Advanced Clinical Practice Final Essay

Careful attention must be focused on the safety and welfare of each client. Interventions for service delivery are to be spiritually and culturally sensitive respecting each client’s individual needs and preferences. The role of the case manager and the various duties they perform requires education, skills and training to address client needs appropriately. Positive strategies for solving problems and conflict resolution must be obtained to be equipped for any challenges that may

General: no history of weight change, fever or chills, weakness, fatigue, or change in appetite;

Joan’s family was selected for this because she has experienced parenting, marriage, and divorced at the tender age of twenty-five. She has also taken on other significant responsibilities such as purchasing a home and a vehicle in addition to raising two children solely on her income. Joan is driven and motivated to pursue and finish her education; rear her children in a stable home environment, despite facing the challenges of single parenting. She does not receive any type of financial spousal or child support from her ex-husband. Joan’s ex-husband is currently employed as a police officer and lives with another woman. The ex-husband rarely interacts with the children; he sees them only when his mother keeps them for Joan. Joan heavily relies on her parents and other family members to assist her with finances and childcare.

Mosby’s medical dictionary defines an advanced practice nurse as “a registered nurse having education beyond the basic nursing education and certified by a nationally recognized professional organization in a nursing specialty, or meeting other criteria established by a Board of Nursing. The Board of Nursing establishes rules specifying which professional nursing organization certifications can be recognized for advanced practice nurses and sets requirements of education, training, and experience. Designations recognized as advanced practice nursing include certified nurse-midwife, certified registered nurse anesthetist, clinical nurse specialist, nurse

Following this step, in order to be sensitive to the client and ensure she understands confidentiality and consent, I would explore the reasons she is seeking help. Through this exploration process I would use the techniques of empathic responding and motivational interviewing to establish rapport with the client. Empathic responding and motivational interviewing will also help to ease any reservations Precious may

The client for this paper is a twenty-seven-year-old single mother to a six-year-old son. The client was raised in a hardworking middle class family in which her father built a successful business. Her parents divorced when she was ten years old, and she reports she never heard them argue before they announced to the family they were separating. The client describes the divorce as “ugly.” She started smoking marijuana with her friends at the age of fourteen which led to her opioid intravenous addiction by the age of eighteen. The client’s drug of choice is hydrocodone. She admits she has never tried to abstain from her drug use and has been arrested over twelve times as a result of her addiction. Her last drug charge resulted in a six-year prison sentence at the age of twenty-three. The client is currently court ordered to successfully complete an in-patient drug treatment program for up to eighteen months. If she successfully completes the program, she will be released two years early from her sentence. The client has been diagnosed with 304.00 (F11.20) Opioid Use Disorder – Severe which continues to make her eligible for treatment. Client is Hepatitis C positive.

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

The initial post tackles a fundamental idea as to the role of imaging in the diagnosis of low back pain (LBP). As McKinnis (2014) reiterated the fact that “no imaging can be prudent” in cases of suspected disk herniation in the first six weeks preceding the advent of the symptoms (p. 344). The discussion clearly points out the significance of the clinical practice guidelines of the American College of Physicians and the American Pain Society. The collaboration between health care professionals is necessary to conserve costs while sustaining a high quality of care for the patients.

This semester, I have been observing and teaching social science classes at Cuba Senior High School. The school has a very friendly atmosphere, and I felt very welcome from the moment that I entered the building. The faculty and staff are very committed to the education of the approximately 152 students in the building treat each other with respect. In fact, on my first day; which was a teacher institute day; they welcomed the three student teachers across the district into the Cuba School district family. Essentially, I was mentored by all of the staff and faculty in the school as they all offered me suggestions and advice at various points throughout the semester; however, there were my two main cooperating teachers. The

Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the

Any mainstream televised series on a basic cable network would have viewers believe that a hospital is a dramatic setting meant only for those in critical conditions leading to a medical equivalent to the CSI effect when in actuality healthcare is patient driven with the focus placed as strongly on maintenance or prevention as it is on diagnosis and treatment. This is a stigma held by many in the US especially when taking into consideration the cultural spectrum of the population versus the misrepresentation of said spectrum in the medical field. Seeking medical care is typically viewed as a sign of weakness, lack of faith, or lack of “feminine self-respect” especially in minority groups based on principles of machismo, religiosity, and conservatism

I was able to take on a leadership role in the form of providing my clinical group with a learning opportunity. I created a bingo sheet that had questions regarding information from our pathophysiology class. There was an exam the week of my teaching project so I took that opportunity to help other students study. Each shift I collaborating with the health care team. I partake in report, and turn to my clients RN throughout my shift for guidance or to report findings. During one of my shifts I had a client who really wanted to shower and get dressed before her family came in to visit. She was hooked up to a VAC and my RN said she was unable to shower for that reason. I knew it was really important to my client that she could get dressed/wash

Clinical practice guidelines (CPG) are designed to improve the quality of healthcare services, decrease unwanted, ineffective and harmful interventions for patients. CPG are used to facilitate treatments for each individual patient’s by maximizing the benefits, minimizing the risk of harm and obtain treatment with an acceptable cost. Researchers had proven that CPG is a bridge for change and improving health outcomes. The effectiveness of CPG is perceived to be helpful in clinical decision making. CPG are developed to assist healthcare providers such as doctors and nurses in decision making for specific clinical outcomes (Vlayen, et. al. 2005)

In this ethical statement, the practitioner must use their skills to the best of their ability to assist the individual. The practitioner must give respect to the individual, to the individual’s cultural background and to experience that the individual has live through making sure that this individual is free from discrimination and harassment. The practitioner will advocate on the behalf of the people they are serving and only use assessments and therapies which will promote the best care for the individual. The practitioner has the obligation to inform the individual of the type of care they will be receiving, what outcomes should be expected. The services that practitioner provide to the individual must have an exit strategy to prevent services running forever without a need.

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking