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 and document subjective patient information including but not limited to relevant medical history (e.g., social, economic, environmental, family, military, travel, occupational, and health promotion/ protection), chief complaint, history of present illness, and review of systems to determine health needs and problems by:

• Interviewing patient/family/appropriate others
• Reviewing records
• Identifying health and medical risk factors
• Evaluating caregiver competence as appropriate

Task 0102: Obtain and document objective information based on patient age, health history, comorbidities 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
• Prioritizing potential differential diagnoses
• Differentiating between normal and abnormal changes associated with development and aging

Task 0202: Establish definitive diagnoses by:

• Ordering, performing, and interpreting additional diagnostic test
• Performing and interpreting additional physical examinations
• Synthesizing and analyzing additional information

A-GNP DOMAIN 03 - PLAN
Task 0301: Establish an age appropriate, patient centered, culturally sensitive, cost-effective plan of care to address the diagnoses by:

• Ordering, performing, supervising, and interpreting further tests
• Prescribing/ordering/administering pharmacological therapies
• Prescribing/ordering/administering non-pharmacological therapies
• Providing relevant education
• Coaching the patient and caregiver
• Making referrals to and consultations with other health professionals and community resources
• Providing for appropriate follow-up
• Including patient/family/appropriate others as active participants
• Utilizing evidence-based criteria (for example, Quality, safety, and outcomes)
• Considering co-morbidities
• Encouraging advance care planning
• Serving as a patient and family advocate
• Managing transitions between health care settings

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

• Reviewing patient responses(s)
• Collecting additional subjective/objective information as needed

Task 0402: Modify the plan of treatment/care based on outcomes by:

• Ordering, conducting, supervising, and interpreting further tests
• Adjusting therapies
• Providing additional education
• Making appropriate referrals/consultations
• Providing for appropriate ongoing follow-up
• Including patient/Family/appropriate others as active participants

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
• Bio-psychosocial principles /theories
• Patient, Family, and caregiver education and counseling
• Community resources
• Evidence-based practice
• Legal and ethical issues
• Ethno-cultural and spiritual competence
• Principles of epidemiology
• Health literacy
• Principles of risk management
• Palliative and end of life care

A-GNP PROCEDURES