More People Needing Care Spring 2014 | Page 21

KATHY DONTJE KARA SCHRADER PhD, FNP-BC MSN, RN, NP-C Assistant Professor, Health Programs Director of Graduate Clinical Programs Assistant Professor, Health Programs Assistant Professor, Health Programs Mary Jane Cook spent 25 years in adult surgical intensive care, where she excelled at communicating with patients and families in crisis. Thirteen years ago she decided to transition to helping people before they reach critical care by becoming an NP. She is currently pursuing her PhD in nursing health systems at Indiana University. Her commitment to good communication is reflected in her practice philosophy which focuses on getting to know her patients and identifying their concerns and beliefs to help determine what they are willing to do for their health. She uses the motivational interviewing model to help explore and understand patient ambivalence to change and help them overcome it. Dontje has a sense of accomplishment when building partnerships with her patients. For more than five years, she has worked with an elderly gentleman needing a number of medications for chronic conditions. Periodically he decides not to take them and reports he doesn't feel any different. Each time this happens, she listens, considers his concerns, and negotiates with him, explaining which medications have priority and why. Her ongoing engagement with this patient reflects the four core principals of her practice philosophy: holistic patient care, shared decision making, empowerment of the patient, and evidence based practice. “I was very close to my grandmother, who was a nurse. Through volunteering, I discovered the nurse I wanted to be,” says Kara Schrader. She worked for 14 years, mostly in cardiac stepdown, before deciding to be part of prevention as an NP. She chose the College’s program for its focus on community health and hybrid format. In her eight years of practice, she has taken a holistic approach to every person and/ or family. She empowers their ability to manage and improve their own health and has experienced positive outcomes when giving patients the necessary skills, which include in-depth health education, counseling, and coordination of community resources. In practice at the Ingham County Health Department, Schrader grew to love working with young people, and this interest has developed into a depth of experience in adolescent health, reversible contraceptive management and family planning. At the Family Health Clinic, she helps adolescents and people of all ages learn how to make good decisions and plans of care. In her faculty role, she prepares students for independent practice, focusing on the importance of counseling, collaboration with other caregivers, and the use of tools for gathering health and community resource information. OUR PRACTICE FACULTY Listening to the patient and not just the disease is something that NPs do well. She recalls a woman, who had been to a number of providers about her symptoms over time. All had told her there was nothing to worry about. “As I listened and put all the pieces of her physical ailments together,” Cook relates, “I suspected she had a heart problem. I sent her for testing, and it was confirmed that she was in heart failure. She’s actually done very well since then, because she got the right treatment. The whole key is to listen to what patients are telling you.” “I’m one of those people who always knew what I wanted to be,” Kathy Dontje reports, “and am very proud to say I am a nurse.” Dontje's greatest satisfaction has always come from making a difference in patients' lives. Her passion for mastering new knowledge has resulted in her pursuit of a number of nursing career opportunities. An NP for almost 30 years, she began teaching when the College recruited active practitioners to lead the NP program. Her wide range of practice and teaching experience, practicerelated research interests, and lead