Nursing

Plan to Promote the Value of APN Model to Homeless Elders

Elderly people normally have homes when they are employed since they are able to pay for rent of the homes. However, when they retire, they normally face the problem of homelessness since they do not have the income to pay for the homes (Ng, Rizvi, & Kunik, 2013). There are elders who face the problem of homelessness or are at a risk of not having homes, and those who do not have homes completely and are becoming old as they live in the street. They usually suffer from physical health problems, mental health problems, and substance abuse problems.

An APN helps the homeless elderly persons to overcome many physical illnesses that they go through. Elderly persons who have no homes normally suffer from illnesses that might have been in their bodies for a long time, including the illnesses that are common to the elders, such as diabetes, heart diseases, and hypertension. They prioritize their search for a place to sleep to their health. They also suffer from such mental health problems as dementia and depression.

APNs offer intensive case management for the homeless elders. This makes the health services provided to them continually, improves the service coordination, and makes following up easy. As a case manager, an APN follows up with the elders who were previously homeless to make them able to be independent, provide health care services at home, and monitor their health with the aim of improving the quality of their lives.

Educating clients about the ways of living healthily is an integral part of APNs' work (Bridgette, 2011). APNs teach homeless elders about the proper diet and lifestyle that help to stay healthy and avoid the diseases and mental health problems. They also counsel and guide the homeless elderly people in order to overcome the problems they face.

Opening Own Practice

A healthy nation is a working nation. Therefore, a nation with the citizens who are healthy and able to work is a nation which grows its economy. Today, the food people eat and the lifestyle they lead pose a lot of health problems to their lives. Diseases such as diabetes and blood pressure usually result from the junk food people eat since such foods contain a lot of sugars and salts which contribute to gaining weight. Excessive weight gain is related to diabetes and high blood pressure (Izadi, Malek, Aminian, & Saraei, 2013). Pregnant mothers need a prenatal and postnatal care in order to deliver safely and raise healthy children. Without health care facilities in the neighborhood, some mothers become reluctant to accessing prenatal and postnatal care in the health care facilities situated far away. Some may not have the money to board vehicles to the health care facility.

I am an advanced practicing nurse who is certified to work in Illinois. Certification indicates that an APN has attained educational requirements and is qualified to practice (Pulcini, Jelic, Gul, & Loke, 2010). I intend to start my facility in order to help the community to overcome the health problems they face. In addition, the facility will help many students studying nursing to attach themselves and gain expertise and experience required by the profession. I have gained a lot of experience in employee management and entrepreneurship while practicing at Saver Health Center, and I am confident that I will properly manage the facility I intend to start. I am an ambitious person who is ready to learn and change with the market. My purpose is to see the residents of Illinois and the entire country healthy and working towards building the nation. I intend to provide the residents with the affordable health care and at the same time make some profits that would enable me to expand the facility and implement technologies that would help to manage and treat the chronic diseases.

Legal Issues, Ethical Consideration, and Risk Management

Nursing practice involves taking care of the health of a patient who may not know the procedures done on him or her or the type of medication given to him or her. Any malpractice done by a nurse may lead to the adverse health effects and even death of a patient. Medical malpractice may lead to the lawsuit which will follow the legal procedure to ensure that justice is achieved for all the stakeholders. In addition, since nursing practice deals with taking care of the life of a patient, there are laws and regulations that govern the practice of nursing (Sorrell, 2012) and the legal registration and certification procedures that should be undertaken for anyone to practice as a registered nurse.

Ethical considerations are related to the nursing practice as they help practicing nurses to make decisions that are good when dealing with the patients based on protecting the rights of a patient and obtaining the informed consent from the patients (Ulrich et al., 2010). There are codes of ethics for nurses that guide them to know what is morally accepted. The ANA code of ethics emphasizes on relieving the suffering of patients through providing a high quality health care. It focuses on the patient and requires nurses to make the patients their center of focus. Therefore, by considering ethics in their practice, nurses will not be involved in practices that might be illegal.

Taking care of a patient’s health requires risk management skills to ensure that the patient gets over his or her condition quickly and without complications. Risk management strategies include frequent assessment of the physical and mental state of the patients and performing the necessary tests to identify the root causes of the symptoms and signs the patients have. It also involves acknowledging the grumbles of patients, communicating any changes observed, and documenting the progress of the patients. Effective risk management ensures that practicing nurses do not get involved in illegal activities which might lead to lawsuits.

Working for Someone or Owning a Practice

I would prefer to have my own practice rather than work for someone. Having my own practice will provide me with the freedom to create and direct the culture of my facility. I would be able to make decisions on where I want the facility to be in the future and put the necessary energy towards attaining my goals. According to Welsh, Kim, Kaciak, and Memili (2014), owning a business enables families to support you in making informed decisions, creating a brand, and working towards achieving the mission of the organization. I will also be flexible, and thus will be able to work from whenever I want and set my own time. Roberson-Saunders, Smith, and Goel (2014) contend that flexibility enables people to choose the people they want and set their priorities, and therefore to give the most important tasks a lot of attention.

Unlike working for someone, where I will not be able to choose the people to work with, holding my own practice will give me the freedom to choose the people to work with. Since I will be able to work with the people who love me, I will be optimistic and confident about the services they offer, and thus I will not worry about the quality of services offered to clients. In addition, I will be able to carry all the risks of the facility on my shoulders as well as to reap and enjoy the rewards that will come from the facility. In this regard, I will be able to expand the facility the way I wish and meet my aim of ensuring that the people in my community get the health services they need. Owning my facility will also enable me to follow my passion. Eventually, this will make me contented with life, and will give me the opportunity to nurture the students who intend to become nurses through internship and attachment.

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