Recommended: Physical therapy vs occupational therapy
Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).
One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide
Nurse practitioners will be present at all outpatient locations functioning as primary care providers in family practice and other practice settings (pediatrics, geriatrics, acute care, and other specialties). CNMs will be providing midwifery care along with primary health care of women. Nurse-midwives in United States have demonstrated excellent results in their field of practice throughout the years, especially attending to underserved, uninsured, low-income women (Lindeke, Fagerlund, Avery, & Zwygart-Stauffacher, 2010). CNSs will serve the role of case managers and care coordinators mainly at the hospital leading discharge planning of those patients with complex health problems. CRNAs will provide their services at the hospital for the patients in the intensive care unit.
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.
The average stay of a patient in long-term care is 35 days, so there is a constant flow of new cases (SLPs in Long-Term Care). That is what has drawn me to nursing homes, the variety of disorders and patients. In a nursing home a Speech-Language Pathologist won’t always have to work alone. While seeing a patient, a Speech-Language Pathologist might work along side an Occupational Therapist or a Physical Therapist (SLPs in Long-Term Care). In Long-Term Care there are two different types of Medicare programs a Speech-Pathologist will have to work with (SLPs in Long-Term Care).
Under Martha's leadership, Eva's Home Care has become a trusted provider of in-home care services in the community, known for its exceptional quality of care and dedication to client satisfaction. Martha is committed to providing a supportive and empowering work environment for her caregivers, fostering a culture of respect and professionalism. She understands the critical role that caregivers play in the lives of their clients, and she takes great care to ensure that her team is trained and equipped to provide the highest level of care
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
The nurse practitioner will work along the guidelines of the program so that they can advise participants about medication and assist with constructing meal plans for each participant. The nurse practitioner will not have the ability to write scripts, but is solely there to recommend information that the participants should discuss with the primary care
This is more than just the financial resources that they have, but also their psychological and physical health and their spiritual outlook on life and the situation. One important factor is the caregiver's location and place of residence in relation to that of the person to be cared for. It must also be remembered that the carer has a life outside of this role and, therefore, important factors in caring include other day-to-day roles such as being an employee, a parent and a professional person. The carer is also affected by the opinions and demands of people outside the caregiving relationship. Caregivers are also facing a health care system that seems to be placing more responsibilities on caregivers while providing less and less
Care givers: caring for a family member or friend with a physical or mental illness can be stressful, exhausting, both mentally and physically, and creates a physical and psychological strain for the care giver over a period of time. The psychological well-being such as depression and stress, are frequent consequences of caregiving. The age, socioeconomic status, and the availability of informal support that caregivers have access to greatly affect their own health and well being. Caring for a family member with a mental illness can differ from caring for someone suffering from a physical illness. In addition to the medical care and long term treatment of a family member, an open and liberal view of mental illness is almost an essential in being able to care for someone who is ill.
Tom Kitwood (1997) cited in (The Open University, 2017) supports the approach of seeing and treating people as individuals, he calls this ‘person-centred care’. This approach looks at the physical, social and psychological needs of the individual. Person-centred care encourages people to have more involvement in making decisions about their care so they get the support and service they need. There are three main types of long-term care settings such as residential care homes which offer different degrees of personal care, Nursing homes offer care which requires the skills of qualified nursing staff and long-stay hospitals which offer a more specialised medical care. (The Open University, 2017).
Patient centered care focuses on getting to know the older person as an individual such as their values, Aspirations, health, social needs, preferences and providing care specific to their needs. It enables the older person to make decisions on what kind of options with assistance available, promoting his/her Autonomy and independence. It involves them in such way to be included in shared decisions between healthcare teams and families, so the can be control with a choice of specific care / services. It provides information that is tailored for the individual in order to assist them in decision making based on evidence, helping them to understand their options and consequences of this. Supporting a person on his/her choice and letting them pursue their stated wishes, As a patient centered approach so they are involved as equal partners in their care ( Manley et al,
Currently, I work for South Carolina Vocational Rehabilitation Department (SCVRD). I am an Assessment and Career Exploration Specialist and also a Job Preparedness Instructor. While I enjoy my current role, I feel the need to carry out a more significant function in the rehabilitation process. I am seeking a Master’s Degree in Rehabilitation Counseling because it is a requirement for the next step in my career. Well into the future, I envision myself in a leadership role within my current agency where I am able to advise on agency practices and service provision.
For the purpose of this assignment I have chosen to reflect on not knowing how to treat a confused patient with dementia. During this experience I felt like I was of no help to the patient and as a result I was useless to the staff. I felt like this because I didn’t know how to talk to this lady. I didn’t understand how to act or what to say to fix the situation.
A nurse must be able to perform activities like moving a patient, lifting heavy equipment, being on their feet for much of their shift, etc. The nursing profession can be very taxing on a person’s body and society as a whole is seeing the effects of this. Older nurses who have been in the field for a long time are no longer able to perform these tasks and it is causing them to change their area of expertise, or even leave their profession entirely. This has negatively impacted effective health care delivery and proper patient-centered care because these nurses are not able to effectively help their patients. Research shows that there are a large amount of nurses that are near or at the retirement age.
