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Nurse Practitioner Trajectory (Research Paper Sample)


A research paper on the trajectory of a nurse practitioner.


Nurse Practitioner Trajectory
Nurse Practitioner Trajectory
A palliative nurse is a health care professional specializing with patients diagnosed with terminal illness or dying from illness with no cure. A palliative nurse is trained to treat, care and counsel, with the help of other medical professionals, patients with such illness. It is the duty of a palliative nurse to assist the patient and their family members to manage tough situations by informing counseling and supporting them. As the nurse gets experience in the field of palliative care, they can be involved in medical research on prolonged illness. In addition an experienced palliative nurse can aid in setting up new policies for patient care and pursue a career in teaching schools or colleges. It is difficult for patients diagnosed with incurable diseases to get hope to face their last moments, It is the duty of palliative nurse to provide the best care available and the most needed treatment to relieve the patients of the pain and symptoms. The nurse has to create a bond with both the patient and their families ( Nightingale 1970). A career as a palliative nurse is challenging since it accompanied with emotional attachment. A palliative nurse should be able to cope with loss and heartbreak constantly (Farrell& Coyle 2008).
Advanced practice nurses roles vary throughout the world. In the US the role of nurse practitioners was instituted back in the 1960s. It was initially meant to provide basic care to rural and remote area population. However this has been changing with time. Nurse practitioners in the US nowadays perform duties which can be done by doctors. This constitutes primary care, diagnosing patients with minor ailment, prescription of drugs, requesting for lab tests and following up on patients with chronic illness. This was done in order to reduce doctors’ workload in doing of some of their tasks and also improve access to care. Apart from the nurse practitioners, there is also another group of APN known as Clinical nurse specialists (CNS). This group of nurses is found in hospitals and their role is provision of knowledge through education and leadership. They ensure that staff nurses are well equipped with skills to provide high quality care and safety to patients. The percentage of advanced practice nurse is still low compared to other nurses even in countries that started the practice. For instance in the United states there are about 6.5% of NPs out of the total registered nurses as at 2008 (Buerhaus e.tal 2009).
In order to be competent in palliative nursing one is expected to have a set of professional skill which is applicable in all fields of nursing. First, a communication skill is a vital skill to palliative nurses. Nursing as career demand knowledge in a variety of sensitive and soothing communication skills but, to be a palliative nurse one has to know how to answer rhetorical questions about death asked by patients. They have to know what to say, when to say and how to say it. This applies to both the patient and their families (Peplau 1955).
Psychosocial skill is also a required skill for nurses including palliative nurses. Palliative nurses interact with the patient’s family very often and thus need to be able to work with them. This includes offering support to family members, foreseeing their needs and offering them services when needed. Nurses are the constant figure in the patients’ life, always there in tough situations, assisting patients in future plans, provision of psychological support and facilitating other team members interaction with the patient. The core pillar of palliative nursing is the use of psychosocial skill to gain the trust and confidence of the patient (Institute of Medicine 2010).
Palliative nurses need to have a vital skill on physical care. This is all about the knowhow and ability to professionally deliver care using their hands. This is a long time skill that will be required during the entire time the patients needs care. During the moments of a patient, this skill in care is of so much importance. This care calls for a lot of skills for palliative care but the focus remains of the pain; whether acute or chronic. Knowledge on how to properly use pain assess...
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