Abigail Butterfield

• Provided care to patients for psychiatric, mental health and addiction conditions. Opened and operated business independently to provide high quality concierge style care to patients in Florida. Performed scheduling, intake, and billing in addition to evaluations, assessments and ongoing treatment.
• Skilled at working independently and collaboratively with other healthcare professionals to provide exceptional care for patients.
• Passionate about providing the highest quality care to each patient in the practice with a goal to expand to allow greater access to care for patients in need.
• Experienced in utilizing GLP-1 medications for weight loss management with ongoing education to tailor treatments plans specific to individual patient needs.

Nurse Practitioner working with psychiatrist to provide high quality mental health care to patients in the office and via telemedicine for patients with PTSD, OCD, ADHD, phobias, insomnia, grief/loss, eating disorders, depression, anxiety, bipolar disorder and for individuals needing assistance with anger management, addiction and chronic mental illness. Services include functional psychiatry to assist patients in treating the underlying cause of their illness to aid in restoring the body's health and wellness. Utilization of IV and supplement therapy to enhance energy, mood, chronic stress and treat illness while supplying nutrients to the body to help in performing optimally. Collaborated with nutritional specialist, case management, psychiatrists, psychologists and nurse practitioners. Tailored treatments to meet patient specific mental health needs while also providing personalized treatments using a functional medicine approach. Medication management and non pharmaceutical treatment options provided. X waiver trained and certified to provide treatment specialized in addiction medicine.

Worked as an Adult Nurse Practitioner to provide care to patients via a telehealth platform. Cared for patients that were medically complex with a focus on services managing the multi-symptomatic patient with medical conditions including: Anxiety, depression and other mental health disorders, reactive airway conditions, irritable bowel syndrome, widespread chronic pain and central sensitization, chronic headaches and migraines, sleep disorders, and patients with difficult to treat symptoms such as POTS after Covid-19 infection. Special interest in maximizing use of noninvasive and non pharmacological treatments to achieve high quality outcomes. Assessed patients to determine individual needs and developed care plans in coordination with multidisciplinary healthcare professionals including physicians, specialists and case managers and/or social workers. Worked closely with patients and families to determine best options for diagnosis and treatment plans. Strong emphasis on education and the importance of improving lifestyle for overall health promotion and disease prevention. Ordered appropriate diagnostic tests and labs and prescribed both pharmacologic and non-pharmacologic treatment modalities which included groundbreaking technology using neuromodulation via non invasive vagus nerve stimulation. Strong focus on medical conditions caused by autonomic nervous system dysfunction. Utilized remote patient monitoring devices to assist with diagnostics and treatment plans.

Advanced Practice Registered Nurse independently provided primary and acute episodic care to adult and geriatric managed care patients. Worked close in collaboration with the PCP and other medical professionals as appropriate to manage patient care and promote optimal outcomes. Special interest in building strong relationships with patients and managing acute and chronic conditions including mental health / behavioral health disorders. Responsible for planning and implementation of primary care services, managing acute and chronic conditions, and focusing on disease prevention and health promotion. Worked diligently to maximize the delivery of "five star" quality healthcare to patients. Strong emphasis of health promotion and disease prevention through patient education and coordination of care. Established and maintained meaningful relationships with patients, their families and staff members.

Worked as an Adult and Geriatric Nurse Practitioner to provide primary care services to patients age 13 or older. Managed patients with mental health disorders, chronic pain and in the addiction medicine program. Essential duties and responsibilities included obtaining health history, performing physical examinations, diagnosing and directing counseling for each patient and creating a plan for treatment. Prescribed medication in accordance with Florida statute, performed minor procedures as authorized by the supervising physician, ordered and reviewed incoming reports such as labs, X-rays and EKGs, and arranged for referrals for patients requiring services not offered at LHS. Participated in staff outreach and off-site health care programs in LHS service areas, complied with LHS infection control, participated in peer reviews, quality assurance, provider meetings and other clinical meetings as needed. Assisted in updating protocols and principles of practice, collaborated with the pharmacy team, assisted in outside medical public relation functions, adhered to UDS productivity standards and met requirements. Supervised students in training at LHS.

Provided care to homebound adults after they transitioned from the hospital to home or to a postacute setting. Worked as a team with a collaborating physician, patients, their families and various members of the health care system to provide improved transitions home. The transitional care program was embedded within an existing home-based primary care program to ensure that patients received superior care until they were able to be seen by their PCP. Treatment was provided for patients with chronic and acute health problems such as diabetes, COPD, pneumonia, pain management issues, and those who needed psychiatric and behavioral health management. Performed assessments, completed complex documentation, ordered and interpreted appropriate lab work and tests, prescribed medications, and counseled and educated patients about their disease processes and proper management. Managed care for skilled, non skilled, long-term care and the assisted living patient populations.

Conduct in home health assessment to provide supplemental and ongoing data to Humana and the primary care physician. Reviewed programs that patients were eligible for and explained benefits of enrollment. Completed thorough review of patients medications, medical, social and surgical histories and reviewed education for patients based off of their prescribed orders. Assessed patients health information and took time to discuss concerns in great detail with patients and their families.

Responsible for ensuring safe discharge to home from the inpatient setting while collaborating with the hospitalist. In a newly emerging transitional care program that is focused on improving patient outcomes and decreasing hospital readmissions. Follow up is provided immediately after discharge to perform a physical assessment, review medications and discharge instructions, and provide personalizededucation to the patient and their family. Manage care coordination activities until the patient is seen by their primary care provider. Communicate regularly with the physicians and nurses of the hospitalist program. Write progress notes and detailed documentation which is then sent onto the patient\'s providers to ensure superlative continuity of care. Provide patient education as indicated. Write orders for outpatient medications, labs, therapy and tests as deemed appropriate. Perform other responsibilities as reasonably assigned by the collaborative physician and within NP scope of practice. Work compassionately with each patient to create care plans based on their unique needs, connect them with primary care, and provide services for the patient for a period up to 90 days.

Worked with patients and families in a 200-bed nursing home which included acute and chronic medical conditions as well as effectively managing mental health disorders. Documented patient information obtained from evaluations and assessments. Performed physical examinations and preventive health measures within prescribed guidance instructions of a physician. Ordered, interpreted, and evaluated diagnostic tests to identify and assess patient clinical problems and health care needs. Prescribed medications and appropriate treatment for all residents. Recorded physical findings and formulated individualized plans of care for each patient. Evaluated health education and promotion needs of patients and provided necessary instruction. Referred patients to a physician for consultation or to specialized health resources for treatment when needed.