NU 680 Step I: Research Paper Topic
Step I. Topic Submission: Faculty approval is required prior to beginning to write your paper
- Submit your topic for your final research paper by stated due date
- Here you will describe your topic in 1-2 sentences. Be as specific as possible to make the paper more focused and easier for you to write.
- Do some background research BEFORE submitting your topic, so you know what your topic is and how it impacts practice.
- Put your topic something like this: “My paper will discuss…”
What Does It Take To Become an Effective Charge Nurse?
- Examples of topics: Nurse practitioner fellowships/residencies (looking at a specific aspect of these or their impact); improving breast cancer screening access for Black and African American women; COVID testing protocols; improving clinicians’ ability to distinguish alcohol abuse in older adults; effectiveness or practicality of a newer diabetes medication or injection equipment; specific psychosocial screening (e.g. complex PTSD, intimate partner violence) in the primary care setting; or primary care interventions and adequate sleep in a population.
- If you’re stuck for a topic idea, I recommend looking at what is being discussed in current journals for nurse practitioners and other primary care providers. Here are some links to journals:
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https://journals.sagepub.com/home/ggm
http://www.jfmpc.com/currentissue.asp?sabs=n
- Once you submit, I’m going to give you feedback on your topic to make sure it’s specific enough that you can reasonably address it in five pages.
The Role of Nurse Practitioners in Medicare Annual Wellness Assessment (AWV) for Older Adults in Primary Care
In the primary care setting, Nurse Practitioners play a pivotal role in the Medicare Annual Wellness Assessment (AWV) for older adults, particularly in terms of their scope of practice, which encompasses the development of a personalized plan to assist with disease management. All individuals with Medicare Part B insurance for more than 12 months are entitled to an annual “wellness” visit (“Yearly wellness visits,” n.d.). This visit serves as a valuable opportunity for healthcare providers and patients to collaboratively update the care plan, taking into account risk factors and the individual’s current health status. It is important to note that the AWV is not a physical examination. Instead, it involves patients completing a “Health Risk Assessment” that serves as a foundation for personalized care. Within this visit, the healthcare provider conducts a comprehensive review of the patient’s medical history, family history, current medication regimen, routine vital sign measurements, and offers treatment options and guidance. Furthermore, a cognitive assessment is administered to assess the risk for conditions like Alzheimer’s and dementia. Additionally, a screening schedule for appropriate tests and services is developed to ensure comprehensive care (“Yearly wellness visits,” n.d.).
During the AWV, it is imperative for Nurse Practitioners to exercise prudence, as patients are only covered for specific elements, and any additional tests or services beyond the scope of the AWV may incur out-of-pocket costs (“Yearly wellness visits,” n.d.). Providers need to be vigilant in identifying high-risk patients and devising a care plan to support their ongoing healthcare needs. Written questionnaires are valuable assessment tools used to evaluate a patient’s capabilities and limitations. The goal is to comprehensively assess various aspects of the patient’s health, including physical functioning, behavioral risks, home safety, the ability to perform activities of daily living, hearing impairment, and the risk of falls (Dupee & Halpern, 2001).
Emphasizing the importance of yearly “wellness” visits is crucial for Nurse Practitioners. Encouraging patients to complete the Medicare Annual Wellness Assessment facilitates the creation of a care plan and ensures continuity of care for the individual’s overall health and well-being. This collaborative approach between healthcare providers and patients is instrumental in enhancing the quality of healthcare delivery in the primary care setting.
References:
Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage. Federal Register :: Request Access. (n.d.). Retrieved November 6, 2022, from https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.15
Dupee, R., & Halpern, R. (2001). Identifying, assessing and managing high-risk patients under Medicare risk contracts. The Journal of medical practice management: MPM. Retrieved November 6, 2022, from https://pubmed.ncbi.nlm.nih.gov/11497315/
Yearly “wellness” visits. Annual Wellness Visit Coverage. (n.d.). Retrieved November 6, 2022, from https://www.medicare.gov/coverage/yearly-wellness-visits
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