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Discussion # 1

Application of Evidence-Based Medicine

Provide an example from your practicum experiences in which the treatment plan was changed or confirmed based on an evidence-based guideline review.

Was a database or subscription used? Share the guideline or supportive clinical literature as one of the references. How does understanding guideline application enhance clinical judgment?

How can the NP balance shared decision-making and the patient’s culture and/or preferences with safe clinical practice?

Discussion # 2

Integrative, Individualized Care Delivery in Primary Care

For this discussion, choose a cardiovascular or hematological patient presentation from your clinical practicum environment.

· Identify the condition and the individualized management plan.

· Apply a current related evidence-based practice guideline and additional literature support.

· What information is needed that may impact the management plan related, and how the plan would be impacted regarding:

· cultural preferences/ traditions

· health beliefs

· spiritual beliefs

· How might health policy impact culture?

Discussion # 3

Preparing for Practice

Ensure that you understand the process toward certification.

Address some of the steps to sit for a national certification exam, including any forms or documents you will need to obtain.

Comment on the National Provider Identifier (NPI) and the DEA number. Include why you need them, the fees, and when you should obtain them.

Identify the prescription drug monitoring program in your state, and related health policy, addressing how this might advocate for the NP and patients in advance of prescribing.

Finally, consider the leadership shadow you will be casting as an NP. Address leadership in the NP role. How will you handle ambiguity and challenges on teams and in practice, while continuing to develop new knowledge and improving patient outcomes as a leader new to the NP profession? What specific personal development activities will assist you along your path in this new and exciting role?

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