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The Advanced Practice Registered Nurse in Primary Care 

The Advanced Practice Registered Nurse in Primary Care

Chapter:
The Advanced Practice Registered Nurse in Primary Care
Author(s):

Rosemary Gorman

and Dorothy Wholihan

DOI:
10.1093/med/9780190204747.003.0014
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date: 22 June 2017

Primary care is defined by the Institute of Medicine as “the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.” A patient will see his or her primary care provider for routine physicals, preventive care, care of stable chronic illness, and common health-related issues. Advanced practice registered nurses, most commonly nurse practitioners, frequently act in the role of primary care providers. The APRN who assumes this role acts as the initial contact point for patients who have a health-related problem. The primary care provider directs and coordinates specialist care as needed. Primary care providers aim for continuity of care that leads to the development of longstanding relationships. Since primary care takes a long-term, lifespan approach, the implementation of palliative care may be appropriate intermittently in a patient’s health trajectory. It is imperative that the APRN in primary care have primary palliative care skills.

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