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Adult-Gerontology Acute Care Nurse Practitioner and Adult-Gerontology

Create a table differentiating the Adult-Gerontology Acute Care Nurse Practitioner and Adult-Gerontology Primary Care Nurse Practitioner competencies.

In a 750-1,000 word paper, describe how you perceive the differences between the specific competencies for the different practitioners. Address how these differences can affect practice in specific clinical areas. Provide individual examples from your own experience.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.


Table 1: Comparison of Adult Gerontology Acute Care NP and Adult-Gerontology Primary care NP.

 Adult Gerontology Acute Care

Nurse Practitioner

Adult-Gerontology Primary Care Nurse Practitioner
Health Promotion, Health Protection, Disease Prevention and treatmentSame as primary care nurse practitioner, just additional patients are characterized as “unstable, vulnerable in need of acute and critical care management” (AACN, 2012).Population includes, “entire spectrum of adults including young adults, adults and older adults – provider of direct health care services” (AACN, 2010).
A.  Assessment of Health statusSame as primary care nurse practitioner, just additional patients more “acute, critical and chronically ill or injured” (AACN, 2012).Competencies of assessment include “health promotion, health protection and disease prevention” (AACN, 2010).
B.  Diagnosis of Health statusCompetency for diagnosis of health status includes, “physiologic instability or potential to experience rapid physiologic deterioration or life-threatening instability” (AACN, 2012).Competencies of Diagnosis include, “critical thinking, differential diagnosis and integration and interpretation of data” (AACN, 2010)
C.  Plan of Care and Implementation of treatmentSame as primary care nurse practitionerCompetencies of Plan of care and implementation include, “stabilizing the individual, minimizing physical and psychological complications, maximizing the individuals health potential and assist with palliative care management” (AACN, 2010).
Nurse Practitioner-Patient RelationshipSame as primary care nurse practitioner – but due to critical nature of patients have to be more cognizant of mental status. (AACN, 2012)Competency for patient relationship includes demonstration of, “personal, collegial and collaborative approach” (AACN, 2010).
Teaching-Coaching FunctionSame as primary care nurse practitioner – but with the addition of “imparting coping skills” (AACN, 2012)Competency for teaching includes, “impart knowledge and associated psychomotor skills to individuals, family and other caregivers” (AACN, 2010).
Professional RoleCompetency is similar to primary care, but “interprofessionalrelationships ..assist with complex acute, critical and chronic illnesses” (AACN, 2012).Competency in professional role, “commitment to the implementation and evolution and critical thinking” (AACN, 2010).
Managing and negotiating health care delivery systemSame as primary care nurse practitioner and in addition “addresses the development and implementation of system policies affecting services” (AACN, 2012).Competency in Managing the health care system include achievement of, improved health outcomes for “individuals, communities and systems by overseeing an directing the delivery of clinical services” (AACN, 2010).
Monitoring and ensuring the quality of health care practiceSame as primary care nurse practitionerCompetencies for monitoring include, “quality of care through consultation, collaboration, continuing education, certification and evaluation” (AACN, 2010).
Cultural and Spiritual CompetenceSame as primary care nurse practitionerCompetency in cultural and spiritual care includes “delivery of individual cultural and spiritual beliefs..for patients of diverse backgrounds.


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