KAPLAN MN569 2018 May All Unit Discussions Latest

MN569 Clinical-Life Span Health Focus

Unit 1 Discussion

Topic 1: Introduction

Throughout this course you will have many opportunities to respond to the opinions and comments of your classmates. Take this opportunity to introduce yourself and to learn about each other. Be sure to include your name, location, and something about you that you would like your classmates to know.

Topic 2: Primary Care

Discuss what is primary care and the ten most common diagnosis seen in your clinic setting. Share with your peers what guidelines and tools you will become familiar with when preparing for your clinical.

 

MN569 Clinical-Life Span Health Focus

Unit 2 Discussion

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 21st Century 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.

 

MN569 Clinical-Life Span Health Focus

Unit 3 Discussion

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!

 

MN569 Clinical-Life Span Health Focus

Unit 4 Discussion

Reflection

The practicum experience helps to increase knowledge and skills learned in previous courses. It creates an atmosphere to apply evidence-based concepts of disease management to patient care plans. Sharing of practicum experiences with classmates will increase knowledge of most common illnesses treated in different practicum settings. Continue to ask questions of your preceptor and examine rationales for prioritizing diagnoses and prescribing medications.

Please share practicum experiences with classmates by addressing the following information:

Type of practicum setting

Average number of patients seen by you and the preceptor on a daily basis

Most common diagnosis treated

Available resources (low cost meds, social services, community resources, etc.)

Most interesting patient presentation

Comfort level with history-taking, physical exam, medical diagnosing, Management plans including prescribing medications and health education.

 

MN569 Clinical-Life Span Health Focus

Unit 5 Discussion

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.

 

MN569 Clinical-Life Span Health Focus

Unit 6 Discussion

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.

 

MN569 Clinical-Life Span Health Focus

Unit 7 Discussion

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.

 

MN569 Clinical-Life Span Health Focus

Unit 8 Discussion

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.

 

MN569 Clinical-Life Span Health Focus

Unit 9 Discussion

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.

 

MN569 Clinical-Life Span Health Focus

Unit 10 Discussion

Performance and Evaluation in Primary Care

Share your clinical experience and discuss your areas of strengths and areas in which you would like to improve. How did you meet the course outcomes? Give examples.