Areas of Practice
TRAUMA/GENERAL SURGERY POST-OPERATIVE CAREPostoperative care involves the assessment, diagnosis, planning, intervention, outcome evaluation and constant communication between a knowledgeable Advance Practice Registered Nurse (APRN)and a surgeon. The extent of postoperative care required depends on the individual's pre-surgical health status, type and severity of surgery. When a patient goes home there are many important variables that must take place to ensure the patient does not get readmitted within 30 days. Some of the issues which bring patients to the emergency room after surgery are: pain, constipation, urinary retention, wound care, fevers, dehydration etc.
PRIVATE WOUND CAREAt PNP we aim to provide the highest level of wound care for our patients. A skilled APRN for those patients with acute and chronic wounds will work closely with the home health care team and extended living facility to establish a treatment plan and evaluate progress every step of the way. Each nurse practitioner at PNP has his/her own prescriptive authority to prescribe antibiotics and wound supplies. Using PNP’s services can save primary health providers, surgeons, and home care agencies significant time.
APRN ADVOCATEAPRN advocates offer a piece of mind because we are the voice for patients and families when they feel lost in the healthcare system. They operate as a liaison between patients, healthcare providers, and healthcare organizations or insurance companies. They help assess the needs of patients and families and develop a plan to meet those needs, utilizing available resources and ancillary staff.
FACE-TO-FACE VISITSA face to face encounter is required for traditional Medicare patients within the 90 days prior to, or the 30 days following the start of home care services. Documentation of the face to face encounter must be done under the physician’s signature, even if the visit was done by the Advance Practice Registered Nurse (APRN). If the visit was done by an APRN the clinician must inform the physician of his/her findings for the purpose of documentation. Getting reimbursement is a very time sensitive issue that can hold up any home care agency.
INFUSION THERAPYHome Infusion is a clinically appropriate treatment option for patients with a wide range of acute and chronic conditions. These conditions can range from bacterial infections to more complex conditions such as late-stage heart failure, nutritional support, pain management, and immune deficiencies. Home infusion can afford patients independence and a better quality of life because it is provided in the comfort of patients home’s at a time that best fits his or her needs. We can provide service to infusion companies to satisfy the needs of their patients.
FITNESS & NUTRITIONAfter the nurse practitioner conducts a thorough evaluation, our team will develop a care plan. The care plan will include a 4 week diet plan and an 8 week written work-out regimen tailored for each individual based on their medical history. Initial and post weigh ins will be taken. Also, photo updates will be requested every 2 weeks to assess progress. This plan will cost each individual $350.00 dollars.
MEDICAL MARIJUANA CONSULTATION
In certain states APRN’s can write cannabis recommendations depending on if they meet the qualifying conditions per state. Some of the conditions are: Cancer, Glaucoma, HIV/AIDS, Parkinson’s disease, Multiple sclerosis, Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity, Epilepsy, Cachexia (wasting syndrome), Wasting syndrome, Crohn’s disease, Post-traumatic stress disorder (PTSD), Sickle Cell Disease, Post Laminectomy Syndrome with Chronic Radiculopathy, Severe Psoriasis and Psoriatic Arthritis, Amyotrophic Lateral Sclerosis, Ulcerative colitis, Complex Regional Pain Syndrome, Cerebral palsy, Cystic fibrosis, Irreversible spinal cord injury with objective neurological indication of intractable spasticity, Terminal illness requiring end of life care, Uncontrolled intractable seizure disorder, Hydrocephalus with intractable headaches, Intractable migraines, Trigeminal Neuralgia, Intractable headache syndrome, Neuropathic facial pain, Fibromyalgia, Muscular dystrophy, Rheumatoid arthritis, Cerebral Palsy, Cystic fibrosis, Irreversible spinal cord injury with objective neurological indication of intractable spasticity, Severe epilepsy, Terminal illness requiring end-of-life care, Uncontrolled intractable seizure disorder.