The Art And Science of Advanced Practice Assignment Paper

NRP/590: Final Preceptorship

Wk 21 – Summative Assessment: Standardized Procedures and Guidelines for Evidence-Based Practice Poster

Assignment

Each state (UTAH) has its own requirements for advanced practice registered nurse (APRN) practice. Likewise, employers may have additional limitations for APRN practice, such as standardized policies and procedures, chart review processes, supervising physician agreements, and so on. The Art And Science of Advanced Practice Assignment Paper

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Topic:  COPD (Chronic obstructive pulmonary disease)

Prepare a poster presentation that meets all the criteria included below.

Use one of the Free Poster Presentation Templates to format your poster (Link: https://www.posterpresentations.com/free-poster-templates.html)

Include the following components:

Introduction, morbidity and mortality, etiology, pathophysiology, and diagnostic testing

Clinical presentation and relevant objective and subjective findings

Diagnostic criteria and management, including clinical preventive services and treatment plan (treatment plans must follow evidence-based practice and national guidelines when available)

An example of standardized policies and procedures, chart review processes, and supervising physician agreements (If you live in a state where this is not required, please visit other states’ board of nursing and search for examples.) The Art And Science of Advanced Practice Assignment Paper

Include a minimum of 10 references from the most current national guidelines from professional sites and sources.

Include a reference page. A minimum of two scholarly peer reviewed references are required.

Cite all references according to 7th edition APA guidelines.

Write paper in 7th edition APA format, including reference page.

Course Textbooks:

Fitzgerald, M. A. (2021). Nurse practitioner certification exam prep (6th ed.).  F. A. Davis.

Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). Primary care: The art and science of advanced practice – An interprofessional approach (5th ed.). F. A. Davis.

David, J. A. (2020). Current practice guidelines in primary care 2021-2022. McGraw-Hill Companies, Inc. The Art And Science of Advanced Practice Assignment Paper

INRODUCTION

COPD is a general term to refer to a group of diseases that lead to breathing-related problems and airflow blockages (Dunphy et al., 2019).  It includes conditions like chronic bronchitis and emphysema. COPD makes breathing challenging and it is common since about 6 million people in the United States if America have it (David, 2020).

MORBIDITY AND MORTALITY

The morbidity and mortality global rate of COPD is about 2.7 million deaths in 2000 people (Devine, 2008). Globally, the condition is ranked as the fourth leading cause of death. Additionally, the disease leads to high societal and healthcare costs. Early studies suggest that 2.2 million deaths globally have been caused by COPD and almost 90% of the deaths in people who are under 70 years occur in the middle and low-income nations (Gerayeli et al., 2021). The Art And Science of Advanced Practice Assignment Paper

ETIOLOGY

COPD is a condition that occurs when the airways and lungs become more inflamed and damaged. It is often associated with the long-term exposure to human substances like cigarette smoke. Smoking is the main cause of this condition, and it is responsible for 9 out of 10 COPD cases. The harmful chemicals in smoking damages the lining of the airways and lungs and stopping smoking prevents COPD from being worse (Stephenson et al., 2018). Dust and fumes also cause COPD since they may damage the lungs. Examples of these fumes include coal dust, isocyanates, welding fumes, silica dust among others. Air pollution causes COPD and it affects how well the lungs work (Tarke et al., 2017). Genetics also cause COPD and genes make them vulnerable to get this condition. The Art And Science of Advanced Practice Assignment Paper

PATHOPHYSIOLOGY

The progression of COPD is related to a rise in severity and frequency of the condition, COPD exacerbation. COPD is often linked to impoverished health status and it is life-threatening, especially in patients who have an advanced disease (Øie et al., 2022). In some of the patients who have this prolonged condition, they experience a reverse of its benefits. In COPD, the pathophysiology starts with the damage to the airways and tiny air sacs within the lungs. The symptoms range from coughing with mucus to difficulty breathing and the damage done by his condition is never undone.

DIAGNOSTIC TESTING, PREVENITIVE SERVICES, & TREATMENT PLAN

Diagnostic testing in COPD patients include the lung or pulmonary function tests. They measure the amount if air you can exhale and inhale whether the lungs deliver oxygen to the blood. The patient also undergoes a chest X-Ray and this may show whether she has emphysema, which is the main cause of COPD (Miravitlles & Ribera, 2017). The other is CT scan and it helps detect emphysema and determine how surgery can be done from COPD. The patient also gets an arterial blood gas analysis to show how well the lungs bring oxygen to the blood. The patients also undergo laboratory tests. The Art And Science of Advanced Practice Assignment Paper

The clinical preventive services in COPD entail avoiding smoking if one is a smoker, not partaking in smoking as an option, staying healthy, eating a healthy diet, and even conducting breathing exercises (Mackay et al., 2018). The treatment plan for COPD includes taking medications in pill form, inhalers, nebulizers, breathing exercises, incentive spirometer, and oxygen therapy to help make breathing easier, strengthen lung function, prevent further decline, pulmonary rehabilitation to learn about exercise and the pulmonary system care, and even learning how to control breathing. The Art And Science of Advanced Practice Assignment Paper

CLINICAL PRESENTATION

The clinical presentations include wheezing, chest tightness, shortness of breath, constant respiratory infections, lack of energy, swelling in the legs, feet and ankles, unintended weight loss, and a chronic cough that may produce sputum, or be yellow, white, clear, and greenish (Mackay et al., 2018)

 References

Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). Primary care: The art and science of advanced practice – An interprofessional approach (5th ed.). F. A. Davis.

David, J. A. (2020). Current practice guidelines in primary care 2021-2022. McGraw-Hill Companies, Inc.

Devine J. F. (2008). Chronic obstructive pulmonary disease: an overview. American health & drug benefits, 1(7), 34–42.

ENP Network NP Utah Nurse Practitioners. (2023). Retrieved from https://utahnp.enpnetwork.com/page/32731-np-practice-in-utah-legal-responsibilities#:~:text=While%20most%20nurse%20practitioners%20in,for%20the%20care%20they%20provide on January 2, 2023. The Art And Science of Advanced Practice Assignment Paper

Gerayeli, F. V., Milne, S., Cheung, C., Li, X., Yang, C. W. T., Tam, A., … & Sin, D. D. (2021). COPD and the risk of poor outcomes in COVID-19: A systematic review and meta-analysis. EClinicalMedicine, 33, 100789.

Miravitlles, M., & Ribera, A. (2017). Understanding the impact of symptoms on the burden of COPD. Respiratory Research, 18(1). Retrieved from https://doi.org/10.1186/s12931-017-0548-3 on January 4, 2023.

Mackay, A., Kostikas, K., Frent, S., Pfister, P., Goyal, P., Gupta, P., Banerji, D., Patalano, F., & Wedzicha, J. A. (2018). Impact of stable state symptoms on the future burden of COPD exacerbations. Clinical Problems. Retrieved from https://doi.org/10.1183/13993003 congress-2018.pa3862 on January 4, 2023.

Muñoz, A., Small, M., Wood, R., Ribera, A., & Nuevo, J. (2018). The impacts of morning, daytime, and nighttime symptoms on disease burden in real-world patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 13, 1557-1568. Retrieved from https://doi.org/10.2147/copd.s157874 on January 4, 2023.

Øie, M. R., Helvik, A., Sue-Chu, M., Steinsvåg, S. K., & Thorstensen, W. M. (2022). Sinonasal symptoms in COPD: Burden and associations with clinical markers of disease. International Journal of Chronic Obstructive Pulmonary Disease, 17, 2137-2147. Retrieved from https://doi.org/10.2147/copd.s372991 on January 4, 2023.

Stephenson, J., Wertz, D., Gu, T., Patel, J., & Dalal, A. (2017). Clinical and economic burden of dyspnea and other COPD symptoms in a managed care setting. International Journal of Chronic Obstructive Pulmonary Disease, 12, 1947-1959. Retrieved from https://doi.org/10.2147/copd.s134618 on January 4, 2023.

Tarke, C., Kunal, S., & Shah, A. (2017). Occurrence and impact of upper airways symptoms in never smoker COPD patients. Clinical Problems COPD. Retrieved from https://doi.org/10.1183/1393003.congress-2017.pa3637 on January 2, 2023.

See attached.
The topic for this assignment is COPD (Chronic obstructive pulmonary disease). The state of practice for this assignment is UTAH as a family nurse practitioner (FNP). Read instructions thoroughly. There is a link that can be copied and pasted in your web browser to find the free poster templates. THIS IS NOT OPTIONAL.

There is also an EXAMPLE attached for UTI and state of California. The EXAMPLE IS NOT IN POSTER FORMAT BUT IS A GUIDE for what to include on poster for COPD. The Art And Science of Advanced Practice Assignment Paper

ORDER HERE NOW

NRP/590: Final Preceptorship
Wk 21 – Summative Assessment: Standardized Procedures and Guidelines for Evidence-Based Practice Poster
Assignment
Each state (UTAH) has its own requirements for advanced practice registered nurse (APRN) practice. Likewise, employers may have additional limitations for APRN practice, such as standardized policies and procedures, chart review processes, supervising physician agreements, and so on.
Topic: COPD (Chronic obstructive pulmonary disease)
Prepare a poster presentation that meets all the criteria included below.
Use one of the Free Poster Presentation Templates to format your poster (Link: https://www.posterpresentations.com/free-poster-templates.html)
Include the following components:
Introduction, morbidity and mortality, etiology, pathophysiology, and diagnostic testing
Clinical presentation and relevant objective and subjective findings
Diagnostic criteria and management, including clinical preventive services and treatment plan (treatment plans must follow evidence-based practice and national guidelines when available)
An example of standardized policies and procedures, chart review processes, and supervising physician agreements (If you live in a state where this is not required, please visit other states’ board of nursing and search for examples.)
Include a minimum of 10 references from the most current national guidelines from professional sites and sources. The Art And Science of Advanced Practice Assignment Paper
Include a reference page. A minimum of two scholarly peer reviewed references are required.
Cite all references according to 7th edition APA guidelines.
Write paper in 7th edition APA format, including reference page.
Course Textbooks:
Fitzgerald, M. A. (2021). Nurse practitioner certification exam prep (6th ed.).  F. A. Davis.
Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). Primary care: The art and science of advanced practice – An interprofessional approach (5th ed.). F. A. Davis.
David, J. A. (2020). Current practice guidelines in primary care 2021-2022. McGraw-Hill Companies, Inc. The Art And Science of Advanced Practice Assignment Paper