18 Oct Discuss the differences between a Primary Care Nurse Practitioner and an Acute Care Nurse Practitioner and their scope of practice.

What is an NP?

Discuss the differences between a Primary Care Nurse Practitioner and an Acute Care Nurse Practitioner and their scope of practice. Why is this important to know as you move from being a nurse into your new role as an NP? Please include sources and references to support your discussion.

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 2 Discussion

 

The Interview:

 

The medical interview serves several functions. It is used to collect information to assist in diagnosis of the present illness, to understand the patient’s values, to assess and communicate prognosis, to establish a therapeutic relationship and to reach agreement with the patient about further diagnostic procedures and therapeutic options. The interview also offers an opportunity to influence patient behaviors.

 

Discuss the following:

 

Please answer the following questions and include your rationale and evidence-based research to support your written work.

 

What does it means to document accurately and appropriately?

 

What are the documenting guidelines? When is it appropriate to use abbreviations?

 

What is the difference between subjective and objective data?

 

What does it mean to demonstrate clinical reasoning skills?

 

How can you use clinical reasoning to plan the organization of a comprehensive exam?

 

How will you document variations of normal and abnormal assessment findings?

 

What factors influence appropriate tools and tests necessary for a comprehensive assessment?

 

Reflect on personal strengths, limitations, beliefs, prejudices, and values.

 

How will these impact your ability to collect a comprehensive health history?

 

How can you develop strong communication skills.

 

What interviewing techniques will you use to interview the patient to elicit subjective health information about their health history?

 

What relevant follow-up questions will you use to evaluate patient condition?

 

How will you demonstrate empathy for patient perspectives, feelings, and sociocultural background?

 

What opportunities will you take to educate the patient?

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 3 Discussion

 

Diagnostic Reasoning and Rationale for acute illness

 

Pick one problem from the list provided below. Discuss and include your rationales using.

 

What questions need to be asked and what body part needs to be examined?

 

What diagnostic tests need to be obtained and why?

 

How would you handle abnormal finding?

 

What will be your list of differentials?

 

Problems commonly seen in the Primary Care setting:

 

runny nose

 

cough

 

diarrhea

 

pharyngitis

 

dysuria

 

rash

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 4 Discussion

 

Applying “Evidence-Based Practice”

 

Population groups with differences determined by culture, religion or ethnicity also show differences in terms of illness behavior and beliefs.

 

Discuss a patient population that are at risk and apply evidence-based practice guidelines in management of their illnesses across the age continuum.

 

 

 

 

 

 

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 5 Discussion

 

Case and Discussion: Headache

 

A 35-year-old woman comes to your office to discuss her “bad headaches,” which started after having her first child 2 years ago. The headaches sometimes awaken her from sleep and at times can be disabling and occasionally require her to take Tylenol and rest in a dark room. Sometimes she vomits during an attack. Over the past 6 months, her headaches have become more severe and frequent, prompting her visit today.

 

What additional questions would you ask to learn more about her headaches?

 

How do you classify headaches?

 

How can you determine if this is an old headache or a new headache/s? Is this a chronic or episodic condition?

 

Can you make a definite diagnosis through an open-ended history followed by focused questions?

 

How can you use the patient history to distinguish between benign headaches and serious ones that require urgent attention?

 

What diagnostic tests do you want to include to help you with your diagnosis?

 

Create a differential diagnosis flow sheet for this patient for this patient and include the diagnostics related to the differentials.

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 6 Discussion

 

Case and Discussion

 

A 60-year-old man comes to your office because of a persistent cough that has been bothering him for the past 3 months. His cough is dry and is more frequent during the evenings. He also notes frequent nasal congestion, especially when he is exposed to dust and cold weather. He reports no hemoptysis, weight loss, wheezing, fever, or changes in his appetite. What additional questions would you ask to learn more about his cough?

 

How would you classify his cough based on the duration to help with the diagnosis?

 

What diagnostic tests do you want to include to help you with your diagnosis?

 

Create a differential diagnosis flow sheet for this patient for this patient and include the diagnostics as well as the pharmacological management and rationale related to the differentials. Support your discussion with evidence-based research.

 

 

 

 

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 7 Discussion

 

Case and Discussion

 

A 21-year-old women comes to your office with a 2 day history of right ear pain. She reports that the ear pain began shortly after taking scuba diving lessons. She describes the pain as “a pressure” and also notes “crackling” in the right ear and periodically feeling dizzy.

 

What other associated symptoms should you ask about?

 

How does the time course help to distinguish among different causes of ear pain?

 

How does the age of the patient help with narrowing the diagnostic possibilities?

 

What diagnostic tests do you want to include to help you with your diagnosis?

 

Create a differential diagnosis flowsheet for this patient and include the diagnostics as well as the pharmacological management and rationale related to the differentials

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 8 Discussion

 

Preventative Care

 

What questions will you want to ask your patients at every visit in order to get the information needed to provide individualized preventive services?

 

How does the age and gender of the patient impact your approach to delivering preventive services and providing health education?

 

How does the patient’s developmental milestones impact their ability to make healthy changes and take charge of their health?

 

What are some risk factors associated with health promotion?

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 9 Discussion

 

Helping and Healing Relationships

 

Consider the various steps of the nursing process in order to address the following critical thinking questions.

 

As a health care provider, discuss ways in which you will establish a helping hand and healing relationship with your patient and their families.

 

How will you develop professional partnerships with health care team members in your clinical practice?

 

What personal behaviors, biases, and attitudes would you have to change to develop these professional relationships?

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 10 Discussion

 

Circle of Caring

 

What are the unique qualities of the Circle of Caring Model and how is it different from holistic nursing theories and biomedical nursing? Support your discussions with examples and reference with evidence-based research.

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