My Third And Final Clinical

During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,

This paper explores the scenario of a client and looks at the presenting problem from an ecological and strengths perspective. It will also explore advanced clinical skills, intervention strategies and ethical dilemmas encountered. Methods for evaluating progress will be discussed within the social context of the case. Termination and follow-up approaches, and any ethical dilemmas will be included. Any problems with oppressed populations will also be discussed. Finally, the limits of the chosen model and limits of the practitioner, evolution of client and practitioner identities, any ethical or social justice issues for the agency, and an evaluation of the practitioner’s effectiveness will conclude the paper.

I am the physical therapy team leader at a pediatric outpatient physical and occupational therapy clinic. This clinic evaluates and treats children between the ages of birth and 21 years with a variety of conditions, including, but not limited to: developmental delays, orthopedic and neurological conditions, brachial plexus injuries, torticollis and plagiocephaly, and autism spectrum disorders. Occasionally, the therapists will evaluate and treat an adult patient with developmental disabilities. The clinic is open five days per week with four occupational therapists, three physical therapists, one physical therapist assistant, and a Spanish-speaking interpreter. As the physical therapy team leader, I work with the occupational therapy team leader to suggest, establish, and implement new programs at the clinic, under the direction of the therapy manager.

During my clinical rotations, I learned a range of nursing skills on the job, while also developing the ability to think on my feet

I achieved and exceeded the expectations of the 6 core clinical competences and performed superiorly on my in-service examinations. In addition, I made good use of this time to strengthen and improve my leadership and teaching abilities, including monitoring and supervising interns, medical and pharmacy school students. Beyond that, I learned how to better balance my work and personal life, and how to efficiently handle multiple tasks at the same time. This experience also has contributed to making me a much stronger, and more confident person and further confirmed my decision to become a physician. Now I am fully confident to become the best physician I can

I decided to search for an experience that looked deeper into the field of physical therapy that would provide me with a unique experience other prospective students may not have. This led me to researching what the profession needed to do to provide the best care possible that would leave an individual satisfied with every visit. I found that there were numerous challenges facing the physical therapy profession but I was intrigued in how the healthcare insurance limitations, personal finances, and actual time spent with the physical therapist could all potentially alter the quality of care a patient received. For this reason, my path toward becoming a physical therapist started. I knew that as a future physical therapist my career goal will be to ensure quality of care takes priority to improve the patient’s quality of

This was the best clinical experience I had in nursing school because I felt as if I was truly making a difference in peoples’ lives. I was supporting mothers with the delivery of their babies and completing families.

In 10 years, I hope to be a graduate from the University of California, Riverside, School of Medicine and be a practicing physician in Southern California. Though I will thoroughly explore all specialties, I have a particular interest in pediatrics. With frequent visits to the doctor’s office due to illnesses and infections from my vesicoureteral reflux, the health care setting became a place I was comfortable with. I developed a strong relationship with my pediatrician and aspired to be like him. Becoming a pediatrician would allow me the privilege of watching my patients grow up and develop a relationship with them and their families. The root of my interest lies with my love for working with children. Throughout high school, I thoroughly enjoyed my time volunteering at a summer camp for elementary school children. My recent experiences tutoring disadvantaged children through Project Literacy at UCLA and volunteering at Kids Come First Community Health Center in Ontario have confirmed my decision to pursue pediatrics. My time at Kids Come First has exposed me to the health issues those in Inland Southern California are facing. Through my time at UCR School of Medicine, I hope to develop strong relationships with nearby hospitals and clinics, so that I would have the opportunity to continue serving that region. I would also love to incorporate my passion in community service into my career. I want to not only focus on healing individual patients, but improve the health of

My clinical experience for this semester was an opportunity to follow the house supervisor at Trios Healthcare in Kennewick, WA. The courses at Washington State University (WSU) consisting of leadership and management have taught me the value of collaboration as well as communication. With the opportunity to follow the house supervisor I was able to apply this knowledge to my clinical experience. This was especially good because one of my learning objectives was to participate in the management of admissions and transferring patients in the

Reflecting on my past clinical experiences there were many positive occurrences that have given me the opportunity to learn and practice my clinical skills. However, there have been some negative experiences as well that I can only reframe into a positive experience to learn from. My most negative experience was probably during my fundamentals clinical because I was so new to the world of clinical and it all seemed to be a mystery to me. Unfortunately, my clinical group members and I did not get along well with one another which made the tasks much harder for me. I remember on multiple occasions not having a partner to help during AM care of a heavy or fully dependent patient and having to enlist the help of a CNA or RN because my clinical group members refused to help me. One time in

After my outpatient observation, my impression of the Physical Therapy profession changed in the sense that I gained more respect for those in the field. The profession of Physical Therapy requires skill, knowledge, and many years of education. Before my observation, I did not truly understand what the profession took to be successful.

Clinician met with individual out of LCCC at LPS for regular scheduled appointment. Since this was the 1st session, Clinician utilized the "Mood Dude Heads " and "FeeLeez" to build therapeutic rapport, to explore triggers/resources for current stressors, and to explore also his ability to follow instructions and self control. Clinician asked open-end and close-end questions to assess current levels of functioning, including thoughts and feelings.

My first opportunity to work with children was during my second year pediatrics rotation, where I grew to love the specialty. It gave me a chance to interact with age groups ranging from neonates to adolescents, each with their own unique set of conditions. I vividly remember an eight-year-old who was admitted to the pediatric service with congestive heart failure. During my first interview with her, she was very scared and shy. Upon further discussions with her mother, I realized that she associated my white lab coat with injections and pain. The next time I met the girl, I went without my white coat. She was more cheerful and it was easier to gather her problem history. I realized that earning a patient’s trust is the key and to do so, I must empathize with them and creatively address their concerns. This requires verbal as well as nonverbal listening skills and patience. Overall, it was a truly satisfying experience, to make her feel comfortable, understand her issues and provide her the care she needed.

I call it ‘the work of my dreams’ for a reason. Like many people, I dream about having a decent future, the kind of work that will turn me on for a lifetime. I have been a big fan of the career, Physical Therapy. Physical Therapist plan, prepare, and carry out individually designed programs of physical treatments to maintain, improve, restore physical functioning, alleviate pain, or prevent physical dysfunction. Although it’s easy as it sounds, it needs a graduate degree to get there, and the studies are intense. When I was a kid, I’ve witnessed experts who work with patients one-on-one, and I saw them progress through treatment. It just caught my attention that these physical therapists really are making a difference in their patient’s

At the end of the appointment, the student stated that she had felt that I had “put them through the wringer” that my comments were unreasonable as they had only been in the clinic for three months. My reply was that they were a qualified registered osteopath and there wasn’t any difference in examining a teenager, a child or an adult, in that we still needed to communicate and obtain consent and that all patients were entitled to respect which meant maintaining their modesty. I suggested that they reviewed section C6 of Osteopathic Practice Standards Review; patients’ dignity and modesty.