Role Of The Advanced Practice Nurse Essay

Role Of The Advanced Practice Nurse Essay

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The role of the advanced practice nurse (APN) is changing. Since the goal of Affordable Care Act (ACA) is to improve access to primary care for everyone, more APNs are needed in primary care today. Fontenot (2014) states, “No longer will APNs be providing patient care under a physician’s direction; in the post-ACA world, nurses – at least in some settings – will act as a patient’s primary provider, fully independent of any physician supervision” (p. 98). This impacts the role of the APN working in the primary care setting, specifically, in regards to mental health issues. Hein and Scharer (2015) acknowledge that we may not know how many people will seek mental health care under the ACA, but since April 2014, 7 million more people have access to mental health and primary care. Additionally, in 2012 the National Institute for Mental Health [NIMH] (n.d.) estimated that 43.7 million adults (age 18 or older) in the United States (U.S.) had a mental illness in the past year (that is 18.6% of all U.S. adults); moreover, an estimate of 16 million adults in the U.S. had at least one major depressive episode in the past year (NIMH, n.d.). In this case study, we view the role of the APN in developing a plan of care (POC) for a patient who has a diagnosis of major depressive episode.
According to the World Health Organization (WHO), major depression disorder (MDD) is a prevalent, disabling psychiatric mental health issue; additionally, it is ranked as the leading cause of years lost due to disability (as cited in Solé, Jiménez, Martinez-Aran, & Vieta, 2015, para. 2). Those diagnosed with MDD often have cognitive dysfunction that could persist after achieving clinical remission, and the cognitive deficits can affect the overall outcome of the...


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... patient to participate in the decision-making of his care will give him a sense or feeling of being in control (Sparks-Ralph & Taylor, 2008).
In conclusion, due to the effects on healthcare after the ACA the APN has a greater chance of dealing with a patient like this in their practice. Consulting a specialist is also an option and potential necessity in some cases. Patient M was seeking help after his professor recommended that he should and his self-reported symptoms give the criteria for major depressive episode. Safety is the number one priority in the immediate treatment of the patient as well as the other interventions and outcomes suggested earlier. A nursing care plan can change, it can be added on to, and things can be removed as necessary. The care plan provided in this case study is for example, it will always need to be individualized for each patient.

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Role Of The Advanced Practice Nurse Essay

- The role of the advanced practice nurse (APN) is changing. Since the goal of Affordable Care Act (ACA) is to improve access to primary care for everyone, more APNs are needed in primary care today. Fontenot (2014) states, “No longer will APNs be providing patient care under a physician’s direction; in the post-ACA world, nurses – at least in some settings – will act as a patient’s primary provider, fully independent of any physician supervision” (p. 98). This impacts the role of the APN working in the primary care setting, specifically, in regards to mental health issues....   [tags: Major depressive disorder]

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