Patient Reflective Essay

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

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.

As a person I don’t just show leadership and service, I also have good morals. The three characteristics that describe me the most are good citizenship, responsibility, and respect. To start, when I went down to Atlanta for my youth group’s mission trip, I showed good citizenship. While we were down there, we helped out with the Atlanta Food Bank. Although we weren’t the only ones helping that day, we were very productive. We had numerous tasks to accomplish like checking the item’s packaging, checking expiration dates, organizing the items into different boxes, and weighing the boxes. In the end, the items weighed over 9,000 pounds. This shows I’m a good citizen because I don’t just care about Central Pennsylvania, but I also care about America

In recent years, reflection and reflective practice have become well-known term with in the health care arena. They are words that have been debated and discussed with in the health care setting (Tony and Sue 2006). Reflective practice is essential for nurses, as nurses are responsible for providing care to the best of their ability to patients and their families (NMC, 2008). Reid (1993) states reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. Johns (1995) notes that reflection enables practitioners to assess, understand and learn through their experience. Reflective practice, therefore, offers nurses an opportunity to review their decisions and

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

Shortly after the fibroid removal, aggressive intestinal shaking, chronic stomach swelling, and burning pain in the upper right quadrant area began. I had never felt such depilating pain. I sought for expert help, but it was difficult due to the lack of insurance that cause me to stay in bed the first year. I reached out to Dr. Tarek Bardawil (Gynecologist of the Miller School of Medicine) after examining me he referred me to his associate Dr. Alberto Iglesias (General Surgeon.) During this time, Dr. Iglesias left UM, and my condition deteriorated. My primary care physician, Dr. Elizabeth Philippe attempted to obtain help for me through the clinical system, but she was unsuccessful. After suffering and suffering I went to Fort Lauderdale

While taking the course Healthcare Delivery in the United States, I have been able to identify some key elements that have brought me to a new level of understanding about our healthcare system. For instance, learning about telemedicine helped me to realize how important it is to have access to a medical provider because based on my own experience, when you live in an isolated area the lack of available medical attention leaves you with a sense of helplessness. Telemedicine has brought relief to many due to the fact you can find any type of physician and get medical help with a simple click of a mouse. Then once learning about all of the online advantages with telemedicine, I discovered that the internet has the capability to transform our

My goal for this semester in clinical is to improve the skills that I learned in the lab and to be able to perform it properly without putting myself and my patient in any danger. I would also like to learn new skills that my instructor is willing to teach us.

This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as

Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the

I have selected the above topic as it allows me the perfect opportunity to integrate clinical experience from my current rotation on maternal and fetal medicine. While a community development programme that encompasses prevention of infection, early identification of infection and improved treatment is of utmost importance, one that addresses the complex social issues existing within communities is paramount. After delineating my priorities I will examine some of the key differences in care between mothers with HIV infection in sub-Saharan Africa versus those managed under the high-risk obstetric clinic in metropolitan Melbourne. Insight into the care of pregnant ladies suffering from the social and psychological turmoil of HIV-related stigma has been challenging but invaluable for my knowledge as a future doctor.

Your statement about patient empowerment causing fear and anxiety made me realize why a mother would not want her child to be admitted after he had an ALTE in my clinic one night.

It is important as a student to feel welcomed, included, and valued during clinical placement, as this improves the students’ motivation, self-confidence, and self-respect (Dale, Leland and Dale, 2013). This paper will reflect on an incident that occurred on my third day in newborn special care nursery. This reflection will follow the well-known reflective cycle from Gibbs (1988).

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking

I met Mr. Abidali due to his participation in a physician shadow program here at Banner University Medical Center. Ahmed was assigned to me, and it was a great pleasure to interact with, and teach him over the past year. His passion for absorbing knowledge was unparalleled among the crop of young adults, and reminded me of a time years ago when I first felt the spark of desire for all things medicine. It is truly enjoyable to associate with Mr. Abidali and could not be more excited in hopes to be a colleague rather than mentor.