Reflect on the course objectives, clinical practice guidelines, the three to five clinical objectives, and your plan to incorporate clinical practice guidelines for your clinical experience that you developed for Topic 1 DQ 1.
In 250-500 words, summarize the objectives you met during your clinical experience and discuss your incorporation of the course objectives and clinical practice guidelines. Provide specific examples to justify and illustrate your experiences.
APA format is required along with solid academic writing is expected.
Topic 1 Answer
In primary healthcare settings, the major objective of Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) is to provide acute care to adult patients. AGACNP concerns to secure the health of patients with a critical medical condition. AGACNPs are trained to become skillful. The competencies are achieved by inter-professional experiences. For example, they assist the mentors. Assistance promotes evidence-based practice in AGACNPs. Working with a well-experienced mentor allows them to gain potential in analytical skills, advanced healthcare knowledge, assurance of care delivery, and developing patient-centered care plans.
Clinical practice guidelines are developed for the training of AGACNP. The main objectives for the implementation of these guidelines are:
The responsibilities of AGACNPs varied from primary nurse practitioners (NP). AGACNPs attend the geriatric patients from the time of admission to discharge in hospitals. After the patient gets admitted, AGACNPs diagnosed the disease and assess the severity of the disease. They make care-plans according to the patient’s condition. In case of chronic disease, long-term care plans are suggested. The care plans include treatment and dietary recommendations. AGACNPs are trained to deal with the psyche of geriatric patients. Geriatric patients behave differently when they are ill(Jaul & Barron, 2017). AGACNPs educate people about their health status and stage of illness. They create patient’s and patient’s family understanding of the management of a disease. They consult with other clinicians and physicians about patient status at the time of discharge. The consultation offers safe and efficient care for the patients. Because of the provision of this kind of coordinated care, they are known as the coordinators of care.
References
Jaul, E., & Barron, J. (2017). Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population. Frontiers in public health, 5, 335-335. doi:10.3389/fpubh.2017.00335
Squires, A., Murali, K. P., Greenberg, S. A., Herrmann, L. L., & D’amico, C. O. (2019). A Scoping Review of the Evidence About the Nurses Improving Care for Healthsystem Elders (NICHE) Program. The Gerontologist. doi:10.1093/geront/gnz150
MY Previous Answer for sample reply.
Reflection of Course Objectives and Clinical Guidelines
During my duty in the primary health care setting, an old age patient was admitted to the emergency department having chest pain. I, as an AGACNP, attended that patient and performed his physical examination. While attending this patient, I recorded the vitals initially and then applied my learned analytical skill in decision-making. I ordered for ECG to help the diagnosis. Furthermore, I also recommended the test of troponin level. As a nurse practitioner with advanced healthcare knowledge, I was able to interpret the report of ECG and using my course objective into clinical practice, I made the diagnosis of STEMI (ST elevated elevation myocardial infarction). I assessed the severity of the disease. As a result, a STEMI alert was prompted. With the internist, I worked in providing services related to cardiology, the patient was taken to the cardiac catheterization lab. Moreover, I helped the physicians and other healthcare workers make decisions regarding patients` condition, strategies, and recommendations that can assist the patient and caregivers in taking appropriate steps in care providing.
It is in the clinical guidelines of AGACNP to attend to the patient from the admission to his stay in the hospital and ensured an effective acute care delivery till the discharge of the patient from the hospital (Squires et al. 2019). I identified the risks and prevention protocols according to the condition of that patient and ensured patient-centered care. I have learned the drug plan during my clinical practice. Therefore, I implemented my knowledge into practice and gave that patient an effective plan according to his drugs and nutritional need (Squires, Murali, Greenberg, Herrmann, & D’amico, 2019). I also learned a counseling skill as my course objective while illustrating the patient and his family members about the severity of the patient’s symptoms. I made them understand disease management. At the time of discharge, I consulted with his physician and other health care team about the health status of that patient to ensure his safe and efficient recovery. After the patient was discharged, I followed him up so that a change in the management plan, if required can be made according to his condition. All these protocols of handling patients are learned in my nursing schooling. I am competent to apply all these course objectives and clinical guidelines into my clinical practice while attending to the patients.
References
Jaul, E., & Barron, J. (2017). Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population. Frontiers in public health, 5, 335-335. doi:10.3389/fpubh.2017.00335
Squires, A., Murali, K. P., Greenberg, S. A., Herrmann, L. L., & D’amico, C. O. (2019). A Scoping Review of the Evidence About the Nurses Improving Care for Healthsystem Elders (NICHE) Program. The Gerontologist. doi:10.1093/geront/gnz150