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My First Clinical Experience At The Va

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My First Clinical Experience at the VA

Thursday morning was one more day that I experienced nursing in a different setting as a LPN. I was extremely excited to get to the VA with everything in place this time. I knew I would get to do something new! I was picked to go work with DR. Frank Gyimesi and his nurse, Helen, who is a LPN. It has been 4 years since I have worked in women’s health. After going under Helen’s wing and getting educated on the VA, who is eligible, and getting an education on the use of their eligibility, is unbelievable. Women veterans health care is a growing program for today’s health care system due to the number of women that enter the military compared to many years ago. Military sexual trauma is something that …show more content…

However, this was the most grateful women that I have ever meet as well she had the most contagious smile that could light up a room! Most of all, she needed medical help due to her age, she was a smoker, her birth control needed changed, she had previously had two abortions, and she was homeless so she needed something that would have a longer outcome. DR. Gyimesi gave her scenario to me as a case study and asked what I would do and why. I explained IUD with these following reasons: the patch she did not like and had a positive pregnancy with, being a smoker increased the chance for blood clots, the pills I thought would not be a good choice because she is homeless and due to her brain injury, she was forgetful and not stable. She did not want a tubal due to the fact one day in her life she may be normal again, so I felt that was not an option. The VA doesn’t do implants under the skin so that was also not an option. I then mentioned the mirena, but the only downfall would be that she had previously been on depo and it could be a while before her menstrual cycle starts. He could have put the mirena in that day, but the procedure may be difficult. Therefore, he presented her with my options and she choose the Mirena. After she made her decision we prepared her along with educating her. DR. Gyimesi grabbed my hand and involved me 110% with her pap smear, pelvic exam, and insertion of the IUD. Finally, when we started on the final bits of education on her IUD, care of the

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