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Michael Service cares for a young girl at the U. A master’s degree is recommended for entry level. NPs are qualified to diagnose medical problems, order treatments, perform some procedures, prescribe medications, and make referrals for a wide range of acute and chronic medical conditions within their scope of practice which is defined depending on the state. Nurse Practitioners have become an integral part of the medical and health care system, due to the combination of experience and expertise they bring with them. Work experience as a nurse gives them a special approach in providing patient care, while their advanced studies provide the expertise and capability to carry on tasks otherwise assigned to administrators, as they take intense courses on leadership, health care policy, and lobbying. In the United States, depending upon the state in which they work, nurse practitioners may or may not be required to practice under the supervision of a physician. The US National Institute of Medicine, the States Boards of Nursing, the American Association of Nursing Practitioners and the Robert Wood Johnson Foundation have proposed a national model of full autonomy in professional practice to provide better accessibility to primary, to reduce costs and to increase the capacity of the United States Health System.
NPs may serve as a patient’s primary healthcare provider, and they may treat patients of all ages depending upon their specialty. With commensurate education and experience, NPs may specialize in areas such as cardiology, dermatology, oncology, pain management, surgical services, orthopedics, women’s health, and other specialties. The core philosophy of the nurse practitioner role is individualized care that focuses on a patient’s medical issues as well as the effects of illness on the life of a patient and his or her family. The present day concept of the APRN as a primary care provider was created in the mid-1960s, spurred on by a national shortage of medical doctors.