Clinical Observation Paper

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

After observing my mother in at the emergency room where she works, I finally understand the difficulty of being a doctor. Doctors constantly having to take care of anyone who walks through the door on a stretcher. Doctors have to try their best to feel empathetic towards everyone, putting themselves in other people’s shoes and trying to understand their situation. Whether they are good or bad, it doesn’t matter, the main goal is to stabilize the patients and make sure they receive the help they need. For example, last night walked in a psychopath who had killed 3 people, who also stabbed himself in attempt at suicide. By some miraculous move by God he didn’t die, only required immediate medical attention. As I watched my mother operate

This clinical rotation I was assigned to observe at the operating room, where they conduct various surgical procedures. The night prior to the clinical, I have to admit, was every bit unnerving. Especially, the fear of not knowing what to expect was daunting. There must have been a thousand scenario of what to expect or what might possibly go wrong playing through my head that night. However, after being introduced to the nurse I would be following, and meeting the surgeon and the rest of the team; my nerves settled down. The surgery scheduled was for a ventral hernia, which seemed routine, but complicated by a previous bowel realignment previously. The whole operation, from beginning to end, lasted a little over four hours. Although, the procedure lasted that long, it did not bother me even bit. In spite of standing for the whole duration of the observation, I never felt tired nor gotten bored. Notably, watching the surgical team working cohesively is like watching an artists who have

Fisher and Harrison (2009), explain that inpatient treatment is positive for social interactions and decreased isolation. When touring the facility the patients were spending time together showing decreased isolation between them. The patients frequently have outings to activities such as a ropes course or attending community AA or NA meetings. Lakeside Milam has 24 hour care for its patients which make it less likely that the patients will use a substance while in treatment (Fisher & Harrison, 2009).

The patient is a 12 year old female who presented to the ED with thoughts of self harm and cutting behaviors. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient reports that she has been sad lately. Per- documentation the patient reports to peers at her school that she was trying to kill herself, which the school sent her to DayMark. Further, Daymak IVC the patient and requested further evaluation.

Journey’s intake unit completes all initial assessment to assess client for different level of care and accurately assign them to the most appropriate unit. The different level of care ranged from intensive inpatient care unit to medication only. As a practicum student, I worked in the outpatient services unit. The assessment was completed via an online program with an intake staff and the client, usually a week or two before the first scheduled appointment with a clinician. Therefore, once a client is assigned to me, I have access to review their file. The assessment are usually completed in a brief model format, and as the clinician assigned to work with a client, I am expected to use the first two sessions of therapy

My commitment to volunteerism is important to me. I am not apart of Kiwanis, however, I am still involved throughout school and church. I am in 5 clubs, which include the Associated Student Body (ASB), Med Club, Kind Club, Fellowship of Christian Athletes (FCA), and Chelan Project. Meanwhile at church, I help with worship band, tech support and children's ministries. Volunteerism is the chance to be a leader and show the type of person you are.

The interest group that I have chose is a group called the American Medical Association. American Medical Association main purpose is have better physicians and health facilities to help citizens achieve better health throughout the nation. The association tries to achieve these goals by creating medical schools to educate better physicians. Lastly the association is working hard to prevent the nations most common diseases, which are type 2 diabetes and heart disease. I have decided to choose this interest group because my goal in life is to become a certified registered nurse anesthetist. Going to the medical field makes myself interested with what the government is

A couple of years ago, my mom got a bellybutton pain in her lower-right side of the abdomen. It was an intense pain which moved all around her belly. She decided to ignore the pain, thinking it could be something temporary. Days went through and nothing could relieve the discomfort she felt. My dad decided to take her to a private doctor right away. The doctor had her do some blood tests accompanied by some others. When the results were ready the doctor asked us to take mom immediately to the hospital. He said something related to surgery and I lose control on myself. We had never been as scared of surgery as this day. We knew this kind of surgery was not as risky as others. The problem was hospitals in Honduras. Doctors back then did not care about the patient. Patients in the hospitals would get their wounds infected and they would die. I lacked trust in the abilities of the doctors. Not because they missed the knowledge required in doing this, but their interest in the patient was none. They knew the government was going to pay them either way. Therefore, they mistreated some patients. My mom received a

Rochester's Pre-College Programs will help make me better because the Mini Medical School would further my knowledge of medical careers. As a current high school junior I have explored multiple careers, but I came to a conclusion last year that I would like to be a pediatrician. Last year I participated in the STEP program at the University of Rochester to decide if a medical career was a good fit for me. STEP opened my eyes to all the qualifications needed for my choice career, and taught me how to work with others on medical subjects. As well as present to large groups of people, and working with others. I really enjoyed my summer at the STEP program, and received a scholarship into the Mini Medical School program. Even though I received

First line of treatment of depression among the geriatric patients is the SSRIs. As the name implies, SSRIs work by blocking the reuptake of serotonin thereby augmenting it. The selective serotonin reuptake inhibitors (SSRI) are more probable than placebo of producing depression remission for the primary care population; they are the first line treatment for depression (Kovich & Delong, 2015; Khouzam, 2015).

Physicians are essential in the medical field, able to take care of you and make sure that you’re healthy is what makes them vital.

Within the first 40 hours I attended and observed a patient education board meeting. The meeting consisted of nurses, doctors, and the library. The discussions are on how to educate the patients. Each department presents potential patient education material. All materials must be approved by the board and must adhere to a six-grade reading level. I observed the monthly nurses board meeting where the discussion focused on nurse’s research and submission of their work to the new digital repository.

The pioneers of the psychoeducational model of patient care, have conceptualized it by focusing on the plight of people with mental illness, by paying close attention to their higher risk for relapse and rehospitalization. “The treatment team seeks to establish a collaborative relationship with the patient and/or family to share the burden of managing the illness and working toward patient recovery. “The goals and content of the programs, all focus on providing information about the

Other clinical studies have implicated fluoxetine’s effects on serotonin neurotransmitters, based on the fact that serotonin is synthesized from the essential amino acid tryptophan. Patients taking fluoxetine who were in remission from major depression were given a special diet which was tryptophan-free. This rapidly decreased plasma serotonin levels, and after a short period of time (as little as 30 minutes) many of the patients began to have signs of specific depressive symptoms. Later, the reappearance of more general depressive symptoms were observed in a majority of the patients. Thus it was shown that fluoxetine has a profound effect on the neurotransmitter serotonin, and decreased