My experience as an Autonomous Nurse Practitioner (ANP) for a period of more than seven years in the Emergency Department (ED) has enabled me to be able to make correct assessments and interpretations of conditions of minor illnesses and injuries.

My experience as an Autonomous Nurse Practitioner (ANP) for a period of more than seven years in the Emergency Department (ED) has enabled me to be able to make correct assessments and interpretations of conditions of minor illnesses and injuries.

In addition I am able to diagnose manage and make referrals of these patients who are presented to the Emergency Department. Successful management and discharge of the patients without reference to the doctor has been due to my understanding of the medicine’s concordance and knowledge that concordance is different from compliance.

According to Crow (2004), concordance recognizes sharing of decision making with patients when giving them therapy. Kaufman (2011) defines concordance as an agreement between a patient and a healthcare provider reached after negotiation with consideration of patient wishes which determines when and how the medicines are to be taken by the patient. Adherence on the other hand describes the freedom of the patient to follow recommendations of the health provider or ignore them; therefore a patient may be adherent or non-adherent. Compliance is the extent to which the behavior of the patient matches the recommendations of a health professional.

This essay aims at presenting the management of a medical case of lower back pain. The essay describes nurse preparation for patient consultation and the model used in the consultation. In addition a discussion of the pathophysiology of low back pain is presented in the essay. The assay also aims at describing the form of treatment that is chosen for low back pain and the monitoring of the patient until fully recovery from this condition.

BACKGROUND

As Kaufman, (2011) puts it, medical practitioners sometimes underestimate pain when they do not involve the patient in therapy. Chronic severe pain particularly may be underestimated if the concordance with the patient is not a consideration in the management of the sick. Underestimating what the patients are experiencing leads to poor patient management. Similarly, unnecessary medication may be given to patients who are experiencing pain if a medical professional overestimates the pain. It is therefore recommended that nurses and other health officers take patient consultation seriously as an important tool in any medical assessment and management.

The NICE clinical guideline 88, (2009) supports the idea of a health care professional partnering with the patient in assessment and management of the patient’s pain. The individual needs and preferences of patients must be taken care of during therapy. Their families may also be involved where it may be appropriate. The role of medical care professionals is to make informed decisions about patients taking into consideration their contribution into the treatment given to them.

Horne, (2005), confirms that medical treatment without concordance leads to inappropriate assessment, management and treatment of patients who are in pain hence leading to patients’ dissatisfaction with the health care provided to them.

The NICE clinical guideline 88, (2009) discusses the advantages of using the modern consultation models compared to the traditional models of adherence and compliance. Adherence provided the patient with the freedom of choosing whether to follow the advice of the health provider or not. This led to non-adherence to the prescribed medication. Compliance model measured the patient behavior against the recommendations of the health professional instead of the patient being involved in the discussion on the therapy provided.

CONSULTATION

The following describes the consultation between the patient and me with the medicine’s concordance principles being put into consideration. Using the decision making model which was offered by Wendy, (2007) the structure of the consultation is as follows. The concordance model is the preferred model that is gradually replacing the traditional model where the patient and the health provider negotiates and comes into an agreement on the medication the patient is to take, when and how to take the medicine. This model thus provides for patient participation in therapy unlike the traditional models such as Higgs and Jones.

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.