Real World NP Liz Rohr

Diabetes might be one of the most challenging chronic conditions to manage. It definitely requires a lot of partnership between provider and patient; you may find yourself spending more time with your diabetic patient than any other group of patients in your practice.
We talked with Nurse Practitioner and Registered Dietitian, Meghan Kavanaugh, about her work with diabetic patients. The interview was such a hit that we brought her back again to answer all of your questions about the nutritional aspects of helping your patients with diabetes. This week, we get answers to your questions, and more, including:

Where to start with nutritional counseling for diabetic patientsHow motivational interviewing can help with nutrition counselingRealistic strategies that patients can start using as soon as they leave your visitThe importance of understanding the patient’s lifestyle in order to optimize their diabetes management
Diabetes can be a tough condition to manage; nutrition is at the foundation of good management, but not all patients have the same experience when it comes to food. Patients that travel, patients that have limited access to certain foods, patients who have religious reasons for eating or not eating certain foods, patients who simply have preferences for certain foods over others – all of these things must be kept in mind as we create strategies to help our patients manage their diet and their diabetes.
If you liked this post, also check out:
👉 Ask A Diabetic Educator Nurse Practitioner
👉 Diabetes Case Study in Mentorship for Nurse Practitioners
👉 Chronic Care Conversations
Read the full blog here.
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Timestamps:
00:00 - Introduction
03:15 - Where do you start with a new diagnosed diabetes patient
06:31 - How to start as a beginner 101
10:37 - Standards that Dietitians follow
13:04 - Carbohydrate Counting
14:46 - Different kinds of diet
18:21 - Out Patient Education and Management
28:46 - How To Often To Do Follow-Up Visits On Patients
33:07 - Impostor Syndrome
34:37 - Examples of How To Make Their Best Choices
41:33 - How To Teach Your Child
44:16 - What Have You Counselled Patients On That They’ve Been Surprised To Hear
45:17 - Diabetes Management and Food
49:04 - Dietitian vs Nutritionist
53:40 - PEARLS of Practice
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© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.

Hosted on Acast. See acast.com/privacy for more information.

As a nurse practitioner in primary care, there are SO many things I’ve wanted to ask a cardiology nurse practitioner. This week, I had the lovely pleasure of interviewing Scott Pasquale, FNP and cardiology nurse practitioner, with questions from the RWNP community. 
In this episode, we covered:

What cardiologists wish primary care providers knewA breakdown of common cardiovascular tests, how to explain them to patients, and how to choose between each one!Review of how to order holter monitors the right way!Common cardiovascular topics like atrial fibrillation, anticoagulation, and heart failureResources for nurse practitioners interested into going into cardiovascular medicine
If you liked this post, also check out:

Heart Failure in Primary CareApproach to Resistant Hypertension Part 1Approach to Resistant Hypertension Part 2
Read the full blog post here
Timestamps:
00:00 - Introduction
03:13 - How Scott Pasquale choose Cardiology
04:14 - What NP Cardiologist Wish That Primary Care Providers Knew
06:51 - Ordering a Stress Test
11:57 - Other Names for Nuclear Scans
12:54 - Example Situation
18:57 - Type of Monitor to Use 
24:45 - EKG Learning Resources
29:14 - A-Fibrillation
31:14 - Anticoagulation
33:56 - Cold Calling
35:20 - Coronary Calcium Score/Scan
36:54 - Hypertension Management and Their Side Effects
39:55 - Resources/Recommendations for New Nurse Practitioners Getting into Cardiology
41:32 - Heart Failure
44:24 - Diuresis Management
48:20 - Time in Specialty Practice vs Primary Care
© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.

Hosted on Acast. See acast.com/privacy for more information.

⭐️ CME Opportunity for this episode below ⭐️
Feeling comfortable with treating type 2 diabetes can be overwhelming as a new grad Nurse Practitioner – and even as a seasoned Nurse Practitioner, especially if you don’t have a lot of diabetic patients in your practice. Some patients will be able to improve their diabetes and get their A1C down with lifestyle changes alone; others will need to add oral medication; others will need to add insulin to get optimal control of their diabetes.
When the time comes to have a conversation with your patient about starting insulin, they are likely to have lots of questions. If you want to be sure that you have answers, you have come to the right place. This week, we will walk through what you need to know when you have a patient who will be starting insulin for diabetes management. We’ll talk about:
✅ The other options for treating type 2 diabetes before you start insulin
✅ How much improvement you can expect with various approaches to diabetes treatment
✅ A framework for when to start insulin, and how to adjust the dose
✅ Managing hypoglycemia after starting insulin
✅ Why in-person visits are so beneficial for managing diabetes
Diabetes is a complex diagnosis for providers and patients. When you feel confused and overloaded with information, imagine how your patient feels. Being prepared for these conversations and clinical scenarios will help you to feel more confident, which will help you to be an even better resource for your patients.
✨ If you'd like support learning about how to manage Diabetes, including medication management, most recent guidelines, when to refer and examples of real-life patient cases, join us for the Managing Diabetes, Hypertension & CKD Review Course. Comes with 10.35 hours of continuing education, including 2.8 pharmacology hours, downloadable cheat sheets and lifetime access! Click here
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🎉 CME opportunity available for this episode!
Here's how it works:
1. Click on this CME link: https://earnc.me/03vsN0 Sign up for $10 for this episode.
2. Answer 2 reflective “nudges” AKA questions about what you learned and how it applies to your practice
3. Earn 1 hour of AMA PRA Category 1 CME credit! You can download your credits when you’re ready to use them (applicable for AANP, ANCC, and NCCPA certifications!) 
This is a 3-month pilot program to see if this is something that would serve our nurse practitioners and physician associates going forward! To learn more about how you can access these CME opportunities, go to: https://info.cmefy.com
The CME experience for The Real World NP Podcast, Youtube Channel, and Blog posts is powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s).™ Learn more at http://about.cmefy.com/cme-info
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Don't forget to grab your free Ultimate Resource Guide for the New NP
More Resources:
Lab Interpretation Crash Course
Digital NP Binder
Diabetes Medication Workshop

Hosted on Acast. See acast.com/privacy for more information.

⭐️ CME Opportunity for this podcast below ⭐️ If you're overwhelmed and intimidated by preoperative exams, you're not alone.
Even a healthy patient undergoing a low-risk surgery can be stressful, but knowing the guidelines and tools can help you feel more confident in your practice.
In this episode, you'll learn:

Why we need to stop saying "preoperative clearance" and what to say insteadThe step-by-step approach to evaluating cardiac and pulmonary risksWhat tools can help you decide the risk and if they should have surgery (especially for the complicated patients)
Link to free cheat sheet: https://www.realworldnp.com/016-opt-in
________________
🎉 CME opportunity available for this episode!
Here's how it works:
1. Click on this CME link: https://earnc.me/8z1sSp Sign up for $10 for this video episode.
2. Answer 2 reflective “nudges” AKA questions about what you learned and how it applies to your practice
3. Earn 1 hour of AMA PRA Category 1 CME credit! You can download your credits when you’re ready to use them (applicable for AANP, ANCC, and NCCPA certifications!) 
This is a 3-month pilot program to see if this is something that would serve our nurse practitioners and physician associates going forward! To learn more about how you can access these CME opportunities, go to: https://info.cmefy.com
The CME experience for The Real World NP Podcast, Youtube Channel, and Blog posts is powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s).™ Learn more at http://about.cmefy.com/cme-info
---------------------
Don't forget to grab your free Ultimate Resource Guide for the New NP
More Resources:
Lab Interpretation Crash Course
Digital NP Binder
Diabetes Medication Workshop
------------------------
Come follow along for even more tips and inspiration:
Instagram: https://instagram.com/realworldnp
Facebook: https://facebook.com/realworldnp

Hosted on Acast. See acast.com/privacy for more information.

⭐️ CME Opportunity for this podcast below ⭐️ Becoming a nurse practitioner feels like becoming a nurse all over again - having questions like:
What did I get myself into?Is it normal to feel like this?How do I know if this job is the right fit? Or if it's time to change?
This week's episode is mixing it up, answering these questions from the community, #realtalk
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🎉 CME opportunity available for this episode!
Here's how it works:
1. Click on this CME link: https://earnc.me/fRHwdK Sign up for $10 for this video episode.
2. Answer 2 reflective “nudges” AKA questions about what you learned and how it applies to your practice
3. Earn 1 hour of AMA PRA Category 1 CME credit! You can download your credits when you’re ready to use them (applicable for AANP, ANCC, and NCCPA certifications!) 
This is a 3-month pilot program to see if this is something that would serve our nurse practitioners and physician associates going forward! To learn more about how you can access these CME opportunities, go to: https://info.cmefy.com
The CME experience for The Real World NP Podcast, Youtube Channel, and Blog posts is powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s).™ Learn more at http://about.cmefy.com/cme-info
____________
Don't forget to grab your free Ultimate Resource Guide for the New NP
More Resources:
Lab Interpretation Crash Course
Digital NP Binder
Diabetes Medication Workshop  
------------------------
Come follow along for even more tips and inspiration:

Instagram: https://instagram.com/realworldnp
Facebook: https://facebook.com/realworldnp
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Please note: This episode is intended only for medical providers and students learning to be medical providers. 
While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel.  We always refer individuals back to their primary care providers for medical care.
If you’re a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at https://www.realworldnp.com/mentoring.
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© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.

Hosted on Acast. See acast.com/privacy for more information.

⭐️ CME Opportunity for this podcast below ⭐️ Wrist pain is a SUPER common chief complaint in primary care. Most of the time, luckily, it’s chronic wrist pain that’s from overuse (versus the more acute, dangerous differential diagnoses with injuries), but it’s still a lot to work through as a new nurse practitioner.
In this week’s episode, I’m covering the overview approach to diagnosing wrist pain in primary care for new nurse practitioners:
✅ What first triage questions to ask
✅ Red flags to watch out for
✅ History questions, physical exam and special tests to perform
✅ When to refer and when to consider getting imaging
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🎉 CME opportunity available for this podcast!
Here's how it works:
1. Click on this CME link: https://earnc.me/OHTf7V Sign up for $10 for this video episode.
2. Answer 2 reflective “nudges” AKA questions about what you learned and how it applies to your practice
3. Earn 1 hour of AMA PRA Category 1 CME credit! You can download your credits when you’re ready to use them (applicable for AANP, ANCC, and NCCPA certifications!) 
This is a 3-month pilot program to see if this is something that would serve our nurse practitioners and physician associates going forward! To learn more about how you can access these CME opportunities, go to: https://info.cmefy.com
The CME experience for The Real World NP Podcast, Youtube Channel, and Blog posts is powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s).™ Learn more at http://about.cmefy.com/cme-info
______________
Don't forget to grab your free Ultimate Resource Guide for the New NP
Sign up for the Lab Interpretation Crash Course
Grab your copy of the Digital NP Binder
Get your medication management right with the Diabetes Medication Workshop
------------------------
Come follow along for even more tips and inspiration:
Instagram: https://instagram.com/realworldnp
Facebook: https://facebook.com/realworldnp
© 2020 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.

Hosted on Acast. See acast.com/privacy for more information.