Doctor's 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

From the age of fifteen months through nineteen months Dominic’s physical, social, language and cognitive development has matured. Although Dominic’s physical development has matured, he is below the norms in fine motor development when he makes towers or puts together puzzles; His fine motor skills although match the norms (My Virtual Child). Socially, Dominic gets along with children well although he began to show separation anxiety around eighteen months. Along with the separation anxiety, he is securely attached to both parents yet he is less clingy and is interested in exploring (My Virtual Child). Dominic’s communication skills and language comprehension and production are typically developing. He uses the word me a lot and knows over 50 words which he puts into sentences such as “doggie outside” (My Virtual Child).

A child’s environment, for example, their family or school play a huge part in their development. Some of the main factors that influence a child’s development are their family, where the child lives, and socio-economic status. These factors often cross over and blend as they are related.

If a child is in poor health then this will have an impact on their development. For example, a child with uncontrolled asthma or cystic fibrosis may not be able to run around and be as active as their peers. Therefore, this would mean that his physical development might not be the same. Not being able to play outside would almost certainly affect the social development, as children make many friendships on the playground and at after school clubs.

At the center of the issues of what influences child development, would be the controversy between nature versus nurture . Nature and nurture are two major influences on development. Over the years there had been a lot of researches , for nature and nurture and the influence on children’s development that has been known for the lead census of the developmental and psychology that shoes the importance of both genetics and the environment. (Monographs of the society for Research in Child development, 2007). Even though nature versus nurture does play a big role in child development , nurture seems to be just a little bit

Some variables that decide how a child develops include family structure, hands-on parental learning, role and connections in society, school education, race, and nature versus nurture. Kids before learning dialect, use observation to find out about their surroundings and they take a look at their environment. As children mature, their interactions with family and acquaintances, surrounding environment, and how the educational system treats them hold significant impacts on their development. The debate between whether the nature of a child (genes or biological appearances) or the nurture of the child (culture or attachment) displays a greater influence over the other has been an open deliberation for centuries. Despite these arguments, it seems

There are different things that can affect a child’s development in their background these are just a few of them: -

There are many examples that show how different aspects of development can impact one another. In majority of cases, one aspect will lead to another as a natural result, so for example, if a child has a speaks foreign language as his/her first and family just came to UK to live, this may lead to having language barrier, he/she may become shy, not very communicative, isolated, which affects emotional and intellectual development, further, he/she may have difficulty making friends, which can weaken his/her self esteem, affecting social and behavioral development.

Children and young people often experience many things which have a direct impact on their development; things such as their family environment and structure, personality, hospital visits, childcare arrangements, and culture.

The external factors influencing a child’s development include their immediate environment, i.e. their family and their circumstances at home, their socioeconomic background and the education they receive from institutions or their family.

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

My development was influenced by my family, educational experiences, childhood, environment, and church. Bronfenbrenner ecological theory states that everything affects an individual’s development in their surrounding environment (cite). There were two

I plan on doing my (reading observation) on a student in my 11th grade 2nd period class. My students’ name is Marielle. She is from Sweden and her second language is English. Marielle has had some issues with reading for me in the past, but she has improved tremendously. She uses effective strategies like: notes, and pictures to help her understand unfamiliar words. I am interested to see how she is going to respond to The Color Purple by Alice Walker.

Today, I observed a procedure called a right video assisted thoracoscopy; possible thoracotomy, lung biopsy. The surgeon was Dr. Cefali and the anesthesiologist was Dr. Patel.

Many of us have been in a situation where we have dealt with a horrible illness that requires us to pay a visit to the doctor’s office. Upon reaching the doctor’s office, we give a copayment. After the visit, some of us may have had to go to the pharmacy to pick up what has been prescribed to us by our doctor to treat our illness. For some of us, the visit may have been simple and inexpensive. For others, a simple visit to the doctor’s office may have been costly because of the absence of health insurance. This is a problem for many Americans residing in this country. Many Americans do not seek medical care or medical attention even when they need it most because of the high costs. This results in extreme illness and even in some cases, death. This can pose as a burden because we can’t control when we get sick and the extent of our sickness. It’s a natural part of life, and getting sick helps us learn more about our bodies so we know what we can do to prevent ourselves from getting sick again in the future. We also can’t control the injuries we get, whether it is spraining your ankle, getting into a car accident, or getting burnt. We should not have to live in fear of being a financial burden to our loved ones or ourselves because of a natural phenomenon, especially in a country that is as great and as technologically advanced as America.