Aphasia And Colostomy: A Clinical Analysis

Clinical day started slow, I was a bit anxious about waking my patient up that morning but I knew I had to go in. I woke him slowly and took his vitals and proceeded with my assessment. As I assessed my patient, his wife came in to his room and I introduced myself. During the morning I found out that my patient was being discharged. Before discharge, my patient was going to be fitted for a LifeVest.

For todays clinical, I was located at the office in Pineville. To start the day, Mrs. Faranda went over the computer system and planned out her day based on her goals set for each patient. She planned out which patients she would need to call first. After that, she showed me how to look and see which patients were in the hospital and which were located in the emergency department. Lastly she me different thing in the computer system like the social determinants of health and the medication system. She also went over resources. To end the day, she made a few phone calls and tired to reach out to certain patients. Overall, I enjoyed my day and being able to learn more about Community Care of North Carolina.

Day 8 was a really slow day in my opinion, although it was super fun. Day 8 was Dr. Williams birthday and he loves to celebrate his birthdays as all the coworkers would say. The first half of the day we had 3 patients and all of them were hygiene so they just got their teeth cleaned and etc. On Dr. Pabst side of the office, in my opinion it was pretty busy. The first patient came in to get fitted for Invisalign. The dental assistant took impressions on him and Dr. Pabst came in to take so nice pictures for his Invisalign profile. The second patient came in because he was experiencing severe pain on tooth # 2. I ended up taking a radiograph on him and found a huge abscess. Dr. Pabst came in and prescribed him so medicine for pain relief until

It was a really short day for me, so I just worked on completing more referrals and watching Donna check-in patients. There are quite a few steps on Donna’s part that include: checking to make sure that the insurance has not changed, the pharmacy has stayed the same, collecting copay, and a lot more things that I need to still get in there and learn. We had one particular patient that had a procedure scheduled for weeks that we had to reschedule until insurance differences could be worked out. He was not a happy camper, but luckily he directed his anger toward the insurance company and not us. I haven’t got to really be in the front office much this week because of the need in the clinical area, but I hope to get more experience in this area

comparing Greek and roman visual arts are hard to compare I decided to pick the temple of aphasia vs. Maison career. First a major point that shows a huge difference between those two artifacts is the pediment wherein the temple of aphasia there is no top there is one on the top of the Maison Carrie, second the columns, the columns in the temple of aphasia are in Doric order which is well known to be a Greek type of column, on the other side looking at the columns in in the mason career they are more of a composite type of columns linking it to the roman ages. Last but not least a huge way to determine which artifact is Greek and which is roman is the elements that each artifact consist of, were in elements of a Greek temple we have the stereo

My Story: Today, was an awesome, extremely busy clinical day; I absolutely loved it. I saw five total patients. The first patient that I saw was with Laura, this patient was diagnosed yesterday, 2/7, with cirrhosis of the liver and HEP C. The patient’s chart says he has a history of anxiety, however, the patient stated that his anxiety started when he was told in the ER on 1/25 that he could have cirrhosis of the liver (more information in part D and E). This patient was very interesting, and I was amazing by how much he was going through; I felt bad for him. I did vital signs and my part D and E with this patient, and built a therapeutic relationship with this individual. I completed my part D and E on my first patient, due to not knowing if other patients were going to cancel because of the snow, as well as I didn’t know what patients I could see because the NP, Tanya wasn’t in the office in the morning. At the end of the visit, the patient asked me if I would be coming back again. This made me feel good, because I knew listening and being there as support for this patient helped him. The rest of the day I followed the

Overall, I do not feel like a great deal of improvements needed to be made in my delivery of care. I felt comfortable communicating with my nurse and the health care team, assessing the patient, and educating family members. My nurse did not feel well, so she started off the day a little on edge and irritated, but through showing that I was willing to assist her in any way possible, she was more than willing to assist in my learning. I could improve my delivery of care by asking my nurse more questions and looking up more information in the patient’s chart. I noticed that the layout of the NICU was quite different than last week, so I did not have a computer to look up patient information, but rather, I looked alongside my nurse.

My learning needs were supported this week by the nursing staff on the unit allowing me to help with assessing and treating their assigned patients .In addition, my clinical instructor discussing ways to improve out charting.

My fifth day at Agape Hospice, I went in to assist others with in tuck in calls since I became an expert at it. I was excited to be given this opportunity to teach others what I enjoy doing at Agape hospice. I also gave my fellow classmate who volunteer with me at Agape the chance to encourage them to not to worry about anything because all you have to do is read the question to them. For tuck in calls there where a few question that you had ask the patents and the rest you didn't had to ask because all the patient of the patient family would say the same thing.After I was done assisting my fellow classmates, I help Ms. Erica file the patients paper work in orders. I had to file the paper work by where the patient live such as their home or

I was able to be more confident and assertive with all of the tasks that I performed in clinical this week, which is a huge improvement for me.

I felt that I achieved the desired outcome which was to ensure the patient consumed an adequate volume of fluids during meal time whilst promoting a person – centred approach to their care as I ensured the patient enjoyed

I met a few objectives this week such as being able to communicate well with my staff and peers and demonstrating professional behaviors. An example of how I demonstrated objective 2, was in the practice lab, I efficiently explained to my peers which Personal Protective Equipment is needed during a current precaution such as droplet and airborne. I also demonstrated objective 2 when we had our one on one meeting and I told you about being nervous for clinical as I have had bad experience with dementia patients. I appreciate you reassuring me that I will not have a combative patient as I truly do want to have a positive clinical experience as well as a therapeutic relationship with my patient. I demonstrated

My clinical day of week 3 started pretty much with the same routine. I had to shadow a CNA preceptor and helped her throughout her assignment. By late morning, I have encountered a patient that at first refused to have a conversation with me despite my efforts of searching the right therapeutic questions that will make her open up to me. I founded the situation to be a little bit frustrated and made me feel unsuccessful that I was not be able to form a relationship with the patient. I did not know what to do or what to say. She just kept staring outside the window without saying anything. At lunch time, she surprised me when she approached me and expressed her apology for her earlier behavior.

Sharon and her fiancée found a cat in distress, he rescued it and she discovered that it was the missing cat that was mentioned in the classifieds so she contacted the owners and returned him to their home. Her fiancée took credit for the rescue and the cat’s return even though he did not want to search for the cat and, once he found him, he simply wanted to release him. Once they left the owners’ home, Sharon questioned her fiancée’s motives for being dishonest to them and disloyal to her, for which he could only say that he needed to. In his mind, he took the credit because he wanted to be adored by strangers and seen as a kind, saintly man in a world that stereotypes Native Americans as lazy alcoholics, which he certainly is not.

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