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Hi, need to submit a 1750 words essay on the topic Advanced Care Nurse.This paper will consider those nurse practitioners "who have emerged in the last two decades as a response to changing demands in

Hi, need to submit a 1750 words essay on the topic Advanced Care Nurse.

This paper will consider those nurse practitioners "who have emerged in the last two decades as a response to changing demands in healthcare" (White, 2001, specifically those who have started to take on added responsibilities within a community care setting,The development of advanced nurse practitioners who can perform many of the day-to-day functions that used to be performed by doctors is a timely adaptation to the British medical system. These nurses are often concentrated in those areas where "the needs of disadvantaged communities are being addressed particularly in areas where is little response to a general practitioner" .This role is increasingly expanding to include "clinical diagnosis and treatment with the inherent possibility of a need to prescribe" (White, 2001). However, currently only Health Visitors and District Nurses can prescribe. and even then from a rather limited formulary. At some point the needs and the ability contradiction must come to a crisis within the NHS. If advanced care nurses are to have some of the responsibilities of a doctor, they also need some of the powers to treat, and this include the ability to prescribe drugs.As McGrath (1990) suggests, the advanced care primary nurse is a highly cost efficient figure, both in terms of education cost and in services provided. Advanced nurses increasingly follow a clinical career path, as opposed to the care path that used to be the norm. However, as advanced nurses become increasingly clinical practitioners, they should not lose sight of the unique care-based role that probably attracted them to the vocation in the first place. Advanced nurses can offer both to the healthcare system.

One recent study showed how the combination of clinical expertise and care-based training could actually improve overall life expectancy for serious ill patients (Naylor, 2004) The study sought to answer the following question:

In elderly patients admitted to hospital with heart

failure, does a 3-month, comprehensive, transitional

care intervention reduce readmissions and improve

quality of life and functioning

(Naylor, 2004)

The answer was apparently a quite overwhelming "yes". An advanced practice nurse who was able to devote far more time to the unique symptoms of the individual patient was able to improve their long term prognosis considerably. One year after the index admission, the APN TC group had a lower rate of hospital readmission, death, and comorbidity related readmissions. They had a slightly improved quality of life, although this was within the margin of error.

Such programmes seem to suggest that care that is tailored to the individual patient, but which also has the clinical expertise of the doctor behind it, may be successful in treating patients and limiting readmission. This will helpful both to actual patients and to the overall system through placing less burden upon hospitals through readmission and comorbidity complications.

This hospital-to-community type of nursing reflects a greater clinical emphasis for advanced nurses. This is reflected both in their practice and in new types of communication and scholarship that is appearing that is written by advanced nurses for advanced nurses. A good example of this new type of clinical research is found within the British Journal of Community Nursing. In the most recent issue (July, 2006) a number of different articles appear: titles include "The Management of deep vein thrombosis in lymphodema", "Promoting quality of life for patients with moderate to severe COPD" and "Long-term management of patients with multiple sclerosis." There are several important aspects to such articles.

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