, then the patient is not receiving the level of competent care he deserves.
Family Nurse Practitioners are expected to safely provide and meet the healthcare needs of people across the lifespan and diverse cultures through evidence-based care. Assessment is the first step in the process of individualizing care. To site a few examples, it is important to know a patient’s allergies to medications or food to avoid
This supplement is a record of my actions in cases 16-125169 (April10, 2016) and 16-125698 (April 12, 2016). On April 12, 2016 I was assigned case 16-125169 which involves Ms. Mya Navia a fourteen year old Francis Hammond School Student. On April 13, 2016, I was assigned a second case which was 16-125698 involving the same juvenile. On April 13, 2016 I touched base with Arrosa Kanwai (mother) who had previously denied me access to her daughter (16-119375).
Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
A family nurse practitioner (FNP) is a member of the health care team who provides quality and cost-effective care to patients across the lifespan, from newborn to old age. They provide care in various healthcare settings such as outpatient clinics, hospitals, community health centers and public health departments. They focus on disease prevention, health and wellness promotion. The FNP empowers patients through patient education and partnerships in clinical treatment decisions (Hamric, 2014; “Nurse Practitioner,” 2014). How does one become an effective Family Nurse Practitioner?
In conducting their duty, FNPs need to educate their patients frequently on certain issues including diet, and lifestyle issues relating to the patient’s health problem. The FNP role also requires the nurse to prepare patient educational material on proper medication and other issues relating the patient’s wellbeing. The FNP diagnoses patients, uncovers underlying medical complications, and plans a proper plan of care to ensure that the patient receives proper treatment. Additionally, FNPs constantly collaborate with other health care providers such as nurse practitioners with other specialties, physicians, nursing scholars, and the government. Apart from providing health care services, Family nurse practitioners are involved also involved in teaching of other FNPs, nursing research, patient advocacy, and policy creation at both the state and the national level (Nurse Journal,
Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.
These studies illustrates that NPs can play a key role in providing services to health care market. NPs provide a full range of high quality care to patients of all ages. These services include primary care, acute care, special health care services such as oncology, gerontology health, or women’s health to name a few (American Association of Nurse Practitioners (AANP), 2015). NPs practice in many health settings, including private physician office, hospital, urgent care site, emergency room, community health center, school, and others. Family Nurse Practitioners (FNPs) are NPs are primary care providers who focus on
VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
Growing up in a small, rural community the majority of the population was uninsured and underserved. Access to primary healthcare was limited with most physicians’ offices being close to an hour drive one way. I grew up seeing both of my parents work two jobs and still having to make the decision to put their health on the back burner due to lack of finances or insufficient insurance coverage. This often led to numerous emergency department visits because of the lack of access to a primary care physician who could have provided preventative care. This was not only an issue within my home but throughout the town.
My passion for nursing practice defies description; leading to the reason I am opting to pursue a higher level of education in nursing. The George Washington University School of nursing has one of the highly ranked master’s programs in the country, which offers a competitive curriculum and highly defined leadership skills that integrates technology into learning. It is therefore my desire to pursue an advance education at this facility because it prepares practitioners to become great clinicians ready to solve real-world clinical problems. Moreover, the opportunity to pursue a degree in this facility will afford me the ability to be a competent and highly efficient family nurse practitioner; that will serve the community and mostly the underserved. I am the last child in a family of eight that has aspired to pursue my education at the graduate level.
The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.
I just completed my Bachelor of Science in Nursing and look forward to exploring nursing theory, evidence-based practice and leadership even further in the advance practice curriculum. I am pursuing family nurse practitioner because it will allow me to be more versatile in my nursing skills and serve a larger patient population. There has been a focus on primary care medicine since the Affordable Care Act; resulting in a larger need for nurse practitioners required to care for this patient population. I have been granted an opportunity to advance my career and I am more than ready to take on the added responsibilities and handle treatment plans autonomously, as well as learning additional skills such as diagnosing and prescribing medications. By obtaining my graduate level education my clinical judgment would be enhanced to improve safety, quality of care and patient outcomes substantially.
As assessment is integral to the nursing process it is also incorporated into nursing models. Assessment is necessary during all nursing activities e.g. assisting an individual with their hygiene needs, taking observations or during repositioning/manual handling techniques. Orem’s model is a particularly effective tool in carrying out assessment as it has a practical approach in identifying patients’ needs by encompassing their universal, developmental and health deviation self-care deficits. ‘’Having a conceptual nursing model to practice may enable nurses to gather a detailed database that identifies actual and potential healthcare problems’’ (Capers, 1986). The grid, checklist format is a simple, fast and straightforward assessment guide and can be very useful in practice.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
This is a personal statement for my application to the Family Nurse Practitioner Concentration in the Ball State School of Nursing. My personal statement provides details on my personal background and the unique impact that Family Nurse Practitioners have had on my life. I describe my undergraduate studies and how I firsthand gained interest as well as insight on the skills of a Family Nurse Practitioner. I go into detail about my aspiration to be a Family Nurse Practitioner to directly affect the patient care of a variety of patient populations. The personal statement connects qualities of my current practice as a Registered Nurse to the proficiencies of a Family Nurse Practitioner.
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.