Mechanical Details: Discuss how you will evaluate the effectiveness of your program to determine if it is achieving the stated goals. The initial office visit would consist of attaining baseline blood pressures in addition to other valuable labwork/values, such as: b. CBC panel c. BMI d. EKG e. Smoking status f. Lipid Panel g. A1C and BG h. UA (albumin) i. Weight j. Potassium (to address potential hyperkalemia) k. Creatinine l. GFR This blood work will be used, compared to the baseline, to determine effectivity over 10 year period.  I will evaluate the effectiveness of the program through a 10 …

Case Study Elements: John Liou   John Liou John Liou is a 75 year old retired construction worker with a history of hypertension, benign prostatic hypertrophy, COPD, GERD, and he was recently diagnosed with Parkinson’s Disease. He has exhibited a slow decline in physical function over the past five years.  He has lost some weight (about 10 pounds in 5 years), but would still be considered overweight.  He is generally de-conditioned, and is having difficulty standing and walking for any length of time. He will lean against a wall if the need for standing is more than a few minutes. He …

Below is my H + P from Fall Semester 2017 combinepdf PD2 This semester, I believe I have vastly improved my H+P writing. In the beginning of PD, I would take creative liberty with writing my H+Ps and would deviate from H+P standard outlines. As I learned more clinically and with more exposure to clinical documentation, I now understand the importance of the standard outline as a communication tool between providers. I think one of the most difficult aspects of writing H+Ps is dictating what aspects of a patient history is/are important. This was very difficult in the beginning of the …

A. I will explain my choice to be a PA using dignity, beneficence, and autonomy as support for my reasoning in valuing flexibility and healthcare equality to make an ethical guideline for future clinical practice. B. Physician Assistants work autonomously ensuring all individuals have access to quality healthcare. Due to their high demand and flexibility, they can find a job almost anywhere within the United States so I won’t be limited to geographic location or to a specific specialty. PAs also make a livable wage with opportunity for growth. More importantly, Physician Assistants focus on providing patient-centered care to at-risk …

To: Bill de Blasio From: Erika Kissick, PA-S Date: January 20, 2018 Title: Opioid Crisis: Interventions to Address the NYC Opioid Overdose Epidemic Statement of Issue: Statistics indicate that opioids-often used as pain relief like hydrocodone, oxycodone, fentanyl, morphine, heroin, and opium-have thrown NYC in the midst of an addiction crisis (NY Dept. of Health, pg. 6). An estimated 80% of drug overdoses in New York City involved an opioid in 2016 (NYC Health Dept, pg. 10). Both prescription and illicitly attained opioids contribute to this epidemic but “street” use of the most powerful opioids, like fentanyl, are increasing in …