Fitzgerald Health Education Associates

JANUARY 2016

Fitzgerald Health Education Associates (FHEA) is committed to the success of nurse practitioners; we publish practical information for practicing NPs and NP students, which includes NP interviews, NP certification Q&A;, avoiding malpractice, and news.

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Click to View Previous Issues... L ook for b old orange text for clickable web links. O ur " i " information i con is a clickable w eb link. Certification Q&A; Assessing Patient Decision-Making Capacity in Clinical Practice Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC A S A STUDENT, I learned that a patient must be considered capable of making decisions in order for informed consent to be valid. How do I determine whether a patient has the ability to make an informed decision in daily clini- cal practice? Respect for a patient's right to make autonomous choices regarding his or her health care is a fundamental ethical principle underlying all healthcare interac- tions between clinician and patient. Clinicians show respect for autonomy by ob- t aining informed consent, whereby the patient makes an autonomous decision to undergo or forgo a procedure or treatment or to take part in research. For informed consent t o be valid, the patient must have the ability to make healthcare decisions, a concept known as decision-making capacity. 1 Because the clini- cian's assessment of decision-making capacity has important ethical implications for a pa- tient's self-determination—that is, what role the patient will play in making choices about his or her own health care—all clinicians should have a good understanding of deci- sion-making capacity and how to assess it. What is capacity and how is it assessed? Decision-making capacity is a functional assessment and a clinical determination m ade by a clinician regarding whether a patient possesses the ability to make in- formed decisions about his or her health care. It differs from competence, which is a legal concept that can be formally determined only by a judge in court. Inside Certification Q& A ............. 1 Review Courses ................ 8 Allergy & Asthma Consult ............................. 9 Avoiding Malpractice .... 17 News Briefs ..................... 21 2015 & 2016 Live Courses Pharmacology Update ( 2-day course) T he Art of Wound Repair (1-day course) NP Essentials ( 4-day course) NP Certification Exam Review C ourse Tracks Family, Adult-Gerontology, and Adult Primary Care Adult-Gerontology Acute Care Psychiatric-Mental H ealth Women's Health Pediatric Primary Care Fitzgerald Health Education Associates, Inc. f hea.com Committed to the success of nurse practitioners 1 Fitzgerald Health Education Associates, Inc. 978•794•8366 Volume 15, Issue 8, August 2015 continued on page 3... Look for bold orange text for clickable web links. Our " i " information icon is a clickable web link. Avoiding Malpractice: A Case Analysis Scope of Practice: When the Nurse Was Right and the E mployer Was Wrong C arolyn Buppert, NP, JD C an a women's health NP provide general primary care? Can an acute care NP perform Botox-related procedures? NPs frequently ask scope of practice questions like these, seek- i ng clarification on whether certification allows the NP to see a certain subset of patients or to perform a specific procedure. The answers to these questions are found in three places: state law, certification agency statements about what that agency's Inside Avoiding Malpractice ... 1 Review Courses ............ 8 C ertification Q& A ........ 9 Clinical Update: A ddiction Treatment ...16 Clinical Update: STDs ..19 F HEA Faculty News ......20 Spotlight on G uidelines ....................22 News Briefs ................. 24 2015 & 2016 Live Courses P harmacology Update (2-day course) The Art of Wound Repair (1-day course) N P Essentials (4-day course) NP Certification Exam Review C ourse Tracks Family, Adult-Gerontology, a nd Adult Primary Care Adult-Gerontology Acute Care Psychiatric-Mental Health W omen's Health Pediatric Primary Care F itzgerald Health Education Associates, Inc. fhea.com Committed to the success of nurse practitioners 1 Fitzgerald Health Education Associates, Inc. 9 78 •7 94 •8 366 Volume 15, Issue 9, September 2015 c ontinued on page 3... Look for bold orange text for clickable web links. Our " i " information icon is a clickable web link. 50 Reasons to Celebrate the Best Profession on Earth: Nurse Practitioners I n honor of 50 years of the NP pro- fession and Nurse Practitioner Week (November 8-14), we have compiled a list of 50 reasons to cele- b rate the role of NPs. Enjoy reading this, and please send your reason to us a t CS@fhea.com , and we'll publish it in an upcoming issue! Fitzgerald Faculty Members Celebrate NPs 1 "It is truly a privilege to serve patients, be a part of their lives, and practice in the best profession on earth." Margaret Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC 2 "The NP profession is the best profession because I get to work daily doing what I love: working in an exciting h ealthcare environment, constantly learning, getting to know patients and their families, and striving to make a d ifference in the lives of others." Christy Yates, MS, FNP-BC, NP-C, AE-C 3 "What a rare blessing it is to love what you do and be r ewarded every day by the trust of your patients—sharing i n their joys, heartache, struggles, and triumphs. It is a true p rivilege and honor to care for them." Sue Feeney, DNP, MS, NP-C, FNP-BC Inside 5 0 Reasons to Celebrate NPs ............... 1 Review Courses ............ 9 Certification Q& A ...... 10 DNP Policy Update .....14 Spotlight on Guidelines.....................19 Celebrate NP Week .....22 News Briefs ..................24 2 016 Live Courses P harmacology Update (2-day course) The Art of Wound Repair (1-day course) N P Essentials (4-day course) NP Certification E xam Review Course Tracks Family, Adult-Gerontology, a nd Adult Primary Care Adult-Gerontology Acute Care Psychiatric-Mental Health Women's Health Pediatric Primary Care F itzgerald Health Education Associates, Inc. fhea.com Committed to the success of nurse practitioners 1 Fitzgerald Health Education Associates, Inc. 978•794•8366 Volume 15, Issue 10, October 2015 continued on page 3... September 2015 October 2015 August 2015 Look for bold orange text for clickable web links. Our " i " information icon is a clickable web link. Maintaining the Health of Family Caregivers Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC A family or informal caregiver is a relative, friend, or neighbor who provides care and assistance for a person with a chronic or disabling condition. Family and informal care- givers provide the vast majority of community-based long-term healthcare in the United States. The most common conditions leading to a need for caregiving are frailty due to advanced age, dementia, cancer, stroke, and heart disease. 1 While caregiving can be highly rewarding, it often places great psychological, physical, and financial burdens on caregivers, many of whom are older adults with their own health issues. I nside F amily Caregivers ........ 1 R eview Courses .......... 10 Certification Q& A ...... 11 Clinical Update .......... 20 News Briefs ................. 24 2016 Live Courses Pharmacology Update (2-day course) The Art of Wound Repair (1-day course) NP Essentials ( 4-day course) NP Certification Exam Review Course Tracks Family, Adult-Gerontology, and Adult Primary Care A dult-Gerontology A cute Care Psychiatric-Mental H ealth Women's Health Pediatric Primary Care Fitzgerald Health Education Associates, Inc. fhea.com Committed to the success of nurse practitioners Fitzgerald Health Education Associates, Inc. 978•794•8366 Volume 15, Issue 11, November 2015 continued on page 3... 1 November 2015 Look for bold orange text for clickable web links. Our " i " information icon is a clickable web link. Primary and Palliative Care Collaborating to Improve Patient Quality of Life Darrell Owens, DNP, ANP-BC, GNP-PC, ACHPN Defining Palliative Care To many primary care providers, the definition of palliative care remains unclear. It is often thought to be synonymous with hos- pice, end-of-life care, or death and dying. While it is true that pal- liative care can include the above components depending on where the patient is in his or her illness trajectory, it is a far broader concept encompassing many aspects of chronic, life- limiting disease. As defined by the Department of Health and Human Services, Inside P rimary and Palliative Care ............................... 1 R eview Courses ........... 13 Certification Q&A; ........ 14 Avoiding Malpractice .. 21 News Briefs .................. 27 2016 Live Courses Pharmacology Update (2-day course) The Art of Wound Repair (1-day course) NP Essentials (4-day course) NP Certification Exam Review Course Tracks Family, Adult-Gerontology, and Adult Primary Care Adult-Gerontology Acute Care Psychiatric-Mental Health Women's Health Pediatric Primary Care Fitzgerald Health Education Associates, Inc. fhea.com Committed to the success of nurse practitioners continued on page 3... 1 Fitzgerald Health Education Associates, Inc. 978•794•8366 Volume 15, Issue 12, December 2015 December 2015

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