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Advance Practice

August 8, 2022/in Uncategorized /by developer

Apply information from the Aquifer Case Study to answer the following discussion questions:

•Discuss the history of present illness that you would take on this patient in preparation for the clinic visit. Include questions regarding Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity (OLDCARTS).

•Describe the physical exam and diagnostic tools to be used for Ms. Johnston. Are there any additional you would have liked to be included that were not?

•What plan of care will Ms. Johnston be given at this visit; what is the patient education and follow-up?

Do Two pages.

Provide References.

See attached Aquifer Case Study.

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Advance Primary Care Iii 19343519

August 8, 2022/in Uncategorized /by developer

This week your have due the first peer response to the first discussion: Health care reform and the role of the APRN. Your response should be professional, not only agree or disagree with your classmates but elaborate why or why not agree by using scholarly article, cite, and reference them on your response post.

This week will review the health care transformation changes and its impact on the nurse practitioners role. Review the articles sent in your syllabus for week 2 and your textbook.

I located this article by Phillips (2019) which address the latest legislative updates on the APRN across USA, included the estate of Florida. For your future practice as NP it is very important you understand your scope of practice and the legal portion concerning our practice.

Article: Phillips, S. J. (2019). 31st Annual APRN Legislative Update: Improving state practice authority and access to care. The Nurse Practitioner, 44(1), 27-55. doi: 10.1097/01.NPR.0000550248.81655.30

Peer Discussion:

The enactment of the Affordable Care Act (ACA) provided nurses with newer opportunities in delivering care and also being part of the reforms occurring in the healthcare industry. Nurses are required to do more in their roles in ensuring better patient outcomes and low-cost care is realized (Salmond & Echevarria, 2017). To better understand the roles of nurses’ practitioners and the impact they have in the process of healthcare reforms, several issues can be addressed.

Expansion of the scope nurses practice will allow them to fully practice in their education and also get the licenses to operate in various states. This will ensure that nurses will work with physicians and provide cost-effective care thus addressing the issues of shortages in primary health care. Nurses will thus use the opportunity to give their services and practice what they have been trained to do. At the same time, it will help redefine their competences and thus have the ability to meet the health demand in an increasingly diverse society (YouTube, n.d.). Through improved practices, they can focus on quality and safe services. Nurses should also have the ability to cater to a culturally diverse population and this will reduce the health disparities realized in the US.

Use of technology should be embraced to ensure there is on-time delivery of services. Use of technology goes a long way in bringing forth quality care to patients. They also help the nurse make informed decisions since they can easily track the medical history of the patient. Technology, when used appropriately, can be used to provide solutions and improve patient care. Nurses are engaged daily with patients and they come into contact with patients and thus they should be included in the process of making healthcare delivery better. Nurses need more leadership positions as they are the healthcare professionals actively dealing with patients (Sohpia, 2015). Nursing reforms and inclusions in the health reforms will in a huge way and thus ensure better health outcomes.

References

Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 36(1), 14. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf

Sohpia B. (2015, March 15). How Healthcare Reform Is Impacting Primary Care. Retrieved from https://www.ajmc.com/contributor/sophia-bernazzani/2016/03/how-healthcare-reform-is-impacting-primary-care

YouTube [Video file]. (n.d.). Retrieved from https://www.youtube.com/watch?v=cwTWhwWLzH

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Advance Primary Care Iii 19348475

August 8, 2022/in Uncategorized /by developer

Week 1
Hi class,

Topics to review during our first week of the course:

· How Healthcare reform is impacting primary care https://www.ajmc.com/contributor/sophia–bernazzani/2016/03/how–healthcare–reform–is–impactingprimarycare

• Healthcare reform 101: What the health is going on in 2018? https://www.youtube.com/watch?v=cwTWhwWLzHQ

• Healthcare Transformation and Changing Roles for Nursing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. How do you think we can improve this understanding of the nurse practitioner role?

Discussion 1: Susana Castellanos

Top of Form

As listed in the articles provided, there are many barriers to health care access for patients to receive primary care services from a family nurse practitioner. Among them are the annoyingly-varied scope of practice regulations that are different from state-to-state, health care reimbursement from insurance companies, misinformation regarding the roles of the nurse practitioner in health care, and the unvoiced stigma towards nurse practitioners that might exist (Bernazzani, 2016). These are all factors that impede our ability to practice as primary care providers. These barriers do not decrease the burden on primary care providers, despite the fact that more nurses are graduating from these graduate programs to become nurse practitioners. I believe that if the scope of practice for family nurse practitioners can be more standardized across the United States, rather than varying state-by-state, it would have a huge positive impact on the other barriers. A standardized scope of practice for a family nurse practitioner may reduce confusion regarding the role the FNP has in primary care (Altman, 2016). This will allow easier collaboration between other primary care providers. In addition, reimbursement from insurance companies may be better able to recognize the FNP as a primary care provider. If scope of practice is standardized, perhaps patients can accept care in an easer fashion from an FNP and may promote better access to health care.

References:

Altman, S. H. (2016, February 22). Removing Barriers to Practice and Care. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK350160/

Bernazzani, S. (2016). How Healthcare Reform Is Impacting Primary Care. Retrieved from https://www.ajmc.com/contributor/sophia-bernazzani/2016/03/how-healthcare-reform-is-impacting-primary-care

Week 2

The main post in this class was in week 1, that show before NOW this discussion only I need to do a peer response Week 2

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Discussion Board 1 Health Care Reform and NP role

Please update your APA to reflect doi or retrieved point, next time I will deduct points if missing. Refer to your APA manual.

Again missing to include the doi or retrieved from .. as on your initial post. This time -0.25 (correction on private evaluation note here)