The Adult-Gerontology Acute Care Curriculum Discussion

The Adult-Gerontology Acute Care Curriculum Discussion

NRNP 6566

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This course is the first of four clinical courses in the Adult-Gerontology Acute Care curriculum. Students will explore and integrate concepts of pathophysiology, pharmacology, assessment, and collaborative management of adolescents, adults, and older adults who are acutely/critically ill or experiencing an exacerbation of a chronic health problem. The clinical focus is on the role of the acute care nurse practitioner working with an interdisciplinary team across settings to facilitate the patient’s return to optimal health. Topics include cardiac, pulmonary, and renal issues as well as common diagnostic test and procedures. The Adult-Gerontology Acute Care Curriculum Discussion

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NRNP 6540

In this course, students focus on the complex healthcare and management needs of older adults by advanced nurse practitioners in acute and primary care  settings. Students learn to plan, implement, and evaluate therapeutic regimens of older adults through the application of knowledge in multiple settings. Additionally, students examine content related to end-of-life care and caregiver issues to gain the knowledge and sensibilities needed to implement positive change for the quality of life available to this vulnerable population.

NRNP 6550

This course is the second of four clinical courses in the Adult-Gerontology Acute Care curriculum. Students will plan, implement, and evaluate care for acutely/critically ill patients or patients experiencing an exacerbation of a chronic health problem. The clinical focus is on the role of the acute care nurse practitioner working with an interdisciplinary team across settings to facilitate the patient’s return to optimal health. Students will apply appropriate diagnostic procedures and relevant laboratory tests in developing appropriate treatment plans to address patient health needs in the acute care setting. The Adult-Gerontology Acute Care Curriculum Discussion

NRNP 6560

Students in this course will advance their clinical competence in the care of patients in acute care settings. Students will build confidence as they begin the transition from student to advanced practice nurse. Classroom activities and case studies will enable students to explore resources and support systems available to acutely ill adolescents, adults, and older adults. The  application of knowledge in the management of patients and the collaboration between the advanced practice nurse and the patient, family, and multi-disciplinary healthcare team are emphasized.

Study Plan for this coursework

In the Adult/Gerontology Acute Care Nurse Practitioner specialization, students build their core competencies to become nurse practitioners while acquiring the advanced practice skills essential to high-acuity healthcare settings such as hospital emergency rooms, intensive care units, trauma centers, and specialty practices. Coursework prepares students for the challenges of managing the care of acutely or chronically ill adolescents (13+), young adults, adults, and older adults across the entire patient care experience, from initial assessment and diagnosis to developing a treatment and care plan. Graduates of this program will also be prepared to apply research and evidence-based practice to support quality improvement initiatives. The Adult-Gerontology Acute Care Curriculum Discussion

Specialization Courses (35 credits)

NURS 6501 – Advanced Pathophysiology* (5 credits)

  • Students may take this as a non-degree course.

NURS 6521 – Advanced Pharmacology* (5 credits)

NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning* (5 credits)

  • Students may take this as a non-degree course.

NRNP 6566 – Advanced Care of Adults in Acute Settings I (3 credits)

PRAC 6566 – Advanced Care of Adults in Acute Settings I Practicum (2 credits)

NRNP 6540 – Advanced Practice Care of Older Adults (3 credits)

PRAC 6540 – Advanced Practice Care of Older Adults Practicum (2 credits)

NRNP 6550 – Advanced Practice Care of Adults in Acute Care Settings II (3 credits)

PRAC 6550 – Advanced Practice Care of Adults in Acute Care Settings II Practicum (2 credits)

NRNP 6560 – Advanced Care of Adults in Acute Settings III (3 credits)

PRAC 6560 – Advanced Care of Adults in Acute Settings III Practicum (2 credits)

For this Assignment, you are to identify strengths and areas that need development and create a tailored study plan that you will use after this course to help you prepare for the National Certification Examination. This will serve as an action plan to help you track your goals, tasks, and progress as you near the examination.

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To Prepare:

  • Reflect on your prior coursework. Identify content-area strengths and opportunities for improvement.

The Assignment:

  • Summarize your strengths and opportunities for improvement.
  • Create a study plan, including specific goals and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.
  • Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study. The Adult-Gerontology Acute Care Curriculum Discussion

 

NRNP_6560_Week11_Assignment_Rubric

NRNP_6560_Week11_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeSummarize your strengths and opportunities for improvement.
20 to >17.0 pts

Excellent

The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.

17 to >15.0 pts

Good

The response provides an accurate summary of both the strengths and opportunities for improvement.

15 to >13.0 pts

Fair

The response provides a vague and/or inaccurate summary of both the strengths and opportunities for improvement.

13 to >0 pts

Poor

A summary of both the strengths and opportunities for improvement is incomplete or missing.

20 pts
This criterion is linked to a Learning OutcomeCreate a study plan, including specific goals and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.
45 to >40.0 pts

Excellent

The response provides 3–4 clear and appropriate goals for the study plan, including tasks to complete to accomplish each goal. A clear timeline is provided for the study plan, as well as a description of how progress toward goal completion will be measured.

40 to >35.0 pts

Good

The response provides 3–4 appropriate goals and objectives for the practicum experience. Appropriate tasks, timeline, and description of how progress will be measured is provided.

35 to >31.0 pts

Fair

The response provides 3–4 vague or general goals for the study plan. Tasks, timeline, and description of how progress toward goals will be measured are vague or somewhat inappropriate.

31 to >0 pts

Poor

The response provides 3–4 unclear or inappropriate goals for the study plan, or goals are missing. Tasks, timeline, and a description for how progress will be measured is incomplete or missing.

45 pts
This criterion is linked to a Learning OutcomeDescribe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, and print or online resources you could use to study.
20 to >17.0 pts

Excellent

The response provides a clear description of appropriate resources to support the study plan that are tailored to individual need.

17 to >15.0 pts

Good

The response provides a description of appropriate resources to support the study plan that are somewhat tailored to individual need.

15 to >13.0 pts

Fair

The response provides a description of general resources that are not tailored to individual need.

13 to >0 pts

Poor

The response provides a description of inappropriate resources to support the study plan, or the description of resources is vague or missing.

20 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided which delineate all required criteria.
5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided which delineate all required criteria.

4 to >3.5 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity <60% of the time. No purpose statement, introduction, or conclusion was provided.

5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥5) APA format errors.

5 pts
Total Points: 100

 

References:

  • Fuller, V. J., & McCauley, P. S. (2023). Textbook for the adult-gerontology acute care nurse practitioner: Evidence-based standards of practice. Springer Publishing Company.
    • The Role of the Nurse Practitioner, pp. 3-9
  • Harris, C. (2023). Adult-gerontology acute care practice guidelines (2nd ed.). Springer Publishing Company.
    • Telemedicine in Acute Care, pp. 642-645
    • Transitional Care, pp. 646-650
    • Acute Care Billing, pp. 651-661 The Adult-Gerontology Acute Care Curriculum Discussion
  • American Association of Critical-Care Nurses. (2012). AACN scope and standards for acute care nurse practitioner practice.Links to an external site. http://www.aacn.org/wd/practice/docs/acnp-scope-and-standards.pdf
  • American Nurses Association. (n.d.). View the Code of Ethics for NursesLinks to an external site.. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/
  • McMullen, P. C., & Howie, W. O. (2019). Credentialing and privileging: A primer for nurse practitioners.Links to an external site. The Journal for Nurse Practitioners16(2020), 91–95. https://doi.org/10.1016/j.nurpra.2019.10.015
  • Buppert, C. (2018a). Federal regulation of the nurse practitioner profession. In Nurse practitioner’s business practice and legal guide (6th ed.) (pp. 165–202). Jones & Bartlett.
  • Buppert, C. (2018b). State regulation of nurse practitioner practice. In Nurse practitioner’s business practice and legal guide (6th ed.) (pp. 133–164). Jones & Bartlett.

NRNP_6560_Week 11 Study Plan

Course reflection is an important learning activity that helps evaluate learned knowledge and prepare for future improvement. According to Kim and Shin (2020), course reflection allows learners to reinforce the memory of learned knowledge and competencies and forms a solid foundation for future improvement. Strengths and areas of improvement identified from reflection can help develop improvement interventions promoting success among learners. This assignment identifies content-area strengths and areas for improvement and uses them to develop a study plan to help prepare for the National Certification Examination. The Adult-Gerontology Acute Care Curriculum Discussion

Content-Area Strengths and Areas that Need Development

The content-areas strengths identified from the prior coursework are complex healthcare needs management for older adults in acute primary care settings, end-of-life care, caregiver issues, quality of life improvement in older adults, common diagnostic procedures, pathophysiology, assessment, collaborative management adults, adolescents, and older adults, care implementation, and evaluation. The prior coursework has enhanced my knowledge, skills, and competencies in the outlined areas. I feel confident in complex healthcare needs assessment and management in primary care settings. I also have adequate knowledge of end-of-life care, including caregiver issues, ethical care, and quality-of-life management in end-of-life care. I also understand pathophysiology, comprehensive assessment, and collaborative care management for adolescents, adults, and older adults. I also know the common diagnostic procedure.

The identified areas for improvement include pharmacology, diagnostic procedures, relevant laboratory tests, and developing appropriate treatment plans. I have some knowledge in pharmacologic management of acute/chronic illness and exacerbation, but I feel more knowledge is required to achieve an expertise level. Diagnostic procedures and relevant laboratory tests are specific to illnesses and their severity or associated symptoms. Knowledge of pharmacology, diagnostic procedures, and relevant laboratory tests is crucial to developing appropriate treatment plans that are patient-centered (Bolton et al., 2020). I have good pathophysiology knowledge, crucial to identifying clinical presentations and making presumptive diagnoses. However, improving diagnostic procedures and relevant laboratory test knowledge is crucial to success in developing appropriate treatment plans. The Adult-Gerontology Acute Care Curriculum Discussion

Study Plan for the National Examination Preparation

Table 1 Study Plan for the National Examination Preparation

Goal Tasks Timetable Progress Measurement
1. Enhance Pharmacology Knowledge -Review core pharmacology topics

– Practice case scenarios

– Take pharmacology practice questions

Weeks 1-3 – Complete 50+ questions weekly with 80%+ accuracy

– Reflection journal

2. Deepen Understanding of Diagnostics & Labs – Create a diagnostic & lab reference guide

– Apply scenarios with case studies

– Interpret lab results

Week 4-6 Complete diagnostic scenarios with 90%+ accuracy

– Reflection log-

3. Develop Treatment Plan Formulation Skills – Study treatment guidelines

– Practice treatment planning in case studies

– Get feedback from peers/mentors

Week 7-9 -Complete four treatment plans weekly

– Reflect on strengths and improvements

 

4. Consolidate Clinical Knowledge Strengths

– Review complex care, end-of-life, and assessment

– Work on integrated cases

– Take mock tests/exams to test gained knowledge

 Week 10-12 -Achieve 85%+ on mock exams/tests

– Post-exam reflections for final review

 Resources to Accomplish Goals and Tasks

Various resources are required to accomplish the set goals and tasks. Class textbooks, online courses and simulation tools, case studies, peer discussions, quiz apps, and online question banks will help enhance and accomplish the goals and tasks. Textbooks are vital reference points, and books such as The Textbook for the adult-gerontology acute care nurse practitioner by Fuller and McCauley (2023) will be crucial to knowledge development in pharmacology and treatment plan development for adult patients. Academic support from the school and study group feedback can also help achieve the goals. Identifying people with similar interests in group work will help achieve the set goals. Online simulations will help develop vital pharmacology and treatment plan development knowledge by providing realistic patient scenarios. Other resources include clinical practice guidelines that guide or help evaluate clinical decisions when working on case studies and simians. These resources will help meet the study plan tasks and achieve the set goal.

The course reflection helped identify content-area strengths and areas for improvement. The areas for development include pharmacology, diagnostic procedures, relevant laboratory tests, and treatment plan development. The information helped develop a study plan for the national certification examination. Focusing on the areas for improvement and consolidating overall knowledge in all content areas will help promote success in the national certification exam The Adult-Gerontology Acute Care Curriculum Discussion.

References

Bolton, R. E., Bokhour, B. G., Hogan, T. P., Luger, T. M., Ruben, M., & Fix, G. M. (2020). Integrating personalized care planning into primary care: a multiple-case study of early adopting patient-centered medical homes. Journal of General Internal Medicine35, 428-436. https://doi.org/10.1007/s11606-019-05418-4

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Fuller, V. J., & McCauley, P. S. (2023). Textbook for the adult-gerontology acute care nurse practitioner: Evidence-based standards of practice. Springer Publishing Company.

Kim, J. H., & Shin, H. S. (2020). Effects of self-reflection-focused career course on career search efficacy, career maturity, and career adaptability in nursing students: A mixed methods study. Journal of Professional Nursing36(5), 395-403. https://doi.org/10.1016/j.profnurs.2020.03.003 The Adult-Gerontology Acute Care Curriculum Discussion