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Primary Care Team: A Case Study

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Assessment of the health needs of the client and a plan for their care The Primary Care Team (PCT) consists of a range of health care professionals who together make up a multidisciplinary team. The aim of the team is to provide a range of services in a timely manner which is easily accessible to the public (WHO 2008).Public health nurses respond to the requirements of individuals, families and the community, by carrying out a wide variety of nursing services. The nursing service, which spans the life cycle, from the cradle to the grave, includes prevention, treatment and rehabilitation (DoHC 2001). The aim of the public health nurse is to support and empower the client and their family so that they can utilise available resources, services, …show more content…

2004). Venous leg ulcers are expensive to manage due to the high rates of recurrence and poor healing (Pham et al. 2012). Health care providers are challenged to provide holistic care and advice that encourages healing of the wound in a timely manner, reducing the risk of recurrence and are cost-efficient (de Carvalho 2015). Additional factors which have an influence on wound healing are skin care, leg elevation, nutrition, and physical activity (Kapp et al. …show more content…

In order to determine the aetiology of the wound, referral to the multi-disciplinary team was made as further intervention was required (HSE 2009). Mrs Byrne was referred to the Tissue Viability Nurse (TVN), whereby doppler studies were performed and treatment with three-layer compression bandaging (Profore lite) was initiated. A referral was sent to the primary care team for occupational therapy to assess and carry out necessary modifications in the home, in order to improve safety while maintaining her independence. Physiotherapy referral was sent to assess Mrs Byrnes mobility and to assist with physical activities in order to improve the calf muscle pump function (O'Donnell et al. 2014). Mrs Byrne was referred to the dietician as she had a MUST score which demonstrated she was at risk of malnutrition (Stechmiller 2010). Advice was given in relation to the importance of taking regular analgesia for pain, as it can have a negative effect on wound healing (WHO

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What is the projected demand for workers in the health care field over the next 20 years? The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse midwives who can deliver basic primary care to patients without access to primary care physicians. How does the aging of the population, health insurance reimbursement, and consumer demand impact the practice patterns of health care clinicians? A physician shortage is expected by 2020, primarily driven by the demand for physician services.

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The Registered Professional Nurse Case Manager is a graduate from an accredited school of nursing with a Bachelor’s degree specializing in community health services. The RN Case Manager directs and plans patient centered care from the point of initial problem based nursing assessment, develops a plan of care, organizes and manages specific aspects of patient care while incorporating the needs of the patient and their family or significant others. The primary focus of the Case Manager is improving overall health and wellness, improving outcomes through the utilization of evidence based practice. The Care Manager collaborates with the patient’s healthcare and insurance providers as well as social support services ensuring provisions for safety

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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.

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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,

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Another very interesting part of primary care nursing is the job roles of the nurse, which is divided into two roles, Pod nursing and Care Coordination. The responsibilities of the pod nurse include, performing daily needs of a set group of patients such as vaccinations, medications, telephone work, messaging and triaging. Pod nurses work closely with the primary care provider, medical assistant and on site behavioral health provider. Care coordination nursing involves creating care plans for patients in conjunction with the primary care provider to improve disease outcomes and prevent hospital stays. Unlike pod nursing, care coordination nursing focuses on capturing data by panel review sessions and dash board data to develop a plan to care

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In this model medical and non medical professional staffs are co-ordinate by a case/care manager to address the needs of a client. Case meetings, care planning and exchange of information are coordinated by case manager. An individual care plan is often the product of case management meetings. In this model, the professionals are linked together, because their working relationship with the case manager. • Key worker assumed leadership role; • Coordinating care, reporting back to the professionals; • Addressed patient needs in a co-ordinate manner; • Professionals usually came from the same organization, but involved other community

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After 10 years working as a registered nurse in many aspects of healthcare, felt an overwhelming desire to advance my career and myself to expand my role in caring for others. Becoming a nurse practitioner has always been a goal of mine. During my time working as a nursing manager, I became acutely aware of the need of skilled and talented providers that desire to provide passionate care to all individuals. I became especially concerned with the needs those with limited access to healthcare services. I knew my desire to care for individuals in a more autonomous role and I set out to develop the skills needed to meet the need I witnessed.

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Roles of the Professional Nurse The role of the professional nurse in today's healthcare setting continues to expand as our healthcare delivery system in the United States changes. Historically, nurses have delivered care in a system that has been "illness" centered. Increases in knowledge of disease, coupled with a desire to decrease the costs of delivering health care have shifted the U.S. model of care to one of prevention (IOM, 2010, p. 1-1). The professional nurse continues to have eight interrelated roles in caring for their patients.

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A career as a Psychiatric-Mental Health Nurse Practitioner is a natural extension of my personal, educational, and research experiences. Although my path to nursing has not been a straight line, every experience that put me on this path has shaped my passion and dedication to psychiatric nursing. After losing loved ones to suicide at a young age, I made a promise to myself and to them that I would dedicate my life to helping individuals struggling with mental illness. This promise led me to study Psychology at UC Berkeley, where I fell in love with clinical research investigating the efficacy of treatments for mental illness.

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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.

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 The therapeutic nurse-client relationship is established for the purpose of promoting client health and well-being.  RNs practice in accordance with standards for nursing practice and the Code of Ethics for Registered Nurses (CNA 2008).  RNs are responsible for setting and maintaining the appropriate boundaries within the therapeutic nurse-client relationship regardless of the wishes of a client or the setting in which the relationship occurs.  RNs are responsible and accountable for their own actions in the therapeutic nurseclient relationship, including actions which result in outcomes that may have been unintended, but should have been foreseen.  RNs recognize the impact that the determinants of health*and individual characteristics of the client have on both the therapeutic nurse-client relationship and the health of the client.

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Going into my first my first clinical rotation I was not sure what exactly to expect. Within in our first 2 semester we covered orthopedics and in our third semester we covered as much acute care as possible. The UIW DPT program did an adequate job informing us with as much knowledge relevant to acute care in order prepare those students being assigned to hospital settings. I found myself only having to look few things up ranging from lab values to pharmacology.

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Because of this, their failed to assess the pain during patient self-report and give an appropriate treatment. Thus, inadequate pain management will affect the quality of life and also creates a financial burden on health care system such as longer hospitalization and readmission (Grant et. al, 1995; Sheehan et. al, 1996). According to data from Robert Wood Johnson (1995) showed a high incidence of uncontrolled pain among adult patient with the result of 74% to 95% are dying

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There was an experience where a nurse was assigned to him and she gave him hundred percent attention and took complete care of him. She kept him relaxed, communicated on a personal level and listened to him. Consequently, as we discussed earlier, this has improved Mr.Taylor’s experience. Key facilitators for Mr. Taylor’s health care experience Mr.Taylor is generally satisfied with the health care provided by the dp clinic chosen by him. The surgeon he visited was brutally honest with him which helped Mr.Taylor understand the seriousness of the injury.

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Question 1. Important aspects of teams in a healthcare environment. In general, one important aspect of a team in a healthcare environment is the emergence of teamwork. In teamwork, every team members has a role to partake so that the organizational goals of the institution will be met and success will be achieved.

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