Lesley Maskery Nurse Practitioner Candidate Capital amp Coast DHB Previous CPN Role Level of care assessment Nursing interventions Resource for Primary Care and colleagues in RACFs ID: 595023
Download Presentation The PPT/PDF document "Improving Care through a Nurse-led Clini..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Improving Care through a Nurse-led Clinic within Specialised Hospital Level Dementia CareLesley MaskeryNurse Practitioner CandidateCapital & Coast DHBSlide2
Previous CPN Role Level of care assessment Nursing interventions Resource for Primary Care and colleagues in RACF’s Family/carer support and education
Teaching Further Education Healthcare Slide3
Preparation for NP RoleRegistered Mental Nurse (UK)Diploma In NursingCommunity Psychiatric Nurse CertificateBSc Community Health Care NursingMasters degree in Health ScienceExtra papers in Pathophysiology, Clinical Assessment, Pharmacology, Therapeutics and a Prescribing Practicum (
gain Comprehensive RN registration in the process)
4 years minimum experience (
30+ years should do it
…)
Develop business case
Gain approval for NP Candidate position
Develop NP role
Present portfolio to Nursing Council NZSlide4
Nurse Practitioner Candidacy2 year “Internship” to develop an advanced nursing role within the Older Persons’ Mental Health Service at Capital & Coast DHB (3DHB)Input into Wairarapa DHB Older Persons’ Mental Health Service to support part-time Specialty Clinical Nurse and visiting Psychogeriatrician
Support for Aged Residential Care sector
Educational roleSlide5
Framework2013 - the New Zealand Framework for Dementia CareGuide for development of Dementia Pathways
Shift of emphasis from secondary to primary care
Workforce education should be
supported by the health and social support service providers.
Family & whānau supportSlide6
Areas for nursing developmentRegular support for RACFsNurse-led clinics – half day every 3 weeks
Collaborative care
Non-pharmacological interventions
Evolving role of the nurse in medicines management
Optimal treatment of co-morbidities vs. risks of polypharmacy
Review of psychotropics
Support for safe, effective & appropriate prescribing
Evaluation of treatment benefit vs. treatment riskSlide7
De-prescribing of anti-psychoticsReporting ADE’s & encouraging
colleagues
Education for colleagues in
RACF’s
BPSD / delirium
Psychotropic Meds
Mental Health & AgeingSlide8
Resource for primary careDementia PathwayImpact of demographic changes on Primary CareResource for families & whānau
Family meetingsSlide9
Paradigm shiftDoctor’s Handmaiden to Autonomous Practitioner
Requires a change of mindset – hard to do!
E.g. “Drugs & Diagnoses are the Domain of Doctors”... But a key requirement of NPs is differential diagnoses...Slide10
What will it look like?
Pt.
&
WhānauSlide11Slide12