Doctor Papbst Journal

What was the most exciting thing that happened on each day of your clinical rotation? (5 pts)

Day four of clinicals was really long. The first patient was scheduled from 8 until 1, he was getting fitted for 4 crowns and an implant crown. When the patient came in he had a horrible odor and looked like he hasn’t taken care of himself in months. I seated him down and the dental assistant just glanced at his teeth and looked at me strangely and whispered come here and look. I look in this old man’s mouth and saw nothing but a brown layer of plaque and calculus build up and it disgusted me. How could someone not take care of their selves? Anyways, we ended up sending him to the hygienist's room next to us and they cleaned his teeth extra good. He came back into the room and Dr. Williams came in and quickly did a check up on his teeth and

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Looking back on this clinical day, I would state that I effectively met my overall goals for the day - Safely and efficiently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. During medication administration, I did come across some difficulties – dropping a few pills and being unsure of the medication in the med cart – but that did not prevent me from safely administering my medication. I completed the three medication checks, while ensuring that I recognized the six medication rights. This experience sanctioned me to acquire comfort in passing meds, and permitted me to see how to prioritize time when a patient takes numerous medications. Alongside medication

Week eight was the same as always. I began the day at eight in the morning to receive patients, print out superbills and doing the usual. I will soon be I find my clinic a bit repetitive, but I like it because I learn by repetition. As I was taking in patients a woman told me her son had the Flu. Her son is believed to have type b, or category B

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.

This writer agreed to meet with the patient as she missed group and her scheduled individual session with this writer. The patient apologized to this writer for her absence and then reports about transportation issue. This writer discussed with the patient about her MVA this month on the 18th and the status of obtaining a police report. The patient reports, " I can get the police report by the next appointment. I just have to go to my insurance company that isn't too far from where I live to get a copy of it."

Cultural diversity and other therapies to practice such as the amalgamation of complementary and alternative medicine was the core learning purpose of this unit. Equipped with the awareness and understanding of this information, the clinician provides care by placing emphasizes on the holistic individual by evaluating the environment, psychosocial and lifestyle influences. As a result, the integration of a comprehensive cultural assessment is essential in all facet of mental health and mental illness. Therefore, the clinician must examine his/her personal beliefs about cultures in order to be proficient in providing care to individuals in a culturally diverse world.

There are a vast variety of publications for just about every profession. These publications range from anything to scholarly journals, magazines, and online blogs.

I started my day by attending bed unit meeting. Afterwards I attended a pre-surgery meeting with my site coordinator. The rest of my day was spent filling isolation carts and creating welcome packets.

Also, Mrs. Glynn informed the doctor that he was hurting her and he told her that it was because she wanted to save tooth # 32 which it was just a wisdom tooth. T he following day which it was Saturday, September 17 in our facility in the North, another issued took place with another patient her name is Jimenez Saida was schedule for extraction 16, 18 and 19, but on this day Dr. Sadati only performed extraction on tooth # 18 because while he was extracting this tooth Dr. Sadati yelled to the patient “Open your fucking mouth” this patient speaks English and Spanish and she understood. Furiously Mrs. Jimenez got up from the chair and walked to the front area and complaint about how rude and disrespectful how she was treated by the doctor. In this occasion our dental assistant Dwight was assisting the Dr. and he witness this incident. Both of this patient’s have not come back to our office due to the fact that they were not treated with respect, but I am sure that they would be willing to testify these

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

I was prescribed Norco and Penicillin to continue to take at home. Following that, they suggested going to the St. Elizabeth Dental Clinic on Monday, August 10, 2015, which was a good choice for me since they accept my insurance. Throughout the rest of the weekend I was in severe pain and the Norco was not able to relieve my pain. When I woke up in the middle of the night Sunday my face had swollen in my left cheek and when I was getting ready to go to the dentist my face swelled into my left eye. For that reason, I arrived at the dental clinic at approximately 0745, 15 minutes before they opened. I waited until 1200 to be seen by a dentist, whom immediately started the process to drain the infection from my abscessed tooth. The dentist put in a Penrose drain to allow the infection to continue to drain while I was at home. The dental clinic dentist prescribed me Ibuprofen 800 and Augmentin. The prescription was changed due to the Norco not having a therapeutic effect; however, I was still in excruciating pain throughout Monday evening. Consequently, the pain was so severe that I still only slept in 45-minute increments. On Tuesday, August 11, 2015, my face swelled more into my

to be at right now? Well, he’d canceled it at 1:45. What about that email that he had

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