NR 511 Week 7 iHuman Virtual Patient Encounter- Musculoskeletal Assessment

Sample Answer for NR 511 Week 7 iHuman Virtual Patient Encounter- Musculoskeletal Assessment

Reflection Paper 

The setting and environment that nurses and other healthcare providers encounter patients can have significant effect on the recommendations that one makes concerning medications, therapies, and even follow-up activities for their patients. These decisions change based on a host of variables, one being the availability of resources and types of care that is delivered in the setting (Cavallari et al., 2019). For instance, when a provider meets a patient in a hospital, she or he is likely to suggest medications and undergo treatment interventions offers in the facility. The medications must be those available in the facility before one considers prescribing over the counter (OTC) alternatives or making referrals. Further, for a private practice, the recommendations and follow-up will also be based on the resources. For example, in the case study, the provider may make referral to another facility with an orthopedic surgeon. Again, the case study shows that the patient can also access the walker from a medical equipment store. In the case, the provider writes a prescription for the patient to get the walker since they do not have it in the facility.  

If uninsured, the recommendations would change since the client may not get the walker and other prescription from subsidized settings or public programs. The recommendation would be to ensure that the client can get assistance from public facilities where such equipment can be accessed at reduced or subsidized price (Clark et al., 2020). Uninsured persons may struggle to pay for private insurance and have limited access to a variety of options. These individuals will require financial assistance to help them cover for their healthcare costs.  

The interaction with a patient at a mobile clinic for unhoused individuals may require providers to prescribe medications accessible through government programs or clinics that offer sliding scale prices. Unhoused people cannot acquire a private insurance and may not have effective access privileges (Cavallari et al, 2019). The implication is that dealing with such patients may require providers to adjust their recommended prescriptions because of limited resources and lack of insurance coverage.  

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References 

Cavallari, L. H., Van Driest, S. L., Prows, C. A., Bishop, J. R., Limdi, N. A., Pratt, V. M., … &  

Skaar, T. C. (2019). Multi-site investigation of strategies for the clinical implementation of CYP2D6 genotyping to guide drug prescribing. Genetics in Medicine, 21(10), 2255-2263. DOI: 10.1038/s41436-019-0484-3. 

Clark, C. M., Shaver, A. L., Aurelio, L. A., Feuerstein, S., Wahler Jr, R. G., Daly, C. J., &  

Jacobs, D. M. (2020). Potentially inappropriate medications are associated with increased healthcare utilization and costs. Journal of the American Geriatrics Society, 68(11), 2542-2550. https://doi.org/10.1111/jgs.16743