What are you hobbies or outside interests?

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.
Utilize one of the models presented in your lecture materials,
or any other model that you may like, to frame your discussion of the
experience with the primary care provider that you are reflecting on.
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).