Overview
Builds upon previous rotations in the management of patients with higher acuity care needs. Site to provide a variety of patients including complex cases.
NURS-DNP 545: Primary Care Management of Health and Illness Across the Lifespan Clinical II
Required for: FNP Doctor of Nursing Practice Students
Course Description: Using evidence-based, patient-centered concepts, to apply, integrate and evaluate advanced assessment, diagnosis, and management of acute and chronic health issues affecting diverse populations across the lifespan
Course Objectives
- Proficiently demonstrate and document comprehensive problem-focused assessments correctly and efficiently including a complete health history and physical examination and plan of care, for adults from diverse populations across the lifespan.
- Synthesize theories, scientific principles, patient data, critical inquiry, and clinical decision-making to correctly determine current health status and potential health problems.
- Evaluate appropriate differential diagnoses in the clinical setting.
- Summarizes theories, evidence, and scientific principles to construct appropriate diagnostic strategies and formulate effective patient centered plans of care to manage adult-geriatric populations with stable and unstable chronic and acute episodic illness in the primary care setting.
- Consistently construct safe, effective, high quality, evidence-based, patient centered plans of care across a spectrum of health care settings.
- Value partnerships with the patient or designee that create patient-centered education, counseling, and care that recognizes and respects individual patient, family, and/or caregiver needs, preferences, values, and beliefs.
- Demonstrate advanced competency in the role of the advanced practice nurse practitioner and application of advanced collaboration, communication, mutual respect, and shared decision-making skills as an inter-professional team member.
- Evaluate the legal and ethical factors influencing the care of the adult-geriatric population in an individual primary care setting.
Clinical Competencies
All rotations require hands on, direct patient interaction. Observation only time should be very minimal. Student should acquire the following skills/competencies during this rotation:
- Taking appropriately comprehensive complete and focused health histories.
- Reconciliation of health histories and medication.
- Performing appropriately comprehensive complete and focused physical examinations.
- Selecting and interpreting appropriate diagnostic testing as indicated by the clinical presentation.
- Identification of risk factors.
- Developing appropriate differential diagnoses with evidence based rationale.
- Arriving at final working diagnosis with evidence based rationale.
- Development of a management plan with preceptor guidance- would expect increased independence in diagnostic reasoning and decision making.
- Patient education / counseling / health promotion and protection.
- Evaluation of management plans with preceptor guidance.
- May perform scope specific procedures under direct preceptor supervision.
- Documentation of a SOAP note. For educational purposes students are expected to develop a traditional written note in the SOAP format. It is preferred that students document and review notes with their preceptor using this format rather than documenting in the EMR. The SOAP note format is better suited to developing and demonstrating skills of diagnostic reasoning than is an EMR template.