Executive Summary: Clinical Experience Report

This clinical experience took place at Peyton Elementary School and Prairie Heights Elementary School. Kamille, Ben and I were to teach hand hygiene, covering your cough and brushing your teeth to three Pre-K classes. First we developed a lesson plan and teaching aid for our students. Then, we gathered supplies such as spray bottles, dye, subject specific coloring sheet and a dinosaur with large teeth and tooth brush. Kids Rock dentistry in Colorado Springs was nice enough to borrow us the dinosaur and also gave us activity books for the kids. When we arrived at Peyton Elementary School at 0800, we noticed it was a very nice school. We met the school nurse at the office where we signed in. She showed us to classroom where the children

I worked with Dr. Nayeem at Doctors Community Hospital as well as at two different clinics . The mental health clinics were OMNI House and Optimum Health Systems, located in Glen Burnie and Baltimore, Maryland, respectively. At all three locations I was able to work independently under supervision. I was able to perform psychiatric evaluations as well as mental status examinations typing in my findings into the computer which was then checked and evaluated by Dr. Nayeem. I was able to use the electronic medical records they used including Anasazi and Valant in the clinic settings and Meditech at the hospital. I was exposed to many cases in the clinics such follow-up cases which needed medication managment and Crisis evaluations. At the hopsital

The main goal of endodontic treatment is to prevent or heal apical periodontitis. The cleaning and shaping procedures are adversely affected by the highly variable root canal anatomy. The presence of additional canals needs to be detected in to avoid incomplete instrumentation and preservation of bacteria and their toxins, which can compromise the outcome of the root canal treatment. Therefore, the knowledge of the internal anatomy of teeth is a prerequisite for successful endodontic therapy(1).

The prudent dentist must be aware of the mechanisms and clinical symptoms of referred pain, peripheral sensitization, central sensitization, and convergence. This knowledge will aide the clinician to be able to properly diagnose non-odontogenic oro-facial pain in order to treat the patient properly and to avoid doing irreversible harm to the patient, such as extractions or endodontic treatment on healthy

The aim of this study is to be able to identify any risk factors for periodontal changes in adult patients with orthodontic treatment by evaluating the periodontal status of banded second molars using the gingival index.

A county-contracted community mental health agency that provides services to several outpatient clinics and schools in a large urban center

Each clinical experience is a time to learn and gain more clinical experiences. This week I was at Sterling Regional Medical Center in the operating room. With this clinical experience I was able to connect more information together. It was a great experience to be able to follow a patient though pre-op, operating room, and post anesthesia care unit (PACU). It was a great completion to be able to flow many patients through the three units within the department. Within these departments I was able to interact with the patients, along with the other staff members.

Days before finals week Maria was in her dorm room studying. She had a physiological dependence to coffee. Maria had total focused awareness after drinking her tenth cup. Her constant and frequent consumption of coffee every day led her to building up a tolerance. As a result, she has to drink ten cups of coffee every day or else it wouldn’t stimulant her. This led her to have a superstitious behavior that if she didn’t drink ten cups of coffee before an exam she wouldn’t do amazing on it. After consistent bombardment of assignments and tests Maria started to feel the stress of finals week. Maria tried meditation to help stop the stress but it didn’t work. After a while Maria started to lose focus and started off to drifting consciousness.

This week in clinical I was assigned a 44-year-old male patient who presented to the ER complaining for abdominal pain for the past 10 days and was found to have gallstones. The patient needs a cholecystectomy, but the family wants a second opinion before the patient undergoes this procedure. The patient was alert and orientated x4. The patient said that is pain is 0/10 and that he felt fine. His vital signs were normal. His past surgical history included lithotripsy, which is treatment for kidney stones where ultrasound shock waves are sent to break kidney stones into small particles that can be passed out by the body. The patient was a on NPO diet, something that the patient did not like very much. The patient said that he wanted to drink water, but I told him that he couldn’t because of the NPO diet.

We are living in an era where technology has dominated every major industry. According to our class lecture, (Chamberlain College of Nursing, 2015) every nurse should have the basic computer knowledge and skills so that he or she can access information swiftly and proficiently. In retrospect, to the reading of both text and lesson, it is quite vivid in my mind of the experience that I had with this patient. It was my turn to receive the next admission from the Emergency Room. Initial report given to me was that this 48 year old white male by the name of Mr. M came via Ambulance complaining for Chest Pressure. Vital signs completed as follows: BP 108/62, HR 103, RR27, and oral Temp 97.9 done by EMT reroute. He is a construction worker

The initial post tackles a fundamental idea as to the role of imaging in the diagnosis of low back pain (LBP). As McKinnis (2014) reiterated the fact that “no imaging can be prudent” in cases of suspected disk herniation in the first six weeks preceding the advent of the symptoms (p. 344). The discussion clearly points out the significance of the clinical practice guidelines of the American College of Physicians and the American Pain Society. The collaboration between health care professionals is necessary to conserve costs while sustaining a high quality of care for the patients.

The population of the students at Prospect Park Elementary School ranged from grades first to eighth. The age of the students ranged from six to 13 years of age. The ethnic background of the students varied; many of the them were Caucasian, followed by African-American. The diversity of ages within the student population afforded an opportunity to capitalize on the nursing skills obtained during the pediatric rotation. Certainly, the age of the students encountered during the clinical rotation turned out to be some of the more difficult ages to understand during the pediatric nursing course. The clinical rotation resulted in a positive outcome. A positive outcome was not initially anticipated.

Nurses may experience difficulties in maintaining a professional role in clinical encounters with the parents. The nurses expressed that they have to be ethical and to remain professional in the clinical encounter with abused children and their parents. To remain professional, education, counseling and experience is always essential. Most of the time it is hard to convince the loved ones of the victim from having difficulties in accepting what their loved ones go through.

Description: I had the chance to work on multiple manuscripts pertaining to colorectal cancer in African Americans and Caucasians. My contribution included compiling the results from each experiment and inputting them into the corresponding manuscript, creation of all necessary tables and figures, as well as proofreading all sections to correct any mistakes.

One challenge I was faced with while on CE I, was while working with a patient she was talking badly about one of the receptionist. The patient calling the receptionist incompetent, since the receptionist had messed up the patient’s appointment time for the second time in two weeks. I was put in an uncomfortable position because I did not want to be rude to the patient, but also did not want to be apart of the patient talking badly about my coworker.