MN561 All Unit Discussions Latest 2018 June Question # 00598293 Subject: Education Due on: 02/18/2019 Posted On: 02/18/2019 11:53 AM Tutorials: 1 Rating: 4.5/5

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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.

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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?

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