Discussion Response

Mandy Koekemoer posted Mar 31, 2022 2:13 PM

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From starting this program to ending I have realized more than ever that this is where I want to be and meant to be in my career. It has been stressful, exhausting, challenging in more ways than one, but I would do it all over again to be right here today. I have grown, learned, and realized that nothing is impossible. This is just the beginning of my future and I know that as I move into the role of a new FNP there is still more out there, more things coming and I can’t wait to start this journey.

Some ways to support this profession is through networking. This allows the NP to meet others in the same field to exchange information and develop relationships. Networking can also help the NP to stay informed of changing health care regulations, new recommendations for patients, best practices and other important news that can impact practice, research, education and more (AANP, 2019). I joined the AANP as a student in December 2021.

The professional responsibility to protect and promote nursing professional roles comes from the American Nurses Association Code of Ethics. The present and future generations of NPs need to accept responsibility for protecting and promoting the role. The NP role has been in existence for over 50 years, and those early NPs who created and safeguarded the role across decades are retiring. It is crucial that new NP leaders be identified and prepared for the leadership previously provided (Berg & Ruppert, 2019).

With advanced education and vast experience caring for both patients and families, FNPs are well prepared to serve as advocates by providing a much-needed voice for patients, their communities, their profession, and maybe just as important, themselves (USC, 2017).

Berg, J., & Ruppert, S. (2019). Fostering promotion and protection of the professional nurse practitioner role: A call to action. Journal of The American Association of Nurse Practitioners, 31(1), 3-5. https://doi.org/https“>https://doi.org/https://journals.lww.com/jaanp/pages/articleviewer.aspx?year=2019&issue=01000&article=00002&type=Fulltext

5 Ways Nurse Practitioners Can Serve as Advocates. (2017). University of Southern California. Dept. of Nursing. https://nursing.usc.edu/blog/5-ways-nurse-practitioners-can-serve-as-advocates/“>https://nursing.usc.edu/blog/5-ways-nurse-practitioners-can-serve-as-advocates/

The Importance of NP Networking — and How to Get Involved. (2019). American Association of Nurse Practitioners. https://www.aanp.org/news-feed/the-importance-of-np-networking-and-how-to-get-involved“>https://www.aanp.org/news-feed/the-importance-of-np-networking-and-how-to-get-involved

For response 2

Are we really NP’s?

Hannah Lewis posted Apr 2, 2022 8:22 PM

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It’s amazing to think of where we started in this program to closely approaching the final days until graduation. It has been thrilling to think of finally going from an NP student to a real FNP. I believe that I have began to move closer in identifying myself as an NP with each day of clinical and treating each patient experience as the sole practitioner. I’m just thrilled to have had this experience, in the middle of a pandemic, to persevere with all of you and move toward our new beginning!

A large part of supporting this profession is giving back to other students to help educate, grow, and develop our future colleagues (Ward & McComb, 2017). It is understandable as we are getting established in our new roles, comfort as a provider, and within a practice that precepting is not a requirement within the first couple of years. However, I would urge all of us to consider how much we have learned from our preceptors and have the opportunity to do the same for someone else. Another way to support the profession is through QI projects (AANP, n.d.). Quality improvement projects not only benefit the practice professionally, but it also makes a large impact on quality of care for patients (Hain, 2017). Through the continued desire to be a lifelong learner and forever push myself to new education levels, quality improvement projects seem to be a great option (Hain, 2017).

Reference:

AANP. (n.d.). Quality Improvement. American Association of Nurse Practitioners. https://www.aanp.org/practice/practice-management/quality-improvement“>https://www.aanp.org/practice/practice-management/quality-improvement

Hain, D. J. (2017). Focusing on the fundamentals: Comparing and contrasting nursing research and quality improvement. Nephrology Nursing Journal, 44(6), 541-545.

Ward, A., & McComb, S. (2017). Precepting: A literature review. Journal of Professional Nursing, 33(5), 314-325 

MN 610

For response 1

MN610: Unit #9 Discussion

Jessica Donovan posted Apr 2, 2022 9:07 PM

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Topic: Health promotion

Focus on patients age 35–65. Discuss how you provided health promotion in the clinical setting this week. How did the patient’s social factors contribute to the patient outcomes? Reflect on how the patient’s economic status influences the provider’s plan of care. Include medication regimen and diagnostic tests.

In consideration of the age range of 35-65, I chose to focus on a smaller age range of 35-45. Some frequent medical conditions noted in this population are physical injury and dental complications or infections. Injury is derived more form injury and happenstance and dental infection from economic disparities and poor lifestyle/cleansing practices. “Chronic diseases—such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States. They are also leading drivers of the nation’s $3.8 trillion in annual health care costs. Many chronic diseases are caused by a short list of risk behaviors: tobacco use, poor nutrition, physical inactivity, and excessive alcohol use” (CDC, 2022, p. 5). Preventative health maintenance is key for all age groups, but tends to be more helpful in longevity when implemented in early adulthood.

In the rural urgent care setting I often encountered adults in the age range of 35-45 with physical injury related to sledding, work, or falls, but also dental abscess and local dental infections. In this rural area access to dental health as well as financial dispartites was a common theme. This was often limiting for patients with dental carries who called all three dentists in a three-hour range only to be told they are either no-longer accepting new patients, will not take them because of their lack of insurance, or because they have a 9-12 month wait-time.“The significant improvement in the oral health of Americans over the past 50 years is a public health success story. Most of the gains are a result of effective prevention and treatment efforts. One major success is community water fluoridation, which now benefits about 7 out of 10 Americans who get water through public water systems” (Healthy People 2020, p. 4). This lead to an increase of multiple dental abscesses being treated one after another as the only method of care for these patients while they wait the 9-12 months for a dental visit. In some cases, the dental abscesses were so severe, the infection had spread into the jaw and become systemic requiring IV antibiotics in the hospital setting.

Social status and lifestyle do implement this age range and their overall health. In many cases, these patients do not regularly maintain and care for their dental hygiene, and are not generally covered by any insurance private or state allocated. “Socioeconomic status is intimately tied to healthy aging, with greater wealth producing a greater likelihood of health among older adults. This association may be due to the combined effects of increased stress, trauma, allopathic load, and limited access to appropriate and timely healthcare” (McMaughan et al., p. 3). In all cases, the best that could be done was to treat the current infection/circumstances, and educate the patients on the steps they can take to get insurance private or state based, and how to preform preventative maintenance.

References

Promoting health for adults. The Center for Disease Control and Prevention. Retrieved 2022,”>Centers for Disease Control and Prevention. (2022, March 31). Promoting health for adults. The Center for Disease Control and Prevention. Retrieved 2022,

from https://www.cdc.gov/chronicdisease/resources/publications/factsheets/promoting-health-for-adults.htm

Oral health. Retrieved 2022, from ”>Healthy People 2020. (2021). Oral health. Retrieved 2022, from https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health

Frontiers in Public“>McMaughan, D., Oloruntoba, O., & Smith, M. (2020). Socioeconomic status and access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public

Health, 8. Retrieved 2022, from ”>Health, 8. Retrieved 2022, from https://doi.org/10.3389/fpubh.2020.00231

For respinse 2

Unit 9 Initial Post MN 610

Imee Downing posted Mar 31, 2022 7:00 AM

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Health and promotion among the 35-65 years of age are not different from other groups. However, because of the physical and functional aspects, these groups have more advantages to do better, change habits, and comprehend and comply with a care plan (Tajik-Parvinchi et al., 2020).

Social support and influence impact the patient’s outcomes among these population groups. For example, they go to the gym for physical activity such as yoga, hiking, walking, etc. They recognize that the same age group does things such as exercising, which motivates the individual to do the same (Smith et al., 2017). Social determinants impact the health and well-being of this age group (Arquilla, 2021). For example, political views, socioeconomic and cultural factors about accessing health care, safe living, and the right food to eat can impact the patient’s health outcome.

The patient’s economic status influences the provider’s care plan. Suppose the individual’s insurance won’t cover the costs of appropriate medication regimens or diagnostic tests; that is a challenge to meet the desired health outcomes. I observed this kind of care for patients with Humana Medicaid. Often, the provider needs prior authorization for certain medications or diagnostic tests required. Sometimes, timing is crucial and working with prior approval is time-consuming.

References

Arquilla, E. (2021). What are social determinants of health? Medical News Today. https://www.medicalnewstoday.com/articles/social-determinants-of-health“>https://www.medicalnewstoday.com/articles/social-determinants-of-health

Smith, G. L., Banting, L., Eime, R., O’Sullivan, G., & van Uffelen, J. G. (2017). The association between social support and physical activity in older adults: A systemic review. International Journal of Behavioral Nutrition and Physical Activity, 14(56). https://doi.org/10.1186/s12966-017-0509-8“>https://doi.org/10.1186/s12966-017-0509-8

Tajik-Parvinchi, D., Davis, A., Roth, S., Rosenbaum, P., Hopmans, S. N., Dudin, A., Hall, G., Gorter, J. W., & MyStory Study Group. (2020). Functional connectivity and quality of life in young adults with cerebral palsy: A feasibility study. BMC Neurology, 20, 388. https://doi.org/10.1186/s12883-020-01950-7“>https://doi.org/10.1186/s12883-020-01950-7