NR.110.663. Advanced Practice Nursing: Case Studies in Acute Care Nursing

Introduction

Advanced Practice Nursing (APN) plays a crucial role in providing specialized and comprehensive care in various healthcare settings, including acute care. Acute care nursing involves the management and treatment of individuals with complex and rapidly changing health conditions. In this article, we will explore case studies that highlight the role of advanced practice nurses in acute care settings. These case studies will showcase the unique skills, expertise, and decision-making capabilities of advanced practice nurses in providing high-quality care to patients in acute care settings.

Case Study 1: Managing a Patient with Acute Myocardial Infarction (AMI)

Mrs. Johnson, a 65-year-old female, presents to the emergency department (ED) with severe chest pain, shortness of breath, and diaphoresis. The initial assessment indicates the possibility of an acute myocardial infarction (AMI). As an advanced practice nurse, the APN in the ED plays a vital role in managing this critical patient.

The APN immediately initiates a thorough physical assessment, including vital signs, electrocardiogram (ECG), and cardiac enzyme monitoring. Recognizing the urgency of the situation, the APN collaborates with the healthcare team to expedite diagnostic procedures such as coronary angiography and cardiac biomarker testing.

Based on the assessment findings, the APN promptly initiates interventions to manage the patient’s condition. This includes administering oxygen, initiating intravenous access, and providing pain relief medication such as nitroglycerin. The APN closely monitors the patient’s hemodynamic status, ECG changes, and response to treatment.

Additionally, the APN ensures effective communication with the patient and their family, explaining the diagnosis, treatment plan, and potential complications. The APN also provides emotional support and educates the patient on lifestyle modifications and medication adherence for long-term management of their cardiovascular health.

Case Study 2: Collaborative Approach in Managing a Trauma Patient

Mr. Anderson, a 45-year-old male, is brought to the trauma center after a motor vehicle accident. He presents with multiple injuries, including a fractured femur, head trauma, and possible internal bleeding. The APN in the trauma center plays a crucial role in coordinating the multidisciplinary team and ensuring comprehensive care for Mr. Anderson.

The APN collaborates with the trauma surgeon, orthopedic surgeon, neurologist, and other healthcare professionals to develop an individualized care plan for Mr. Anderson. The APN assists in performing a detailed physical assessment, ordering diagnostic tests, and interpreting the results to guide appropriate interventions.

In this case, the APN’s expertise in acute care nursing and their advanced clinical skills are essential. The APN assists in stabilizing Mr. Anderson’s condition by initiating necessary interventions, such as administering blood products, ensuring adequate pain control, and monitoring vital signs closely.

Furthermore, the APN facilitates communication between the healthcare team, the patient, and the patient’s family. They provide education about the patient’s injuries, treatment options, and potential complications. The APN also ensures that the patient’s psychological and emotional needs are addressed throughout the hospital stay and during the rehabilitation process.

NR.110.572. Advanced Diagnostics and Therapeutics

Case Study 3: Management of a Complex Respiratory Condition

Ms. Ramirez, a 30-year-old female with a history of severe asthma, presents to the emergency department with worsening shortness of breath, wheezing, and oxygen desaturation. The APN in the respiratory care unit is responsible for managing her acute exacerbation and providing comprehensive respiratory care.

The APN conducts a thorough assessment, including lung auscultation, pulse oximetry, and arterial blood gas analysis. Recognizing the severity of Ms. Ramirez’s condition, the APN collaborates with the respiratory therapist and intensivist to develop a treatment plan.

The APN initiates appropriate interventions, such as administering bronchodilators, corticosteroids, and supplemental oxygen. They closely monitor the patient’s respiratory status, titrate oxygen therapy, and assess the response to treatment. In case of worsening symptoms, the APN promptly escalates care and communicates with the healthcare team to consider additional interventions, such as non-invasive positive pressure ventilation or intubation.

The APN also plays a vital role in educating the patient about self-management strategies, medication adherence, and recognizing early signs of worsening respiratory distress. They collaborate with the primary care provider to ensure appropriate follow-up and continuity of care after discharge.

Conclusion

The case studies presented above demonstrate the essential role of advanced practice nurses in acute care nursing. These highly skilled professionals possess the knowledge, clinical expertise, and critical thinking abilities required to manage complex and rapidly changing health conditions. They collaborate with multidisciplinary teams, coordinate care, and provide evidence-based interventions to optimize patient outcomes in acute care settings.

Advanced practice nurses in acute care settings excel in patient assessment, diagnosis, and treatment planning. They have a profound understanding of various diseases and conditions, enabling them to make timely and appropriate decisions. Furthermore, they ensure effective communication and provide emotional support to patients and their families, promoting a holistic approach to care.

As healthcare continues to evolve, advanced practice nurses in acute care settings will remain indispensable in delivering high-quality, patient-centered care. Their advanced knowledge, expertise, and dedication contribute significantly to improving patient outcomes and enhancing the overall quality of acute care nursing.