Topic 5 DQ 1 Discussion: At todays wellness visit, your 15-year-old patient disclosed that they identify within the lesbian, gay, bisexual, transgender, queer, intersex, asexual (LGBTQIA) orientation. How will you respond as their primary care provider?

Topic 5 DQ 1 Discussion: At todays wellness visit, your 15-year-old patient disclosed that they identify within the lesbian, gay, bisexual, transgender, queer, intersex, asexual (LGBTQIA) orientation. How will you respond as their primary care provider?

Topic 5 DQ 1 Discussion: At todays wellness visit, your 15-year-old patient disclosed that they identify within the lesbian, gay, bisexual, transgender, queer, intersex, asexual (LGBTQIA) orientation. How will you respond as their primary care provider?

At today’s wellness visit, your 15-year-old patient disclosed that they identify within the lesbian, gay, bisexual, transgender, queer, intersex, asexual (LGBTQIA) orientation. How will you respond as their primary care provider? What physical, social, and mental health risks are associated with this population? Identify resources to support and educate your patient at the local, regional/state, and national levels. Apply developmental theories appropriate to this age group. Support your answer with a minimum of two APRN-approved scholarly resources (200 words).

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How do you plan to address interpersonal/intimate partner violence and related trauma as a primary care provider? How will you recognize and screen for this? Identify valid screening tools. Provide resources for your patient at the local, regional/state, and national level. Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

3(a). A 50-year-old female presents to the clinic for her annual physical exam. She denies any concerns. What important questions are included in her history? What screenings are recommended? What guidelines support the recommendation of those primary, secondary, and tertiary levels of preventative health promotion areas? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

3(b) . What specific patient education and anticipatory guidance would you provide to the 50-year-old patient and her family? Research health promotion and disease prevention guidelines the 50-year-old patient, including risk factors for disease, attitudes towards health and wellness, and barriers that may prevent access to health promotion and disease prevention interventions. Support your answer with a minimum of two APRN-approved scholarly resources. (200 words)

4 (a)….A 50-year-old male presents to the clinic for his annual physical exam. He denies any concerns. What important questions are included in his history? What screenings are recommended? What guidelines support the recommendation of those primary, secondary, and tertiary levels of preventative health promotion areas? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

4 (b)…. What specific patient education and anticipatory guidance would you provide to the 50-year-old patient and his family? Research health promotion and disease prevention guidelines for the 50-year-old patient, including risk factors for disease, attitudes towards health and wellness, and barriers that may prevent access to health promotion and disease prevention interventions. Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

Review the IPEC “Core Competencies for Interprofessional Collaborative Practice: 2016 Update.” Discuss the professional collaboration and communication practices that characterize FNPs as professionals in the health care field. What are the most critical responsibilities of FNPs in representing their profession and advocating for their patients in the health care system? How will you work to develop these responsibilities as you transition into the clinical setting? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

Transitioning from providing care as a nurse to providing care as a primary care provider requires a change in mindset and approach to patient care. Discuss the challenges you may encounter as you transition into the clinical setting in your studies. How are your preparing yourself for those challenges? What professional or other resources might you consult as you make the transition? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

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Health Promotion

1. At today’s wellness visit, your 15-year-old patient disclosed that they identify with the lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) orientation. How will you respond as their primary care provider? What physical, social, and mental health risks are associated with this population? Identify resources to support and educate your patient at the local, regional/state, and national levels. Apply developmental theories appropriate to this age group. Support your answer with at least two APRN-approved scholarly resources (200 words).

Puberty causes noticeable physical changes in people in the middle adolescent period, often between the ages of 15 and 18. These individuals are also more likely to participate in risky behaviors, such as drug abuse and unprotected sexual activity. To provide LGBTQ people with culturally competent care, it is necessary to focus on particular communities, uphold social and institutional equality, and refrain from prejudice. According to Aisner et al. (2020), LGBTQ people are more likely to experience psychosocial stresses such as obesity, a higher body mass index, and cigarette smoking. Transgender people may have adverse effects on their cardiovascular health from gender-affirming hormones. To encourage inclusion and stop prejudice, health professions courses should contain health-related information that is relevant to the LGBTQ population.

To enhance patient outcomes, healthcare practitioners must be aware of the special requirements of the LGBTQ population. Mental health concerns, suicide danger, and chemical hazards need to be addressed. These concerns may be addressed with affirmative treatment. Additionally, harm to LGBTQ youth’s mental and physical health may be avoided by addressing bullying and fostering an inclusive atmosphere. Improving patient outcomes may also be achieved by removing obstacles like peer victimization and addressing gender identity and sexual orientation in schools (Brown et al., 2020).

Healthcare providers have the opportunity to provide support and education to LGBTQIA+ patients at various levels, including local, regional, state, and national. Some resources that can help gain knowledge about LGBTQIA+ health and cultural competency include the National LGBTQIA+ Health Education Centre, the HEALE Cultural Competency Curriculum, the Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Community course, Wild Iris Medical Education’s LGBTQ Cultural Competence Training, the National Association of Student Nurses’ sexuality education program, and several websites and organizations (Brown et al., 2020). These resources aim to eradicate discrimination and stigmatization in the healthcare sector.

2. How do you plan to address interpersonal/intimate partner violence and related trauma as a primary care provider? How will you recognize and screen for this? Identify valid screening tools. Provide local, regional/state, and national resources for your patient. Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

Intimate partner violence (IPV) is a major global health concern, prompting the U.S. Preventative Services Task Force to advocate for universal screening of women of childbearing age. Healthcare providers should conduct screenings for abuse or violence if they observe any atypical behavior or signs of disengagement in patients. When seeking information, it is recommended to adopt an open-ended approach by asking fundamental questions regarding the incident or the patient’s safety at home (Bosco et al., 2020). Establishing trust and rapport with the patient is of utmost importance, given their potential fear and susceptibility to manipulation by their abuser.

Several screening tools are available for identifying instances of intimate partner violence (IPV). These include the HITS (Hurt, Insult, Threaten, Scream) tool, STAT (Slapped, Threatened and Throw) tool, and WAST (Women Abuse Screening Tool) (Goldberg et al., 2021). Healthcare providers should exercise their clinical judgment in determining the appropriate scoring when a patient self-reports incidents of abuse or violence. Patients can access resources at various levels, including local, state, and national. Some of the local resources available in the area are A New Leaf, Chrysalis, New Life Centre, Kaity’s Way, AZDES, domestic violence services, and the State Coalition to end sexual and domestic violence. Some resources at the state level that can be helpful are Futures without Violence, the National Coalition Against Domestic Violence, and the National Domestic Violence Hotline.

3. 1. A 50-year-old female presents to the clinic for her annual physical exam. She denies any concerns. What important questions are included in her history? What screenings are recommended? What guidelines support the recommendation of those primary, secondary, and tertiary levels of preventative health promotion areas? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

A 50-year-old female needs to undergo an annual well exam to obtain a comprehensive health history encompassing medical, allergies, medication, family, social, and OBGYN history. It is crucial to inquire about an individual’s reproductive, sexual, and mental health background. Examining one’s family history can serve as a valuable risk assessment tool in identifying individuals who may have a higher susceptibility to developing cancer. Further screenings should encompass fundamental laboratory tests such as complete blood count with differentials, fasting blood sugar, HgbA1C, lipid panel, thyroid panel, and kidney and liver function tests (Sharma et al., 2020).

According to Sharma et al. (2020), it is advised to begin breast cancer screening at age 45, although it can be initiated at age 40. Females with a cervix should start cervical cancer screening at age 25, and everyone should begin colorectal cancer screening at age 45. Screenings should be conducted properly if there is a family history of cancer or other risk factors.

Health promotion plays a crucial role in disease prevention. There are three levels of prevention: primary, secondary, and tertiary. Primary prevention emphasizes adopting healthy habits and making positive lifestyle choices (Durham et al., 2022). Secondary prevention focuses on early screenings and education, while tertiary prevention involves implementing lifestyle changes and drug therapy to manage the disease.

The Health Resource & Services Administration (HRSA) supports guidelines focused on women’s health and screening. The Women Preventive Services Initiative (WPSI) advocates for comprehensive access to a range of essential services for women, including female-controlled contraceptives, breast cancer screening, mammogram screening, anxiety screening, and cervical cancer screening (Durham et al., 2022). According to the guidelines provided by WPSI, it is advised to undergo pap smears for cervical cancer screening every 3 years. Additionally, it is not recommended for women under 30 to undergo testing. Screening every 5 years is recommended for women 30 years old and above.

1. What specific patient education and anticipatory guidance would you provide to the 50-year-old patient and her family? Research health promotion and disease prevention guidelines for 50-year-old patients, including risk factors for disease, attitudes towards health and wellness, and barriers that may prevent access to health promotion and disease prevention interventions. Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

It is crucial to educate a 50-year-old female patient on particular health promotion and illness prevention strategies they should adhere to. Specific preventive screenings are necessary at a given age, with extra testing required if there is a personal or family history of a particular illness. The 50-year-old female patient who visited for her yearly well-women exam requires critical patient education owing to her age, and reinforcing is beneficial. She should be advised that preventive screenings should be conducted according to the USPSTF guidelines. Regular cervical cancer screening should be performed every 3 years unless the individual is at high risk, in which case it should be done every 5 years.

Initiate breast cancer screenings at age 40 unless there is a family history, in which case a diagnostic screening is recommended. Inquire if they do monthly self-breast examinations. If not, provide instructions on how to conduct them and explain the importance of doing so. Additional screens such as CBC, lipid panel, HgbA1c, kidney and liver functions, thyroid panel, and HPV testing should be conducted at preventive checkups. As the patient is over 40 years old, we need to notify them about the HPV test along with the pap smear. The patient will get counsel on diet, physical exercise, domestic violence, contraception, STDs and STIs, dental care, mental health, immunization, and injury prevention, which includes information on drugs, alcohol, and tobacco.

To enhance health and avoid illness, screenings should be conducted, and the patient should be informed of the significance of screenings. Patient education should include the importance of screenings, regardless of the patient’s health status. The aim is to advocate for a healthy lifestyle and reduce the likelihood of developing hereditary diseases. Screens are not diagnostic tests; they establish a baseline of the patient’s condition. If further testing is required, diagnostic screens will be conducted. It is crucial to educate about depression and encourage seeking counseling. Inquiring about the patient’s access to healthcare and services might determine their knowledge of where to seek aid or support. Lack of patient engagement in treatment will hinder their ability to achieve wellness and maintain good health.

4. 1. A 50-year-old male presents to the clinic for his annual physical exam. He denies any concerns. What important questions are included in his history? What screenings are recommended? What guidelines support the recommendation of those primary, secondary, and tertiary levels of preventative health promotion areas? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

A 50-year-old male must provide a comprehensive medical history, including information about illnesses, allergies, prescribed medications, over-the-counter medications, and vaccination status. Collecting information about recent infections, surgeries, hospitalizations, injuries, and trauma is crucial. Inquire about prevalent allergies, including those related to seasons, the environment, contact, and food. It is important to thoroughly evaluate the patient’s family history, considering the ages and health statuses of their parents, siblings, and grandparents. When conducting a social history, it is important to consider various factors such as occupation, tobacco and alcohol use, illicit drug use, caffeine consumption, diet, exposure to certain substances, sexual partners, living situation, ability to perform daily activities, recreational activities, and safety situations (Shaukat et al., 2021).

The American College of Cardiology and the American Heart Association Task Force on Clinical Practice Guidelines suggest screening tests and immunizations for males between 50 and 64. Recommended screening tests include alcohol abuse, blood pressure, colon cancer, depression, type 2 diabetes, hepatitis C, high cholesterol and triglycerides, HIV, lung cancer, obesity, BMI, prostate cancer, syphilis, and TB. All males in this age bracket should get vision screening, and those without risk factors should also have glaucoma screening. Adults aged 45 to 75 should get colorectal cancer screening as recommended by the U.S. Preventive Services Task Force. Screening tests and immunizations are crucial for males between 50 and 64 to avoid health concerns and enhance general well-being (Davidson et al., 2021). Consistent medical examinations, modifications in lifestyle, and routine immunizations may lower the chances of illness and improve general well-being. Men should see their healthcare physician to determine the optimal plan for screening and immunizations according to their requirements and preferences.

1. What specific patient education and anticipatory guidance would you provide the 50-year-old patient and his family? Research health promotion and disease prevention guidelines for the 50-year-old patient, including risk factors for disease, attitudes towards health and wellness, and barriers that may prevent access to health promotion and disease prevention interventions. Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

I will teach the 50-year-old patient and their family about the significance of being aware of illness risk factors and the relevance of screenings and preventative measures with aging. These factors include family history, smoking, alcohol use, and sedentary lifestyle. Having a family history of cancer is a major risk factor for several illnesses. It is recommended that patients with such a history get frequent checkups (Lee et al., 2020). Smoking is a significant risk factor for several illnesses, and people should stop smoking promptly. Consuming alcohol should be limited to decrease the likelihood of developing diseases. Inactivity is a significant risk factor for several illnesses, and sedentary people should begin an exercise regimen to lower their risk.

Health promotion and illness prevention recommendations for those aged 50 and over include maintaining a healthy weight, consuming a balanced diet, undergoing frequent screenings, and engaging in consistent exercise. Preventive interventions like immunizations and early identification and treatment of illnesses are crucial. Barriers, including the absence of insurance, transportation, and awareness of available resources, might impede access to these therapies (Low et al., 2020). Regardless of obstacles, prioritizing health as we age is crucial. Regular screenings, familial history awareness, and illness prevention measures may promote health and longevity.

5. Review the IPEC “Core Competencies for Interprofessional Collaborative Practice: 2016 Update.” Discuss the professional collaboration and communication practices that characterize FNPs as professionals in the health care field. What are the most critical responsibilities of FNPs in representing their profession and advocating for their patients in the health care system? How will you work to develop these responsibilities as you transition into the clinical setting? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

The IPEC Board seeks to confirm the skills of Family Nurse Practitioners (FNPs) in the healthcare sector, specifically emphasizing Interprofessional Collaboration (LaMothe et al., 2021). The competencies involve creating an atmosphere of mutual respect and common values, utilizing knowledge to evaluate and meet patient care requirements, communicating with patients, families, and professionals in healthcare and related fields, and implementing relationship-building values and team dynamics principles to design, provide, and assess safe, timely, efficient, effective, and fair patient-centered care and population health programs and policies. This is intended to improve cooperation and increase individual treatment and overall community health outcomes.

Family Nurse Practitioners are essential in promoting their profession and advocating for their patients within the healthcare system. Individuals need to communicate their roles and responsibilities, acknowledge their limitations, collaborate with a variety of professionals, articulate the roles and responsibilities of other team members, utilize their full range of expertise, and engage in communication with team members to clarify their responsibilities (LaMothe et al., 2021). They must establish interdependent ties with different professions to enhance care and promote learning. Ongoing professional and interprofessional development is crucial for improving team performance and cooperation. Utilize the distinct skills of each team member to enhance health and patient care. They need to explain how experts in health and other professions may work together and combine clinical treatment and public health approaches to improve population health.

Developing professional cooperation and communication strategies is essential for FNPs entering the clinical environment. This entails engaging with patients, families, communities, and professionals in health and other disciplines in a prompt and accountable way. Interprofessional communication sub-competencies encompass selecting efficient communication tools, conveying information, articulating knowledge and opinions with confidence, engaging in active listening, providing prompt feedback, employing respectful language, acknowledging one’s individuality within the healthcare team, and emphasizing the significance of teamwork in patient-centered care and population health initiatives and regulations (Carney et al., 2021). Concentrating on these sub-competencies may improve team performance, advance health promotion, and prevent and manage illnesses.

6. Transitioning from providing care as a nurse to delivering care as a primary care provider requires a change in mindset and approach to patient care. Discuss the challenges you may encounter as you transition into the clinical setting in your studies. How are you preparing yourself for those challenges? What professional or other resources might you consult as you make the transition? Support your answer with a minimum of two APRN-approved scholarly resources. (200 words).

Shifting from nursing to primary care necessitates a shift in perspective and reevaluating patient care methods. Potential challenges in this field encompass extended work hours, fluctuating schedules, emotional engagement, physical exertion, exposure to illness and chemicals, insufficient nursing staff, evolving technology, and unfavorable patient interactions (Auffermann et al., 2020). Nurses frequently endure extended shifts, resulting in exhaustion and physical and mental stress. Nurses must prioritize adequate rest, adjust their schedules, and have a strong emotional support network to prevent burnout. The performance of physically demanding tasks, such as lifting patients and transporting heavy objects, has the potential to result in injuries. Nurses must adhere to safety protocols when handling patients and hazardous materials.

Nurses must prioritize sleep and aim for seven to nine hours of rest between shifts to prepare effectively for their challenges. When experiencing feelings of being overwhelmed or burnt out, it can be beneficial to reach out for assistance. This can include seeking support from friends and family or utilizing grocery delivery or meal preparation services. To combat illness and boost energy levels, it is advisable to incorporate healthy habits such as regular exercise and adequate hydration into your routine. Make physical and mental health a priority by regularly exercising and preparing meals. Discover a conducive environment by seeking a role corresponding to your interests and scheduling preferences. Consider exploring alternative nursing paths such as leadership, research, and administration. As I transition to primary care, I plan to use various professional resources for nurse practitioners. These resources include books such as 5-Minute Clinical Consult 2023 and Pain Management for Advanced Practice, free eNewsletter subscriptions, nursing journals, practice resources, pocket cards, guideline summaries, practice specialties, blogs, videos, podcasts, and webinars (Torrens et al., 2020).

References

Aisner, A. J., Zappas, M., & Marks, A. (2020). Primary care for lesbian, gay, bisexual, transgender, and Queer/Questioning (LGBTQ) patients. ˜The œJournal of Nurse Practitioners/ˆthe ‰Journal for Nurse Practitioners, 16(4), 281–285. https://doi.org/10.1016/j.nurpra.2019.12.011

Auffermann, K., OʼKeefe, R., Smith, T., & Cohn, T. (2020). Exploring novice nurse practitioner job satisfaction. Journal of the American Association of Nurse Practitioners, 33(10), 802–810. https://doi.org/10.1097/jxx.0000000000000454

Bosco, S. C., Robles, G., Stephenson, R., & Starks, T. J. (2020). Relationship power and intimate partner violence in sexual minority male couples. Journal of Interpersonal Violence, 37(1–2), NP671–NP695. https://doi.org/10.1177/0886260520916271

Brown, K., Sessanna, L., & Paplham, P. (2020). Nurse practitioners and nurse practitioner students’ LGBT health perceptions. ˜The œJournal of Nurse Practitioners/ˆthe ‰Journal for Nurse Practitioners, 16(4), 262–266. https://doi.org/10.1016/j.nurpra.2019.12.028

Carney, P. A., Guzmán, C. E. V., Taylor, C., Cole, D., Hollander-Rodriguez, J., Rose, T., & Wiser, E. (2021). Health professional students’ observations about interprofessional collaborative practice during rural clinical rotations. Journal of Interprofessional Education & Practice, 25, 100471. https://doi.org/10.1016/j.xjep.2021.100471

Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M. D., Caughey, A. B., Davis, E. M., Donahue, K. E., Doubeni, C. A., Krist, A. H., Kubik, M., Li, L., Ogedegbe, G., Owens, D. K., Pbert, L., Silverstein, M., Stevermer, J. J., Tseng, C., & Wong, J. B. (2021). Screening for colorectal cancer. JAMA, 325(19), 1965. https://doi.org/10.1001/jama.2021.6238

Durham, D. D., Abraham, L., Roberts, M. C., Khan, C. P., Smith, R. A., Kerlikowske, K., & Miglioretti, D. L. (2022). Breast cancer incidence among women with a family history of breast cancer by relative’s age at diagnosis. Cancer, 128(24), 4232–4240. https://doi.org/10.1002/cncr.34365

Goldberg, X., Espelt, C., Porta-Casteràs, D., Palao, D., Nadal, R., & Armario, A. (2021). Non-communicable diseases among women survivors of intimate partner violence: Critical review from a chronic stress framework. Neuroscience & Biobehavioral Reviews/Neuroscience and Biobehavioral Reviews, pp. 128, 720–734. https://doi.org/10.1016/j.neubiorev.2021.06.045

LaMothe, J., Hendricks, S. M., Halstead, J. A., Taylor, J., Lee, E., Pike, C., & Ofner, S. (2021). Developing interprofessional collaborative practice competencies in rural primary health care teams. Nursing Outlook, 69(3), 447–457. https://doi.org/10.1016/j.outlook.2020.12.001

Lee, K. H., Xu, H., & Wu, B. (2020). Gender differences in quality of life among community-dwelling older adults in low- and middle-income countries: results from the Study on global AGEing and adult health (SAGE). BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-8212-0

Low, E., Demb, J., Liu, L., Earles, A., Bustamante, R., Williams, C. D., Provenzale, D., Kaltenbach, T., Gawron, A. J., Martı́Nez, M. E., & Gupta, S. (2020). Risk factors for Early-Onset Colorectal Cancer. Gastroenterology, 159(2), 492-501.e7. https://doi.org/10.1053/j.gastro.2020.01.004

Sharma, K. P., Grosse, S. D., Maciosek, M. V., Joseph, D., Roy, K., Richardson, L. C., & Jaffe, H. W. (2020). Preventing breast, cervical, and colorectal cancer deaths: Assessing the impact of increased screening. Preventing Chronic Disease, p. 17. https://doi.org/10.5888/pcd17.200039

Shaukat, A., Kahi, C. J., Burke, C. A., Rabeneck, L., Sauer, B. G., & Rex, D. K. (2021). ACG Clinical Guidelines: Colorectal Cancer Screening 2021. ˜the œAmerican Journal of Gastroenterology, 116(3), 458–479. https://doi.org/10.14309/ajg.0000000000001122

Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M. P., Bottone, H., Polson, R., & Maxwell, M. (2020). Barriers and facilitators to implementing the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies, p. 104, 103443. https://doi.org/10.1016/j.ijnurstu.2019.103443