Adult-Gerontology Primary Care Nurse Practitioner (A-GNP)

Age Parameters are not defined for any population. AANPCB uses growth and development for constructing the certification exams.

A-GNP DOMAIN 01 - ASSESS
Task 0101: Obtain subjective information including but not limited to relevant medical history (e.g., biopsychosocial, economic, environmental, family, military, travel, occupational, preventive, functional ability, and medication components, chief complaint, history of present illness, health goals, and review of systems) to determine health needs and problems by:

• interviewing patient/family/appropriate others
• Reviewing records
• Identifying other healthcare providers caring for the patient
• Identifying both patient- and population-specific health and psychosocial risk factors
• Evaluating caregiver role and capabilities as appropriate

Task 0102: Obtain objective information based on demographics, health history, and comorbidity/multi-morbidity to further define health needs and problems by:

• Performing physical examinations
• Ordering/performing/supervising diagnostic tests and procedures
• Ordering/performing/supervising screening tests

A-GNP DOMAIN 02 - DIAGNOSE
Task 0201: Formulate differential diagnoses by:

• Synthesizing and analyzing subjective/objective information
• Differentiating between normal and abnormal changes associated with development and aging
• Prioritizing differential diagnoses, including recognizing urgent and emergent conditions

Task 0202: Establish definitive diagnoses by:

• Obtaining additional subjective information as indicated
• Ordering, performing, and interpreting additional diagnostics
• Performing and interpreting additional examinations e.g., physical, psychosocial, functional, mental status
• Synthesizing and analyzing additional information

A-GNP DOMAIN 03 - PLAN
Task 0301: Establish a patient-centered plan of care that is safe, timely, individualized, cost-effective, consistent with best evidence, age-appropriate, and culturally sensitive to address the diagnoses by:

• Considering comorbidity/multi-morbidity
• Considering health goals
• Including patient/family/appropriate others as active participants
• Ordering, performing, supervising, and interpreting further diagnostics
• Prescribing/ordering/administering non-pharmacologic therapies/procedures/equipment
• Prescribing/ordering/administering pharmacologic therapies
• Providing relevant education and/or counseling
• Providing health promotion, injury prevention/risk reduction, and anticipatory guidance
• Providing for appropriate follow-up and continuity of care
• Seeking consultation, referring to and/or coordinating care with other health professionals and community resources
• Managing transitions between health care settings
• Facilitating advance care planning
• Advocating for patients and families
• Responding to urgent and emergent situations

A-GNP DOMAIN 04 - EVALUATE
Task 0401: Determine the quality and effectiveness of the plan of care based on outcomes by:

• Assessing patient and/or caregiver response to pharmacologic and non-pharmacologic therapies
• Evaluating impact of therapies on health goals
• Collecting additional subjective/objective information as needed
• Evaluating outcomes of services from other healthcare providers
• Determining patient’s ability to adhere to plan of care

Task 0402: Modify the plan of care as appropriate based on outcomes by:

• Including patient/family/appropriate others as active participants
• Ordering, conducting, supervising, and interpreting further diagnostics
• Adjusting therapies
• Providing additional education and/or counseling
• Initiating referrals/consultations
• Providing for ongoing follow-up

A-GNP KNOWLEDGE AREAS

• Health promotion, disease prevention, and anticipatory guidance
• Anatomy, physiology, and pathophysiology
• Therapeutic communication
• Health history
• Signs and symptoms
• Physical examination
• Diagnostic and therapeutic tests and/or procedures
• Clinical decision-making
• Differential diagnosis
• Pharmacological therapies
• Polypharmacy
• Non-pharmacological /complementary/alternative therapies
• Biopsychosocial principles/ theories
• Patient, family, and caregiver education and counseling
• Community resources
• Evidence-informed practice
• Legal and ethical issues
• Ethno-cultural and spiritual competency
• Principles of epidemiology
• Health literacy
• Principles of risk management
• Palliative and end of life care
• Pain management
• Healthcare economics
• Interprofessional practice
• Information management
• Crisis management/ disaster preparedness
• Settings of care
• Comorbidity/multi-morbidity

A-GNP PROCEDURES