response to a Discussion

A Nurse Practitioner (NP) plays a significant role in the United States’ (US) ever-changing health care system. According to Gonzalez and Gigli (2021), the Family Nurse Practitioner’s (FNP) “role includes providing wellness care and the evaluation, diagnosis, and management of chronic conditions and stabilization of acute conditions” (p. 848). Moreover, Teuteberg, Newcomb, and Sosa (2019) mentioned that the patients who do not adequately see their primary providers and are experiencing chronic diseases that are left untreated will result in hospitalization and complications. FNPs who are working in the family practice will screen, evaluate, and monitor patients who have a chronic illness for all age groups. I was able to do clinical in a Vietnamese family practice where there are many adults and older adult patients. I was able to learn about the guidelines for different diseases and when to screen for cancers and other chronic diseases, such as hypertension, diabetes mellitus, and latent tuberculosis. For instance, my preceptor usually screens his patients for type two diabetes mellitus annually if the previous fasting blood glucose and hemoglobin A1C results were normal, and the patients do not experience any symptoms. Type 2 diabetes mellitus is one of the chronic diseases that need to be monitored closely since it can result in many complications, such as neuropathy, retinopathy, nephropathy, and delays in wound healing if the blood glucose is not controlled. The FNPs should know the appropriate referrals for these patients in order to prevent further complications. For example, we should ensure that these patients are referred to the ophthalmologist. Lastly, the FNPs should learn and keep their information up to date in order to provide appropriate and safe care for their patients.

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