As a Registered Nurse since 1998, I have seen many changes among patient populations. They are getting older, sicker, and resistant pathogens have become more common, extensive, and profound. Not just restricted to heavy use of antibiotics, but environmental pollution with extensive biocides and heavy metals also created resistant pathogens (Singer, 2019).  Environmental pollution poses many dangers to human health, which my potential future role as a nurse practitioner (NP) would serve to research trends, educate, and treat public maladies. Healthcare has become more technological and economically challenging, with the unfortunate complication of making primary care too expensive and unobtainable among populations, including the working poor and working middle class. Medications have become very complex; life-sustaining drugs are subsequently exorbitantly expensive. For example, insulin underuse leading to serious disease complications was one in four, especially in urban areas due to lack of affordability (Bhatia, Chang, & Bilal, 2019). Human populations with such profound needs, including issues with resistant organisms, can be potentially met as an Adult-Gerontology Primary Care Nurse (GPCN) with research, education, and affordable medical management ; credentialing is essential to get issues across for underserved and ignored populations. Walden University School of Nursing (SON) integrates the nursing process with cost-effective treatment strategies (2019a).  Networking and accessing resources are essential for the GPCN role. This personal mission and vision are in alliance with Walden University’s goal and values, including student-centeredness, quality, and integrity; such opportunities would enable me to achieve such credentialing as GPCN, providing convenient educational opportunities accommodating my work schedule (Walden University, 2019). Walden University further enriches the spirit of evidence-based research, discovery, and critical thinking, effecting social changes improving living conditions for individuals, communities, and society (2019). Walden University’s SON has similar objectives, lending opportunities for specialist nurse practice enabling social change (2019a). As a GPCN, we are professionals that utilize the nursing process integrating assessment, diagnosis, planning, implementing, and evaluation of healthcare strategies enabling access to healthcare to even the socioeconomic disadvantaged (Walden University, 2019a). For example, there are approximately 12 million undocumented immigrants (Beck, Le, Henry-Ikafor, & Shah, 2019). Consider the spread of tuberculosis among the impoverished, being a disease of poverty, the undocumented encounter barriers such as fear of deportation and cost in which the GPCN can bring access to these populations, thereby preventing the spread of disease, and delivering treatment to the afflicted by fostering trust ( Beck et al., 2019). Making medical access more affordable for unders.

1. As a Registered Nurse since 1998, I have seen many changes
among patient populations. They are getting older, sicker, and
resistant pathogens have become more common, extensive, and
profound. Not just restricted to heavy use of antibiotics, but
environmental pollution with extensive biocides and heavy
metals also created resistant pathogens (Singer, 2019).
Environmental pollution poses many dangers to human health,
which my potential future role as a nurse practitioner (NP)
would serve to research trends, educate, and treat public
maladies. Healthcare has become more technological and
economically challenging, with the unfortunate complication of
making primary care too expensive and unobtainable among
populations, including the working poor and working middle
class. Medications have become very complex; life-sustaining
drugs are subsequently exorbitantly expensive. For example,
insulin underuse leading to serious disease complications was
one in four, especially in urban areas due to lack of
affordability (Bhatia, Chang, & Bilal, 2019). Human
populations with such profound needs, including issues with
resistant organisms, can be potentially met as an Adult-
Gerontology Primary Care Nurse (GPCN) with research,
education, and affordable medical management
;
credentialing is essential to get issues across for underserved
and ignored populations. Walden University School of Nursing
(SON) integrates the nursing process with cost-effective
treatment strategies (2019a).
Networking and accessing resources are essential for the GPCN
role. This personal mission and vision are in alliance with
Walden University’s goal and values, including student-
centeredness, quality, and integrity; such opportunities would

2. enable me to achieve such credentialing as GPCN, providing
convenient educational opportunities accommodating my work
schedule (Walden University, 2019). Walden University further
enriches the spirit of evidence-based research, discovery, and
critical thinking, effecting social changes improving living
conditions for individuals, communities, and society (2019).
Walden University’s SON has similar objectives, lending
opportunities for specialist nurse practice enabling social
change (2019a). As a GPCN, we are professionals that utilize
the nursing process integrating assessment, diagnosis, planning,
implementing, and evaluation of healthcare strategies enabling
access to healthcare to even the socioeconomic disadvantaged
(Walden University, 2019a). For example, there are
approximately 12 million undocumented immigrants (Beck, Le,
Henry-Ikafor, & Shah, 2019). Consider the spread of
tuberculosis among the impoverished, being a disease of
poverty, the undocumented encounter barriers such as fear of
deportation and cost in which the GPCN can bring access to
these populations, thereby preventing the spread of disease, and
delivering treatment to the afflicted by fostering trust
(
Beck et al., 2019). Making medical access more affordable for
underserved communities would include technology such as
mastering telehealth, which is another avenue for the GPCN, but
there is legal baggage with this as well (Balestra, 2018).
Treating a single individual would also address population
health; what affects one would affect others.