KAPLAN MN561 2018 June All Units Discussions latest

MN561 Advance Practice Nurse Clinical
 Unit 1 Discussion
DQ1  Check-In
Please confirm that you have accessed and read the syllabus and unit overview, and received the course expectation document emailed to you prior to start of this course. All practicum hours and field encounters should be entered in Rx Preceptor. Practicum hours must be confirmed by the preceptor to receive credit. Inform the instructor if you are aware of required and recommended textbook and clinical pocket companions as noted in the syllabus. The preceptor contact form should be submitted to Unit 1 drop box. You will complete 185 practicum hours during this term. Please inform the instructor if you have any questions regarding course expectations.
Please feel free to share a little about your professional background and what you expect to learn during this practicum rotation.
DQ2 Oral Presentation
The goal of any oral presentation is to pass along the “right amount” of patient information to your preceptor in an efficient fashion. When done well, this enables you and your preceptor to quickly understand the patient’s issues and generate an appropriate plan of action.
As a general rule, oral presentations are shorter than written presentations as they should focus on the most active issues of the day (Chief Complaint).
Subjective- how patient feels and reports to you.
Objective- vital signs and pertinent physical exam findings; what you hear, feel, smell, and see.
Assessment- should include working diagnosis from presenting problem and prior diagnoses that are being actively addressed during the present appointment.
Plan – this is the area that should be very specific as if you are entering the orders.
Some of the most common stumbling blocks for students (other than nerves) include going into too much detail in the subjective and objective sections!
Discussion: Share with your peers your approach to oral presentations in the clinic setting and ways in which you have perfected your approach to communicating information about your patient to your preceptor. Share your PEARLS of Wisdom!
 
 
 
 
 
 
MN561 Advance Practice Nurse Clinical
 Unit 2 Discussion
Topic: Be Prepared
Being prepared as a Nurse Practitioner when entering the clinic setting is a win-win for the student, the preceptor and most of all the patient. Safe, effective delivery of patient care requires that the nurse practitioner student understand the complexity of healthcare systems, the limits of human factors, safety design principles, characteristics of high reliability organizations, and patient safety resources. These components are critical to the preparation of safe clinicians and essential for 21stCentury healthcare delivery.
Discuss how you met the Unit Two Objectives as well as barriers to safe practice that can occur if you come to the clinic setting unprepared. Support your discussion with evidence based practice and recommendations for improvement of safe patient care in the primary care setting.
 
MN561 Advance Practice Nurse Clinical
 Unit 3 Discussion
Topic: Medical Record Documentation
Medical record documentation is required to record pertinent facts, findings, and observations about an individual’s health history, including past and present illnesses, tests, treatments, and outcomes. The medical record chronologically documents the care of the patient and is an important element contributing to high-quality safe care.
Discuss your State Board of Nursing nurse practitioner documentation guidelines and how this can impact your level of reimbursement in the clinical setting.
 
MN561 Advance Practice Nurse Clinical
 Unit 4 Discussion
DQ1 Topic 1: Social Services
Share what social services are available in your community and give examples of when it is important to involve social services in the management of your patients in the primary care setting? Please give examples of what you have done in your clinic setting involving social services. Support your discussion with evidence based practice and recommendations.
DQ2 Topic 2: Interprofessional Team
A multiprofessional team practice is necessary as you cannot be expected to know everything there is to know and have all the skills to address the complete range of episodic and chronic health problems commonly seen in the primary care setting.
 
Discuss what you believe is the ideal provider mix for an interprofessional team in primary care. Design an interprofessional team to meet the primary care needs in your community and share with your peers in the discussion forum.
Support your discussion with evidence based practice and recommendations.
 
MN561 Advance Practice Nurse Clinical
 Unit 5 Discussion
Topic:UTI
UTIs are responsible for > 7 million physician visits annually and approximately 15% of all community-prescribed antibiotics in the US are dispensed for UTI’s.   In the US, UTIs account for > 100,000 hospital admissions annually, most often for pyelonephritis (European Association of Urology, 2015). Describe the current clinical practice guidelines for diagnosis, management, and prevention of UTI’s.
 
MN561 Advance Practice Nurse Clinical
 Unit 6 Discussion
Topic: Preventative vs Diagnostic
Discuss the difference between preventative and diagnostic laboratory tests and why this is important to distinguish between in the primary care site. Include in the discussion the ten most commonly ordered laboratory and diagnostic tests ordered in your practicum site and the criteria for ordering.
 
MN561 Advance Practice Nurse Clinical
 Unit 7 Discussion
DQ1 Topic: Contraceptive counseling
Contraceptive counseling provides education, dispels misinformation, facilitates selection of a method that will be successful for the individual, and encourages patient involvement in healthcare decisions and life goals. Discussing contraception brings the nurse practitioner and patient together to create a tailored plan that meets the individual’s reproductive needs over a lifetime.
Discuss any clinical encounters that you may have had relating to contraception. How did you counsel patients on their choices and possible risks? Describe how you would explain the differences to your patients in the long acting reversal contraceptive devices.
DQ2 Topic 2: Sexuality
Sexuality affects individuals and society across a broad spectrum of activities through health, but also through factors at multiple levels, such as gender relations, reproduction, and economics. Physiologic, behavioral, and affective measurement of sexuality and sexual behavior is complicated by cultural values and norms but is essential to individual health (including happiness) as well as public health. Cultural or structural norms that stigmatize aspects of sexuality, such as sexual orientation, have adverse effects on individuals across their lifespan, with homophobia being a prominent example of such.
Discuss how one’s age, race, lifestyle, and demographics have an impact on your choice to complete a sexual history when working in the primary care setting with women across a lifespan.
 
MN561 Advance Practice Nurse Clinical
 Unit 8 Discussion
Topic: Depression
Depression is one of the leading causes of disability in adults. It affects men and women of all ages, races, and social and economic groups. Depression has a major impact on a person’s quality of life and can increase the risk of suicide. It can make it more difficult for people to care for other health conditions they may have. Depression also can affect family members, especially children.
Discuss what The U.S. Preventive Services Task Force (Task Force) has recommended concerning screening for depression in the primary care setting. What are the recommended screening tools age specific.
Share what you have used in your practicum site to screen for depression and how it was addressed.
 
MN561 Advance Practice Nurse Clinical
 Unit 9 Discussion
Click [Start a New Thread] to post to the Discussion, then click [Post] once complete.  Be sure to post a response to all Discussion topics. Please review the Discussion Board Participation grading rubric under Course Resources. This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.
After completing the Reading, reflect on the concepts covered in this unit.
Describe evidenced-based treatment plans for specific sexually transmitted diseases.
Reflect on how you have met each of the course objectives over these past 9 weeks.
Explain how you will integrate the outcomes of the course into your role as a nurse practitioner working in primary care caring for adult patients presenting with acute, episodic, and chronic illness and conditions.
Provide one example of how you have met each of the six course outcomes these past 9 weeks.
 
 
MN561 Advance Practice Nurse Clinical
 Unit 10 Discussion
Click [Start a New Thread] to post to the Discussion, then click [Post] once complete.  Be sure to post a response to all Discussion topics. Please review the Discussion Board Participation grading rubric under Course Resources. This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.
Topic: Testicular pain
It is crucial for providers to investigate and differentiate complaints of testicular pain. Testicular torsion is an emergency which requires immediate diagnosis and management. Describe and depict the history and physical exam findings in testicular torsion. What would be the treatment or management for patients with testicular torsion?