Evaluating Back Pain Management: A Nurse Practitioner Approach

Mrs. Sia Who comes to the Nurse Practitioner (NP) Led clinic to follow up with 3- month of severe low back pain (LBP). The case study is based on her health history and comprehensive physical examination results. The data collection/analysis, information synthesis, and diagnostic/treatment planning are based on The Shuler Nurse Practitioner Practice Model (The Model) (Shuler & Davis, 1993), and fulfilled The Canadian Nurse Practitioner Core Competency Framework (The Framework) requirements (Canadian Nurses Association [CNA], 2010). The Model supports the NP to utilize extensive theory based knowledge to practical use; to respect client as a holistic health care partner; and to develop a systematic, comprehensive health assessment, information integration, therapeutic interaction that alternately improve client’s health status (Shuler & Davis, 1993). Likewise, The Framework “describe(s) the integrated knowledge, skills, judgement, and attributes that guide nurse practitioner practice” (CNA, 2010, p. 5).
The Model views

Who was born locally. She graduated from a local university with a bachelor degree in Accounting. She works as a senior accountant for a local financial institution for 15 years since graduation. She met her husband (also an accountant) at work and states she is very happy with their relationship and financial situation. Mrs. Who reports that her Italian culture background has taught her to be family oriented. Therefore, she has a close relationship with her family, including immediate and extended family. In addition, her family has been helping with child care of her son. She likes socializing, watching movie, and reading. She states that she is easy going and deal with stress by talking to her spouse and other family members. So she denies any unresolved stressors from life, or work. She reports that her LBP becomes an issue affecting her daily activity of living (ADL) and prevents her from getting quality