18 Oct Protecting the scope of practice for nurses, particularly advanced practice registered nurses, is a major initiative at the American Nurses Association (ANA) 2016.

Protecting Your Scope of Practice

Protecting the scope of practice for nurses, particularly advanced practice registered nurses, is a major initiative at the American Nurses Association (ANA) 2016. The ANA is working together with our Constituent Member (State) Associations to help remove geographic and practice setting limitations for Advanced Practice Registered Nurses (APRNs). The ANA is working state by state to ensure that state laws affecting APRN’s are both fair and consistent across the country, and that your scope of practice is not unfairly limited.

 

Discuss how this initiative and how it will impact your future as an APRN and your clinical practice in the state in which you live. Include sources to support your assignment.

 

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

 

Assignment Requirements:

 

Before finalizing your work, you should:

 

be sure to read the Assignment description carefully (as displayed above);

 

consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and

 

Utilize spelling and grammar check to minimize errors.

 

Your writing Assignment should:

 

follow the conventions of Standard English (correct grammar, punctuation, etc.);

 

be well ordered, logical, and unified, as well as original and insightful;

 

display superior content, organization, style, and mechanics; and use APA 6th Edition format as outlined in the APA Progression Ladder.

 

How to Submit:

 

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

 

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 3 Assignment

 

Poor Patient Outcome

 

Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.

 

Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.

 

This case portrays a poor patient outcome after a misdiagnosis.

 

Case scenario

 

A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.

 

On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.

 

The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.

 

Written Assignment:

 

Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.

 

As an NP in primary care what would you have done differently?

 

Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?

 

If a serious diagnosis comes to mind based on a patient’s symptoms:

 

Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?

 

Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?

 

Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?

 

What other diagnosis could it be? How might the treatment to date have altered the patient outcome?

 

What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?  What support tools would you consider using in helping to create a differential diagnosis list?

 

Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?

 

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

 

Assignment Requirements:

 

Before finalizing your work, you should:

 

be sure to read the Assignment description carefully (as displayed above);

 

 consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and

 

 Utilize spelling and grammar check to minimize errors.

 

Your writing Assignment should:

 

follow the conventions of Standard English (correct grammar, punctuation, etc.);

 

 be well ordered, logical, and unified, as well as original and insightful;

 

 display superior content, organization, style, and mechanics; and

 

 use APA 6th Edition format as outlined in the APA Progression Ladder.

 

How to Submit:

 

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

 

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 4 Assignment

 

Translating Evidence into Clinical Practice

 

Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.

 

Why should we, as healthcare providers, use evidence-based practice?

 

Evidence-based practice benefits:

 

Leads to highest quality care and patient outcomes

 

Reduces health care costs

 

Reduces geographic variations in the delivery of care

 

Increases healthcare provider empowerment and role satisfaction

 

Reduces healthcare provider turnover rate

 

Increases reimbursement from 3rd party payers

 

Reduces complications and payment denials

 

Meets the expectation of an informed public

 

Include 3 evidence-based articles to support your work that are less than 3 years old.

 

Before finalizing your work, you should:

 

be sure to read the Assignment description carefully (as displayed above);

 

consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and

 

utilize spelling and grammar check to minimize errors.

 

Your writing Assignment should:

 

follow the conventions of Standard English (correct grammar, punctuation, etc.);

 

be well ordered, logical, and unified, as well as original and insightful;

 

display superior content, organization, style; and

 

use APA 6th Edition format as outlined in the APA Progression Ladder.

 

How to Submit:

 

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

 

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 5 Assignment

 

i-Human Case

 

The i-Human scenario below is designed to help you move through a simulated clinical patient scenario. Your work will be scored by i-Human rubric below and transferred to a grade in the gradebook by faculty. This Assignment is worth 100 points.

 

Grading criteria for Assignment are:

 

History = 30

 

Physical Exam = 30

 

Differential Diagnosis = 15

 

Rank Differential Diagnosis = 10

 

Test Selection = 15

 

The follow up review i-Human seminar will be held in Unit 6 and is mandatory either by live attendance or review of recording and alternative assignment. This is worth 20 points.

 

For this graded activity, you will need to login to your i-Human account. Instructions for logging-in are as follows:

 

Go to https://ih2.i-human.com/.

 

Log in with your credentials (username and password).

 

Select “Assignments” from the menu options on the top left of the screen.

 

Press the green play button next to the case 1- Babbitt- Migraine- 48 y/o-

 

for University graded case study.

 

The graded case study will open; click Start to begin.

 

Complete all elements of the case study (history, physical exam, assessment, etc.)

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 6 Assignment

 

Tuberculosis

 

M. tuberculosis can be transmitted in virtually any setting. Clinicians should be aware that transmission has been documented in healthcare settings where healthcare workers and patients come in contact with persons with infection.

 

• Describe the factors that determine the infectiousness of a tuberculosis (TB) patient;

 

• Explain the main goals of a TB infection control program;

 

• Discuss the three levels of an effective TB infection control program;

 

• Explain the purpose and the characteristics of a TB airborne infection isolation room; and

 

• Describe the circumstances when respirators and surgical masks should be used.

 

Assignment Requirements:

 

Before finalizing your work, you should:

 

be sure to read the Assignment description carefully (as displayed above);

 

consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and

 

Utilize spelling and grammar check to minimize errors.

 

Your writing Assignment should:

 

follow the conventions of Standard English (correct grammar, punctuation, etc.);

 

be well ordered, logical, and unified, as well as original and insightful;

 

display superior content, organization, style, and mechanics; and use APA 6th Edition format as outlined in the APA Progression Ladder.

 

How to Submit:

 

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

 

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 8 Assignment

 

Health Maintenance and Screening Plans

 

Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.

 

Discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a lifespan. Please include examples, evidence-based information and references to support your work.

 

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

 

Assignment Requirements:

 

Before finalizing your work, you should:

 

be sure to read the Assignment description carefully (as displayed above);

 

consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and

 

Utilize spelling and grammar check to minimize errors.

 

Your writing Assignment should:

 

follow the conventions of Standard English (correct grammar, punctuation, etc.);

 

be well ordered, logical, and unified, as well as original and insightful;

 

display superior content, organization, style, and mechanics; and

 

use APA 6th Edition format as outlined in the APA Progression Ladder.

 

How to Submit:

 

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

 

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

 

 

 

MN566 Introduction to Primary Care for the Nurse Practitioner

 

Unit 9 Assignment

 

Interprofessional Practice and Collaboration:

 

The future of health care delivery will require multidisciplinary teams of health care professionals that collaborate to provide patient-centered care. The key to high performance in multidisciplinary teams is an understanding of the distinctive roles, skills, and values and ethics of all team members. What will be your role as an NP and how do you see yourself collaborating with other health care professionals? Why is this important to know and understand? Who benefits? Who are the stakeholders. Support your work with examples and evidence-based research.

 

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

 

Assignment Requirements:

 

Before finalizing your work, you should:

 

be sure to read the Assignment description carefully (as displayed above);

 

consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and

 

Utilize spelling and grammar check to minimize errors.

 

Your writing Assignment should:

 

follow the conventions of Standard English (correct grammar, punctuation, etc.);

 

be well ordered, logical, and unified, as well as original and insightful;

 

display superior content, organization, style, and mechanics; and

 

use APA 6th Edition format as outlined in the APA Progression Ladder.

 

How to Submit:

 

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

 

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

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