Clinical Reflective Analysis

I sincerely believe that I accomplished my goals this week. I realized that I served 14 patients by combining the ability of knowledge, my attitude for excellence that I have consistently defeat the odds to become the very best Nurse practitioner; I can become. This clinical experience brings forth many opportunities and achievements. The most important experience this week; I had the ability to identify as primary healthcare provider a high risk need for the patient to be transferred to the Hospital for further evaluation without delay; due to complaints of “leg cold from the knee down to the feet”, which my evaluation was based on evidence practice knowledge of compassion and skill with the autonomy to practice, diagnose, and treat patients

This assignment is a reflective account on communicating with a patient who cannot communicate verbally. To remain confidential I will call the patient, Patient A. I’m going to discuss the importance of non-verbal communication within a healthcare setting. Patient A was a 63 year old lady suffering from MND which resulted in her losing her speech.

I entered the La Clery Wellness Centre with the primary goal of putting what I have learnt so far in my schooling to practice and mastering these skills, mainly measuring vital signs. I also wanted to go about observing the duties of the health aide and getting acquainted with the staff and setting itself. However, my week required me doing more than I initially thought, in addition to learning additional skills. I did manage to go about achieving the aforementioned goals, especially that of measuring vitals. I not only performed the task in a primary health care setting but also in the home setting where I was ecstatic knowing I was competent enough to do them properly and know the rationale behind the process and the values obtained.

One cannot practice the Christian faith without pursuing a moral life with ethical decisions. Throughout his life, Jesus acted as an example with the Beatitudes, Ten Commandments, and the New Law and guided us towards morality. He completed the Old Law in his teachings, death, and Resurrection with the concept of love. He calls each of his followers to love, thus preparing the way for the New Law through the heavy cross that he carried.. He especially utilized the Beatitudes to completely reveal the focus on love of his teachings. The Son is also both of human and divine nature (the perfect lamb), so he can remove the stain of sin, as regarded in the quote from St. Athanasius, “God became man, so that man might become God.” Therefore, Jesus

Describe strategies you gained from the course for improving outcomes of care and patient safety in the setting in which you are engaged in. Provide examples and rationale.

The novel, The Scarlet Letter, takes place in the seventeenth century Puritan society of the Massachusetts Bay Colony. Being under Puritan rule means that each colonist had to obey by the rules set by the magistrates and were assigned a spiritual leader, which would watch over their spiritual health. Puritans society was entirely thoracic and bound by the mandates of the bible. Hester Prynne and Dimmesdale began an affair. When the pregnancy could no longer be hidden, Hester was forced to reveal the baby daddy. When she refused, she was forced to be humiliated because she had broken the sixth commandment. Moreover she was treated as an outcast, a joke. She was the topic of sermon, a laughing joke to the kids and an object of scorn to the

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

In recent years, reflection and reflective practice have become well-known term with in the health care arena. They are words that have been debated and discussed with in the health care setting (Tony and Sue 2006). Reflective practice is essential for nurses, as nurses are responsible for providing care to the best of their ability to patients and their families (NMC, 2008). Reid (1993) states reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. Johns (1995) notes that reflection enables practitioners to assess, understand and learn through their experience. Reflective practice, therefore, offers nurses an opportunity to review their decisions and

My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.

During our return demonstration, we all felt like we needed to look to our instructor for guidance in what we should do. The reason for this was because we all lacked the confidence to feel like we knew what we were doing. If I could do it again, I would have liked to have been more knowledgeable about the scenario so that I could be more confident.

My area of interest is “Hypertension in the African American Male population”. I want to study the incidence in different communities of African American males in the U.S. This will help me to identify risk factors in these communities that could be modified. NIH offers grants to conduct such research. After an in-depth review of the literature, I will seek advice from colleagues and senior researchers. Having a good idea is very important to start with. I will talk to the NIH program official and follow their guidelines in the NIH web page. I will remember the review criteria while writing the grant and follow the instructions carefully.

My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward.

My clinical instructor and I went to my patient’s room to administer her medication. Before we gave Isosorbide mononitrate we checked her vital sign and BP was 119/ 76 and at 4am BP was 89/46, thus my instructor said we should not give this medication because the BP was low and if we give this medication it is going lower her BP and it is very dangerous for patient since she is getting dialysis. Thus, we held the medication and we notified the primary care provider and the patient’s nurse.

The War on Drug began in 1870s, Chinese immigrants were the targets of federal anti-opium laws, and in the early 1920s, and laws targeting cocaine use in the south and marijuana use in the Midwest and Southwest, also directed at people of color, emerged. In 1914, the Harrison Narcotics Act essentially criminalized opiate and cocaine addition, prescribing drugs for those addicted to them, and distrubiting these drugs except for limited medical and scientific purposes p (409). It is to my surprise that the War on Drugs has been a prolong on going process for decades and yet, there has been programs or treatments to fully cure those who are battling this chronic, biological, and behavioral disease. Although, there is no cure for this disease,

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