Strive Nurse Practitioner: ‘My Heart Is Always with the Patient’

Author : Strive Health
Karen Brautigam, FNP-C

Karen Brautigam, FNP-C, has been a nurse practitioner (NP) for 19 years and a registered nurse for even longer. She was the first nurse practitioner hired at Strive Health. She joined the team in March 2020, just as the COVID-19 pandemic wielded its impact on the world.

During Nephrology Nurses Week, we chatted with Karen about the most rewarding and challenging aspects of being an NP, the uniqueness of Strive’s NP-led care model and how she sees the NP field evolving in the future.  

Q: What made you want to become an NP?
A: My heart is always with the patient. I worked in management and learned many useful things, but preferred to grow while staying close to patient care. Being a nurse practitioner allows me the opportunity to use my advanced knowledge and skills to help patients and families at a level that continues to challenge me daily.

Q: What is the most rewarding aspect of being an NP?
A: I am passionate about learning and using new techniques and skills to help patients learn and adapt to live their healthiest lives, despite their complicated CKD journeys. Working with dedicated team members is also a big plus!

Q: What is the most challenging aspect of being an NP in nephrology?
A: There are many challenges to being a nurse practitioner in nephrology, but the greatest challenge is helping patients 1) perceive what they still have amidst their many losses and 2) maintain a sense of control, gratitude and wonder in their lives. That takes a lot of listening and reprioritization in the patient-NP partnership.

Q: How is Strive’s NP-led care model different in terms of how it supports our partners and patients?
A: Everyone on the care team does so much to support patients and partners. The nurse practitioner, as a healthcare leader, works with the patient and team to achieve health outcomes. Coordination of care with multiple provider specialists requires complex knowledge and attention to detail to avoid conflict of medications and procedures and to help patients continue to move forward toward health goals and thrive, not just survive.

Q: How has Strive changed since when you first joined the company?
A: Patients have always been at the heart of our passion at Strive and that will never change. I believe the analytics give Strive an edge to reach the most vulnerable patients. The way we continually improve our the analytics and how they are utilized by clinicians is how we help change the CKD journey for so many of our patients.

Q: How do you see the nurse practitioner field evolving over the next five to 10 years?
A: Nurse practitioners will continue to fill the gaps in primary care and other specialties in the future. And we will see more legislative roadblocks to full practice removed in the near future so that more patients can be served.


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Matthew Kerr,

RD, LD

Manager, Dietetics

"Food for your kidneys shouldn't feel like a punishment. I build a nutrition plan around your lifestyle and help you make small changes that stick, not strict rules that don't fit. I'm here with ongoing encouragement, so you don't have to navigate your health journey alone."

Lyndsey Edwards,

LCSW

Licensed Clinical Social Worker

"Navigating health challenges and mental health concerns can feel overwhelming, but you don't have to do it alone. I offer a supportive space to discuss your concerns, understand your care options, and access essential resources so you can make meaningful progress toward your goals and improving your quality of life."

Rhonda Washington,

MSN, CRNP

Nurse Practitioner

"You'll always have someone in your corner who knows your full story. I adjust your medications, order labs and coordinate your care across nephrologists, primary care providers and your wider team to catch problems early. When it's time to weigh treatment options, I walk you through each one, so you choose what's right for you." 

Maya

Ready to Take Charge of Her Health

How Strive Helped
Maya's Strive Health team helped her understand her new diagnoses by sharing Spanish-language resources and building a plan for what comes next. She even met with a Strive dietitian who created a personalized nutrition plan. Maya now feels confident and in control of her health. 
 
The story presented is a composite based on real patient experiences. No actual patient names or identifying details are used. 

James

Determined to Stay on Track

How Strive Helped
James’ Strive nurse practitioner helped him coordinate home delivery for his medications, so he never misses a refill. Together they built a simple, realistic plan that connected James to a cardiologist and kept his whole care team informed and on track. 

The story presented is a composite based on real patient experiences. No actual patient names or identifying details are used.   

Patricia

Advanced Care for Advanced Needs

How Strive Helped
Patricia's Strive social worker helped her access financial assistance programs, find resources to afford her medications and connect to community support. Now, she has a team in her corner, and she no longer faces her health journey alone. 

The story presented is a composite based on real patient experiences. No actual patient names or identifying details are used.

Betsy Gonzales,

BSN, RN

RN Care Manager

"There is always something we can do. I know that firsthand as a former dialysis patient. Together we set clear goals for your blood pressure, hydration and diet. I treat every small win like a big one. I'm not just your clinician. I'm an ally who understands the journey."