Second part of portfolio

2 . Nursing Philosophy (from prior course) as your personal statement. It is what it is your hallmark as an Advanced Practitioner.

Example as follow:

Personal statement or philosophy statement relating to your role as an APN

Nursing is an art that can never be defined in one word or way. I remember before I decided to enroll in nursing school, I cared for an old lady through a home health agency. She kept telling me how wonderful I was to her, how patient, compassionate and always willing to assist her with her daily activities. She kept saying it is not about doing it, it is how you do it. She made me realize how much I could enjoy being a nurse and she constantly encouraged me to pursue a career in nursing.

When I enrolled in nursing school, it was not a smooth journey either because it was a very hard and demanding program but I learned a lot. It was then I realized nursing was not all about giving medication and helping someone to the bathroom. I learned about the importance of establishing rapport with a patient as soon as you assume care with them.

I challenged Practical Nursing boards and started working as a LPN before I completed my BSN program and the idea of nursing grew even more. Working as an LPN made me realized at times I may have to provide care to the family member may be a little more than the patient him/herself. I learned daily that nursing is way more than just what you learn in books and school and completing the care plan interventions.

Nursing to me is all about the relationship you establish with your patients, understanding them from their perspective. Asking them what they think is going on with their health or what has been changing in their body. I like to ask, how do you feel? What do you think? Asking these questions to my patients gives me a door to see them in a holistic manner. It helps me as a nurse to understand if their symptoms are just physical or are psychological as well. Someone may be experiencing a lot of life stressor and not eating right, or not drinking a lot of water. As a result they start experiencing a lot of headache. Instead of thinking it is a migraine and heavily medicate them. It is fair to give this person a little does of Tylenol. Encourage them to perform some relaxation exercises, eat well and drink plenty of water. I have come to learn that, food, water and our brains is what makes us or breaks us. If we think positive, we excel and do better in every aspect of our lives including our health. If we think negative them the vice versa will occur.

Another thing I learned from being a nurse is that we should always be reminded that we are advocates for our patients both verbal and nonverbal patients, but we do not have the last say. Most times we know more things related to the healthcare field compared to our patients. Our patients look at us and establish a lot of trust before you decide to do anything to them like giving them medication, sticking a  needle on them, putting them on some times of machine. They establish some kid nog trust. So we should always be willing to educate our patients on what we think is going on with them and why we are doing certain interventions on them. Advocacy also comes with utilizing the ethical principles in our nursing care like autonomy, respect, nonmaleficence, beneficence, and justice

 I currently work as a nurse in the emergency department, prior to that I word in medical surgical, home-health, rehab, and long term acute care. Nursing was not the same in all these areas. I took care of different kinds of patients in their different stages of life. While all was very interesting, I really love working in the Emergency room. The ER is the combination of all in one visit or sometimes in part of the visit. We do a lot of patient teaching, stabilizing, and referrals. We do not necessarily see the same patients every day, and that Is what makes me grow as a nurse. Prior to working in the ER, I never worked with the pediatric population. And I was amazed how wonderful working with all age groups can be. I am always curious and willing to learn more about nursing and wanting to do more for my patients. I decided to enroll in the Family Nurse Practitioner- Doctor of Nursing Practice (DNP) program because I knew the program will give me all what I mentioned and more

The DNP program will not only allow me to earn the knowledge of what will make  me a great family nurse practitioner but also it has a research part that will allow me to research on the current issue related to health care and/ or the nurse practitioner role in the society. As nurse practitioners we see a lot of patients from hospital to home setting and understanding research is vital to improve the care we provide to the communities we serve. Research in nursing is what bring about evidence-based practice which is the best way of practicing our daily nursing activities.

I took a theory class in the spring 2016 when I began my DNP course and I was amazed how all the nursing theories were pretty much what makes modern nursing better today. One of my favorite theories was “the theory of goal attainment” by Dr. Imogene King. This theory talks about the importance of nurses and patients having mutual goals that will improve patients’ health (King & Fawcett, 2012). For example, if a patient comes to the ER with several symptoms, instead of only telling them this is what we are going to do and this is what you are going to do. It is best to say, this is what I think we should do and give them a chance to say what they want done and what they do not want done. This does not mean you should not explain the rationale of your interventions but allow the patients to participate in their own care by making decisions with you. This will make it easier for the both of you because you will not have to struggle trying to do something to a patient that she/he does not like or later get sued because you did something that the patient did not agree to.

The DNP class has also allowed me to learn the importance of cost effectiveness and how nurse practitioners can be more cost effective compared to primary care physicians in providing their care. Learning all this information also allows me later as a nurse practitioner to be a great mentor to staff nurses and student nurse practitioners as well. Encouraging them on the constant use of evidence-based practice during direct patient care. And explain all the whys that they may have so that they feel better and understand what they have to care for the patient(s) in a different way compared to what they are already used to base on the current evidence and research at the time.

Having all that said, I believe nursing is an art that can never be explained in one simple word. The art of nursing is fulling to both patients and nurses themselves. Being a nurse practitioner will allow me to continue to advocate for my patients and do more for them like diagnosing and treating their symptoms in a cost effective manner, adhering to the ethical principle and the holistic approach at all times. I will also continue to learn more about nursing, medicine and all the current evidence based studies to ensure I provide the best care to my patients.

                                            Reference

King, I. M., & Fawcett, J. (2012). Imogene King. interacting systems framework. [electronic resource (video)] :. Athens, OH : FITNE, 2012.

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This example has been downloaded from /giving credit to it and be used only for educational purpose: https://maryville.instructure.com/eportfolios/21286/PracticeBased_Evidence/2b_Personal_statement_or_philosophy_statement_relating_to_your_role_as_an_APN

LOOONG Project Assign-15 pages.

Please see the Instructions below:

1) I have attached all 3 Assignmnets work that was done during Semester toward this Project AND I have included PROF. feedback of each Assignmnet work that was done. There are 3 parts, 3 Assignmnts DONE already that are part of this Project, and I included them in the attached WORD doc. named FINAL PROJECT INSTRUCTIONS.

 2)Also attached is the RECENT FINAL PROJ.GUIDELINES for step by step, what to address in the Final Proj.Assgnm. Please, address ALL PARTS asked by these INSTRCUTIONS in  the Final Product. As I said, 3 small parts were done already and you can include some of these parts in FINAL PRODUCT, as requested by FINAL PROJ GUIDELINES, however you cannot copy paste the PREVIOUS ASSIGN. entirely in FINAL PRODUCT, you can maintain soem paragraphs, some ideas, and ADD more to ideas presented in the 3 Assignm. done.

SUMMARY:

a)RECENTFINAL PROJECTGuidelines pdf–> has all subtitles you need to address in FIANL PRODUCT

b)FINAL PROJ INSTRCT word doc—>is where I attcahed all 3 Assignm that were doen during Semester toward this Final Project Subject; I also attached PROF. feedback, as well as the Resources needed for each of the 3 Assignmcompleted already.

c)RESOURCES for every title in FProj word doc–> it has EVERY SINGLE TITLE that needs to be addressed in FinalProj ( taken from RECENTFINAL PROJECTGuidelines) showing the appropriate REsources for it to search, read. dig in.

 I have 2 Collegues WORK that I can send AFTER I chose a Tutor, so that the work will have a GUIDE.

You need to Follow the TOPIC and integrate all the facts request by Instrcutions

Cardiovascular Medication Discussion. 

This is for a discussion post. There are TWO parts to this post

There are numerous medications to treat disorders of the cardiovascular system. Below are just four of the medication categories used to treat hypertension.

Diuretics

ACE inhibitors

Calcium Channel Blockers

Vasodilators

1.Discuss the difference between each medication.

2. Choose from one of the four categories listed above. Provide an example patient scenario (can be from your own experience as a nurse) where a patient would be treated with the class of medication you chose from the four listed above. You only need to provide one scenario, but make sure it is using a medication that correlates to one of the four classes above.

For example…

Patient A has _________ diagnosis. His baseline BP is _______. The physician would most likely prescribe this class of medication ___________ and more specifically this drug ________.

Of course, this is just an example to get you started. 

Please elaborate on your patient scenarios and support your statements with evidenced based literature.

Pleas provide at least two references in APA format 

Minimum 500 word  

APA format

End of life care discussion

Providing patients and families with a dignified death is important. 

For this general discussion the focus is on end of life care. As the nation’s population ages this will become an issue for many individuals and families. 

Search the literature and discuss in depth an aspect of this topic that interests you.  “In depth” means more than just a cursory explanation of the topic so you may want to focus on a specific aspect of a general topic.

Please label your discussion post using the topic you’ve chosen to research. 

A quick search provided some suggestions to get you started; you are free to choose a topic not from this list as long as your topic discusses an aspect of end of life care:

• Being Mortal – Five Questions to Ask at Life’s End – Dr. Atul Gwanda
• Taking a Spiritual Inventory
• Physician Assisted Suicide – History and update on individual state laws
• End-of-Life Care for an Aging LGBT Population
• Late Stage and End-of-Life Caregiving – Caregiver Issues