NR 603 Week 8 Reflection (1).

This 8-week session provided a learning platform using specific course outcomes. The platform design enhanced knowledge and practice skills for many health issues encountered in the primary care setting. Students were challenged to plan medical management for neurological, pulmonary, cardiovascular, hematological, mental health and inflammatory disorders. Lastly, the course included the important factor of culture diversity issues. Exposing the need to approach treatment plans incorporating race, ethnicity, culture background and degree of proficiency with the English language. Program Outcome #4: Integrate professional values through scholarship and service in health care. (Professional identity) The studies and activities added to the layers from the previous sessions. The prepared FNP student interprets guidelines and studies correctly and then can offer help and assistance to the practicum healthcare team and patients. Week 1 compare then contrast a disorder and week 4 the APEA exam allowed the student to realize weaknesses. During clinical hours strengths were evident when applying knowledge and skill to patient care and contributing to the treatment plan. Using the technology of Cleveland Heart Lab, specific inflammatory markers in addition to traditional lipid testing provides meaningful information to determine the person’s cardiovascular risk. An example is taking the result and trending response to current medications, diet, and exercise. If the inflammatory markers and lipid results are not improving, treatment requires increasing the dose of the statin, adding omega and or niacin. Time dedicated to the complete understanding of DASH/Mediterranean diet and the amount of exercise to positively affect and lower the markers and lipids. A more specific case involved a patient that was referred for a sleep study. Detecting the need for the test was determined through the interview and constitutional systems assessment. It was liberating to recognize symptoms, discuss the health risk related to sleep apnea, and then probe the preceptor. Though not proficient at this point, I do possess individual thinking, acting, and feeling of an advanced practice nurse. MSN essential IV: Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. (Extraordinary Nursing