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 real life and help you make small changes that stick, not stark 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

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Rhonda Washington, MSN, CRNP

Nurse Practitioner

You'll always have someone in your corner who knows your full story. I 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 advocate connected her with a Strive dietitian who helped her build a personalized nutrition plan for her blood sugar and kidney health. With education available in the language she needs, Maya feels empowered to take control of her health.

James

Determined to Stay on Track

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James’ Strive nurse practitioner helped him coordinate home delivery for his medications, so he never misses a refill. Together, created a simple plan that helps James with both his practical needs and his health needs. James now sees a Cardiologist, his care team is kept informed, and he feels more in control.

Patricia

Advanced Care for Advanced Needs

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Her Strive social worker helped her access financial assistance programs, navigate her benefits and connect to community support. Patricia has a team in her corner now, and she no longer faces her health journey alone.

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.