Health Care Observation

G: CM met with client for weekly case management session and to update ISP goals.

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.

Health care providers are nothing short of heroes, yet they remain humble in their abilities. As a volunteer at a senior living facility, I was humbled each and every day by the patients I cared for, however one moment in particular remains clear. Sadly, one lady had not been able to recognize her daughter for quite some time despite our efforts of looking through old photo albums together. The task seemed hopeless, but I felt deep down that she was making progress. One afternoon as the patient’s daughter walked in, the patiet had a quizzical look upon her aging face. “I know you,” she stated confidently as she rose up to embrace her daughter. My heart leapt with pure happiness as I saw tears of joy begin to fall down the daughter’s face. I believe that never losing faith and remaining positive are important aspects in life and especially in medicine. We worked together to reach this special moment and nothing humbled me more than having played a part in

During the clinical observations I observed a 60-year-old man whose clinical diagnosis is non-fluent aphasia. To improve on his conversation skills he has worked with the clinician using conversational therapy. When viewing the session, the client expressed an understanding when asked questions on cars and movies. Most of the time he was intelligible, but it becomes hard to understand him when he stops to retrieve a word. As this takes place, he uses SAF or AAC’s triggering for the word he did not remember. His AAC’s consisted of unaided and aided communication systems using his body to receive kinesthetic feedbacks and his phone. He not only expressed his ideas, but demonstrates an interest on his goals for this session and semester. By asking

It is with great interest that I submit this letter to be considered to be a member of the Clinical Observations course during the 2016-2017 school year. I am interested in taking this course because my ultimate goal is to become a physician. Through this course, I feel that I will gain knowledge that would otherwise be inaccessible to me, along with experiencing events that most high school and even college undergraduate students would not have access to. I have a passion for learning and health care, and I am sure this course would benefit me immensely.

This is special observation report, because I could shadow a UH clinician during the whole semester. From February 03, 2017, every Friday for 1-hour session until April 21,2017 I observed the same UH clinician perform therapy session on the same client. The University Speech, Language, and Hearing Clinic is located on the outskirts of the University of Houston campus. The neighborhood is known as “greater third ward”, the clime reports a high. On hand the clinic hours of operation are from 8:00am-5:00pm, during the day light crime rates decrease dramatically, and the security campus is always nearby. The building itself looks great on the outside but would not hurt to re-model the inside a little bit. The rooms have enough space for the client chairs, table, cabinet for putting things in, camera recorder, and some rooms even have a mini couch inside. The clinic has a huge observation room where parents, family, and observers can sit and listen though a huge one-way mirror.

CM inquired how the client and her son was doing , Client stated she and son Christopher are doing well, she’s also looking for a job even though her medical condition limits her from doing much. Client stated she applied to a few fast food restaurants and is waiting for a responses. Client also informed CM she went to her WeCare program today. Client reports her next appointment with WeCare is October 12, 2017 at 1pm, at that time she will know if she able to work or not because of her medical

Undergoing frequent health examinations is important in the name of identifying problems before they spiral out of control. Prevention is of course far more powerful than cure, and having regular checkups may identify areas of weakness to address before a condition develops.

Physical symptoms and personal life changes may lead to emotional dysfunction and can result in worsening the patient’s health if not taken seriously and give immediate help. Life changes are an important role in a person’s life and the perfect way to help the patient is being a great listener and supportive of the events that may occur. A person with serious symptoms and severe illnesses that will affect them for the rest of their life need a person to be there when others may not. Being emotionally supportive is part of working in the medical field and getting the right training may encourage the patient to have more hope and change their mood to being more positive.

A suggestion I would make to one of the clinicians I observed will be to focus her activities on things that are of interest of the client. During a session the child was not interest on at all on completing any of the task, the clinician didn't have any reinforces to work with child. The clinician showed the child the chart with the activities of the day and there was a sticker reward to which to child responded negatively. Besides that, they were sitting on a rug where the child had no control of his body, he started changing spots on the rug and lost the track of the activity in the moment. I would recommend the clinician to use a chair and a table to have more control of the child movement and a better reward for the child to make him work

I observe the following during my clinical experience at the YMCA after school program, • teacher and teacher assistants interacting with students during free play and snack time. • students having social interaction with each other during activities. • Students receiving assistance from staff members.

Sometimes we are so focuses in caring for our patients that we are blind-sighted to the importance of caring for not only the patient, but their loved ones. Loved ones play a significant role in ensuring the well-being of patients. While walking down the hall one morning at work, I could not help but hear what sounded like an altercation between two people in a patient's room. I had reviewed all the charts of the patients who were assigned to me early that morning, because I like to mentally plan my day. I knew that the patient who was in room three was coming in because he was being treated for pneumonia for three weeks with prednisone, without any improvement in his symptoms.

The summer before 11th grade, I volunteered at the Baylor College of Medicine Sue and Lester Smith Breast Infusion Center. While there, I assisted the nurses with making the breast cancer chemotherapy patients get comfortable with snacks and blankets, organizing medical supplies. However, since all these tasks didn’t take too long, I often had majority of my day to spend time with the patients. I gave them company during their 2-4 hour long chemotherapy treatment and listened to their anecdotes about life and advice for me as I continued high school. By the end of the summer, I knew all of the patients inside out ; name of their dogs, their favorite ice cream flavor, their most memorable vacations. However, one of the patients really affected my take on life.

As a senior in high school, I had no idea how important this kind of social support was for the healing process. I am incredibly glad I self-taught Psychology 101 so I could sign into higher level psychology classes like Adult and Health Psychology. My Health Psychology class taught me to understand the medical process through the biopsychosocial approach, where psychological and social factors contribute to the overall health of a person. In our discussion about stress, I

By sampling over one thousand adult patients in the United Kingdom results were collected and analysed to clearly show improved patient health, coping, communication with health professionals, in addition to reduced time spent in hospital (The Health Foundation, 2011). This case study’s results demonstrate the importance of compassionate care in both the physical and psychological healing process of an adult patient.