Journal Entry (450–500 words) – Check the Rubric Detail

 

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your clinical strengths and successes.

This week, you will write a Journal Entry, reflecting on your clinical strengths and opportunities for improvement. 

 

To prepare:

  • Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in Week 1’s Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
  • Refer to your “Clinical Skills and Procedures Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.

 

You will write a paper reviewing the three most challenging patients you had this practicum. Answer the following:

 

1. What made them challenging? 

2. What did you learn in dealing with these patients?

3.  What resources were you able to use? 

4. What evidence-based practices did you use in treating these patients? 

5. What new skills did you learn this practicum? 

6. What would you have done differently during this practicum if you could go back and do it over? 

7. How do you feel you’re doing in managing the amount of patients you’re seeing in the timeliness with which the patients are seen and dispatched?

 

  • Also, reflect on how to improve on your skills and knowledge and how to communicate that back to your Preceptor.
  • How are you doing? What is missing?
  • What type of feedback are you receiving from your Preceptor?
  •  

It requires the same APA requirements: Title page, headings, three (3) credible references (not your textbook), and APA formatting. 

 

Three most challenging patients:

Patient 1: 

Visit information and notes: Patient P is 19 years old who lives with his parents and two younger siblings. P has been shown a significant change in behavior since he broke up with her long-time girlfriend that they had planned to marry. In the last few months, P has been quiet, binge drinking, and irritable when someone speaks to him. When James first saw the GP, he told the doctor that the breakup brings him bad memories where the GP ruled out depression. The behavior has hardly changed, which implies the patient is suffering from psychotic episodes of schizophrenia because, during the final examination, the patient showed signs of delusions. 

Diagnosis: Psychotic episodes of schizophrenia 

Procedure: Physical examination and psychosis test 

Student treatment plan and notes: Chlorpromazine 25mg PO, taken three times daily, and cognitive-behavioral therapy to include three sessions per week for at least six weeks. The subsequent medical visit for the patient is within one week to assess the care outcomes and further care planning if required.

 

Patient 2:

Visit information and notes: Patient is a 70-year-old male who presents to the office with symptoms including general weariness, shortness of breath, and abdominal discomfort that have occurred for the past five days. His medical history incorporates hypertension and coronary artery disease. He had previously had a 90% LAD blockage and a 50% RCA occlusion, both of which had been treated with stents. 

Diagnosis: Heart failure. 

Procedure: An electrocardiogram test 

Student treatment plan and notes – Metoprolol, 50mg PO once daily. The patient is recommended to engage in physical workouts, sustain a healthy weight and diet with low sodium.

 

Patient 3: 

Visit information and notes: Patient is a 27-year-old female who arrives to the office two days after giving birth. She has significant abdominal discomfort and vaginal bleeding, according to her. However, she claims that her pregnancy was uneventful and that she had a regular vaginal delivery.

Diagnosis: Hypovolemic shock 

Procedure: A blood test is done to assess for electrolyte imbalances and an electrocardiogram to examine heart rhythm. 

Student treatment plan and notes: Care plan includes blood plasma transfusion and fluid replacement therapy.

 

 

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Reflect on your clinical skill practice (in the clinical setting and/or for required videos) by writing your response to the following prompts:

  • Describe your experience with physical assessment over the first half of this course. (What components of the exam have you completed? With what aspects of assessment are you most familiar and confident? With what aspects of assessment are you least familiar and confident? What experience have you had with pediatric, adult, and geriatric patients?)
  • Share the most exciting aspect of your skill practice to this point.
  • Share the aspect of assessment you have found to be most challenging.
  • How have your learning experiences in this course affected your current nursing role?
  • What steps will you take to overcome challenges, and increase proficiency and efficiency in your performance?

 

 

Abdominal, thorac and lung assessement. See attached document

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CategoryUncategorized
Write a comment:

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Reflect on your clinical skill practice (in the clinical setting and/or for required videos) by writing your response to the following prompts:

  • Describe your experience with physical assessment over the first half of this course. (What components of the exam have you completed? With what aspects of assessment are you most familiar and confident? With what aspects of assessment are you least familiar and confident? What experience have you had with pediatric, adult, and geriatric patients?)
  • Share the most exciting aspect of your skill practice to this point.
  • Share the aspect of assessment you have found to be most challenging.
  • How have your learning experiences in this course affected your current nursing role?
  • What steps will you take to overcome challenges, and increase proficiency and efficiency in your performance?

 

 

use abdominal, thoracic, lung assessement. See attached document for reference.

Get 15% discount on your first order with us
Use the following coupon
FIRST15

Order Now
CategoryUncategorized
Write a comment:

Your email address will not be published.

Reflect on your clinical skill practice (in the clinical setting and/or for required videos) by writing your response to the following prompts:

  • Describe your experience with physical assessment over the first half of this course. (What components of the exam have you completed? With what aspects of assessment are you most familiar and confident? With what aspects of assessment are you least familiar and confident? What experience have you had with pediatric, adult, and geriatric patients?)
  • Share the most exciting aspect of your skill practice to this point.
  • Share the aspect of assessment you have found to be most challenging.
  • How have your learning experiences in this course affected your current nursing role?
  • What steps will you take to overcome challenges, and increase proficiency and efficiency in your performance?

 

 

use abdominal, thoracic, lung assessement. See attached document for reference.

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Use the following coupon
FIRST15

Order Now
CategoryUncategorized
Write a comment:

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For each day that you volunteer, create a new journal entry in which the first line is the day, date, and time period that you worked that day. Put this information in bold font.

Write a paragraph that describes the type of duties you carried out that day (e.g., what you did, who else was there, whether you were a part of a team or were working alone, etc.).

Once each week, focus on one particular event or aspect of your work that week and describe why you found this particular task or event to be unusual or of special interest.

In a 250-300-word entry, relate this aspect of your volunteer experience to some specific knowledge that you have previously gained in your coursework to this point.

APA format is not required, but solid academic writing is expected.

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After completing this week’s Practicum Experience, reflect on a patient who presented with abdominal pain. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. If you did not evaluate a patient with this background during the last 6 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

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