Introduction
1st person post Krissa Gray
Where do you work/live/play?
Hello
class! I live in Elizabethtown, KY. I work in an emergency department in
Louisville. I spend most of my free time on trails in Elizabethtown and
surrounding areas with my four dogs.
What are your academic goals?
My short term academic goal is to pass the APEA next week on the first try and to maximize my first clinical experience. I am very excited to finally start clinicals! I had begun an FNP program just as Covid hit and I ended up not returning after a semester break. I decided to complete my degree last fall and
I made a switch from another university to Herzing and I am very glad I did! My long term goal is to graduate next spring and pass the AANP exam within a few weeks of graduation.
What are you hobbies or outside interests?
My hobbies include hiking with my dogs, photography, volunteering at our local animal shelter, and exercising.
What other interesting facts about yourself can you share?
I have been married 15 years and we love to travel. My favorite trip so far has been to Iceland where we stayed in a camper van for 10 days. I cannot wait to go back! Perhaps a graduation trip!
2nd person post Kayla Allison
Hello! My name is
Kayla Allison. I have been a nurse for about 16 years. I have spent several years in the operating room as a circulating nurse. I have also spent several years teaching in a PN program. I live in Missouri which is where I was born and raised. I am married and have two teenage boys. They all tend to keep me busy and on my toes. My husband and I have been together for over 20 years. Our boys are 16 and 14 years old. We have a dog and two cats that are also part of our family. My husband and I own a little hobby woodworking shop where we make various signs and other little items to sell. We have had our little shop for a few years now and it is called Meadow Lake Woodworks. I enjoy hanging out as a family playing trivia games and going on UTV rides. Some of my goals during this course would be to continue to build my confidence and start figuring out
where I really belong or fit-in when I complete this program. Everything seems so intriguing, and I want to learn it all, although I know logically that is not going to be the case. Best of luck to each of you on your journey to the next level!
DECISION MAKING MODELS UTILIZED
3rd person post Kayla Allison
Patient safety is at the helm of every clinical decision made in the healthcare setting (Constable & Kitson-Reynolds, 2022). Using the shared decision-making model will ensure that the individual that is the expert on the patient (themselves) be a part of the process of determining an effective and safe treatment plan. Shared decision-making can enhance the alignment of the patient and provider leading to better patient outcomes (Coutu et al., 2019). When reflecting on an experience with a primary care provider an encounter I had while attending an appointment with a family member comes to mind. During this encounter my family
member divulged a change in bowel habits and concerns with loose stools. The provider asked several more questions to get the full scoop of the concern then proceeded to ask the family member what they would like to see done regarding their concern. The provider then explained several items to the family member
and allowed them to seek any clarification they needed. My family member was then able to decide with the provider what the next steps would be in this plan. After the appointment, my family member felt confident in the plan they made and felt like they were truly “heard” rather than just told what they must
do. The family member indicated that they felt empowered to adhere to the plan created. This interactive process of collaboration between the provider and the patient allows for goal setting, exploration of health concerns, learning about treatment options and then deciding on the final plan (Paudel et al., (2018).
4th persons post Dina Green
Now that you have reviewed models for clinical decision-making construct a discussion that reflects on an encounter you have had with a primary care provider. My most recent encounter with a primary care provider was as a new patient. I had not been to the doctor for some time and my previous provider had transitioned to another town. I felt it was time to update my healthcare profile and schedule a
complete physical exam. I was familiar with her as I encountered her on several occasions while working in the hospital. Her previous role consisted of hospitalist FNP. I knew her work ethics and appreciated her extended knowledge and experience. During our initial visit, she was open and honest with
suggestions as to scheduling labs and diagnostic imaging based on past medical history and screenings needed related to age. Thankfully, I am healthy without evidence of illness. I do however have a strong family history of diabetes, hyperlipidemia, and hypertension. She took time to explain the significance of family history as it relates to the need to monitor such conditions with me. She ordered multiple labs, chest X-ray, mammogram, and EKG. She then scheduled a 3 week follow up appointment to review findings. As it turns out, I was placed on a statin due to elevated cholesterol and LDL. She listened as I described my diet and exercise with her. I felt as though I had done everything possible to prevent developing hyperlipidemia. I am gluten free, eat vegetables, fish, lean meats, and exercise daily. She made it a point to explain this is hereditary and sometimes there is nothing that can be done to change the outcome.
She exemplified shared decision-making model throughout the entire visit. This model not only benefits the
patient but also the provider. By utilizing shared decision-making, the patient has the opportunity to have open communication in how to proceed with treatment options by eliciting concerns and questions related to formulating a goal for proceeding with treatments (Agency for Healthcare Research and Quality, 2020). For example, my A1c was elevated at 5.7%. Instead of diagnosing me with prediabetes, she discussed waiting until
lab results were finalized in 3 months. If A1c remained elevated, she would attach this diagnosis at that time.
Shared Decision-making employs a five-step process which includes patient participation, input, explanation, decision, and evaluation (Agency for Healthcare Research and Quality, 2020). Each step of the process involves both the patient and the provider. By allowing me to participate in my treatment options, she realized my concerns would be addressed and I would actually be more compliant with the options provided. In practice, I aspire to collaborate in a shared decision with my patients. My goal is to include them in all
aspects of their care and explain the risks as well as benefits of the options available to them. By incorporating each step of shared decision-making, the patient as well as the provider benefit from knowing the available options in treatment as well as allowing time to reflect and discuss the options after careful review of labs and diagnostic testing (Bomhof-Roordink, et al., 2019).
Last Completed Projects
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