In addition to being prepared as an adult gerontology primary care nurse practitioner, this specialty certification further educates students to provide advanced practice hospice/palliative care. Hospice and Palliative Care Specialists serves patients, families, and caregivers during serious, progressive illnesses by providing holistic care that focuses on disease management, symptom relief, emotional distress, care transitions, and loss. Graduates are prepared to become certified by ANCC or AANP in addition to Advanced Certified Hospice and Palliative Care Nurse (ACHPCN) and obtain Nurse Practitioner Specialty Certification through the State of Michigan.
|Certified Adult-Gerontology Acute Care Nurse|
|Practitioner positions in acute care palliative/hospice practices|
|Practitioner positions in primary care and specialty practices|
|APRN role in acute care, primary care, long-term care, or community-based palliative/hospice settings|
|Acute, Tertiary Settings, across the adult lifespan and high acuity settings|
|Intensive Care Units|
|Clinical Decision Units (CDU)|
|Medical Surgical Units|
|Private employment and hospital employee models|
Janice pursued a post-masters certificate as an advanced practice nurse in primary care while working as an Assistant Professor and RN caring for patients with chronic kidney disease. Janice teaches at the graduate level and works collaboratively in a specialized outpatient nephrology practice setting, serving the Romulus, Chelsea, Monroe, Brighton, Canton, Ann Arbor, and Ypsilanti areas.
Graduated in one of the nation’s first advanced practice nursing programs to prepare adult primary care practitioner NPs with specialization in palliative care. With extensive work in palliative care prior to pursuing her graduate degree, she was able to pave the way for nurse practitioners in the hospice setting by developing the NP role as an integral member of the medical staff team in hospice and palliative care. In 2013 she returned to her alma mater to serve as an adjunct faculty member in the Adult-Gerontology Primary Care NP with Advanced Hospice and Palliative Specialty program at Madonna. Her early practice focused on the ALS population for whom she was able to develop and implement a "crisis breathing" care pack and protocol to manage some of the end-of-life symptoms within the difficult population. She became an educator in the area of the special needs of that population. She developed a ventilator withdrawal protocol to ensure symptom management and focused on the complex symptom management issues at end of life. In 2013, she broadened her scope as a NP to include sub-acute rehabilitation focusing on readmissions and unplanned discharges. She recognized with late admissions into palliative care services that there was a need to influence the patient’s course of health earlier in the illness trajectory. Marianne is now the Director of Nursing and Clinical Care at Marywood Nursing Care Center. She is piloting a new model of administration that combines business details while remaining active in the clinical direction of patients. She looks forward to developing new approaches to improve the overall health and lives of the population she serves throughout the continuum of life.
Comprehensively assess, diagnose, and treat common acute illnesses and manage chronic stable health conditions.LEARN MORE »
Provide primary care services to the adult-gerontology population and to provide advanced practice hospice/palliative care.LEARN MORE »
Foundational care of patients across the adult-older adult age spectrum within acute care settings.LEARN MORE »
Provide advanced practice acute care NP services to the adult-gerontology population, plus advanced practice hospice/palliative care.LEARN MORE »