This paper examines the role of the Advanced Nurse Practitioner (APN) and the Family Nurse Practitioner (FNP) within the state of Arizona. It outlines the broad clinical responsibilities of APNs, including patient assessment, diagnosis, prescribing, and care planning, before narrowing its focus to the FNP's family-centered scope of practice. The paper also presents a personal career statement from a nursing professional with a pediatric background who seeks to expand her practice to serve patients of all ages, emphasizing health promotion and holistic family wellness as guiding professional values.
Nurse practitioners are able to assume many of the medical responsibilities once relegated to physicians. The profession arose as a way to provide more personalized and cost-effective care than was possible through physicians alone. Advanced Nurse Practitioners (APNs) are able to obtain patient health histories and perform complete physical examinations. They can diagnose many medical conditions, order and interpret medical tests, and prescribe and manage medications. They can evaluate care, admit patients, counsel patients on wellness and the management of chronic illnesses, and develop individualized care plans. APNs are part of a holistic model of care and frequently collaborate with other healthcare professionals (Services provided by a nurse practitioner, 2011, Arizona Nurse Practitioner Council).
The APN Family Nurse Practitioner (FNP) can provide many of the services the general APN provides, but within a family context. Like a pediatrician, an FNP must deploy astute critical thinking to make effective diagnoses for all family members. The FNP must possess knowledge of both child and adult wellness in order to order diagnostic tests, prescribe pharmacologic and non-pharmacologic integrative healing therapies, collaborate with other health professionals and community agencies, and pursue appropriate follow-up care when necessary.
Increasingly, FNPs serve as the primary health providers for families' basic and essential care. They are an important source of information on key topics such as appropriate antibiotic use, vaccine schedules, and normal childhood development. The FNP is able to identify which needs can be met in a primary care setting, determine what critical information must be obtained from the patient, and recognize when to seek collaboration with other healthcare specialists.
"Personal goals blending pediatric background with FNP practice"
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