Clinical Challenges

Assignment: Coursework
Case Study Two: Preventive care, why is it so important to document?
John, a 62 year old attorney, who has been a long-term patient of yours, comes to you to discuss his erectile dysfunction. You note that he has refused lab work for the past two years. He is a 30 pack/year smoker, and has not had a chest x-ray or ECG in three years. He does take his HCTZ 25 mg po daily. His BMI is 29 and all vital signs are within normal limits. He does agree to his Prevnar Vaccine today.
Review the following articles found in this week’s Learning Resources:
Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.
Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.
Review endocrine disorders and erectile dysfunction in your Primary Care Medicine text (Gorrol, Ah. & Mulley, A.G., 2009).
*******Consider strategies and treatment options that would be most effective for these patient scenarios to improve compliance and health outcomes.
Reflect on how to approach the non-compliant patient and the importance of a separate preventive care visit.
1.Identify and briefly summarize the case study you selected
2.Explain any legal implications for standard of care related to the case study you selected
3. Identify and explain the key components of a malpractice policy related to the case study you selected
4. Explain the collaborative agreements and knowledge the rules for your state in regards to NP practice the case study you selected
please use case study and address all issues

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