WK 5 ASSIGN 2 Sanchez+M

docx

School

Jomo Kenyatta University of Agriculture and Technology *

*We aren’t endorsed by this school

Course

504

Subject

Nursing

Date

Nov 24, 2024

Type

docx

Pages

Uploaded by ochandadebra

1 WK 5 Practicum Experience Journal Entry # 2 Mekeshia Sanchez Walden University NRNP-6541F-4 PRAC Dr. Lisa Rinsdale April 2 nd , 2023

2 WK 5 Practicum Journal Entry # 2 Nursing practice is dynamic with increase in complexity of patient issues, new diagnostic techniques and also some changes in practice. Nurses get exposed to different patients with different concerns, some of which are challenging. However, they are required to use their clinical knowledge, technical skills and their critical thinking to provide the best services. In my practicum experience, I’ve come across different patients’ cases with different cases. I admit I’ve learnt a lot, sharpening my skills throughout. This journal reflects the most challenging case scenario I found during the practice, what I learnt and how I would handle the patient different from my preceptor. It will also display the challenging cultures that I experienced when handling patients during the practicum. Case Scenario I experienced several interesting cases which I feel helped me to gain skills and confidence in providing peds care. One of the interesting cases I experienced in my clinical experience was a 16 y/o female accompanied by her mother. Her mother reported that the patient has been losing weight recently at a huge rate. She also explained that the patient has been missing some periods and was not eating. She recently noticed some laxatives in her room and was waking up at night to do exercises. She had been attending gym classes more than ever explaining to her mom that she wants to maintain her shape. The patient had However, the patient reported that she is okay with her conditions. This case was interesting since obtaining the patients information solely depended on developing rapport with the patient. I learnt some skills to use when obtaining history from adolescents especially those who are embarrassed to expose their health concerns. After empathizing with her, the patient later reported having increased stress life and was embarrassed due to her weight. She was therefore exercising, restricting food and self-inducing to vomiting.

3 What I Found Challenging I found it challenging in the assessment stage. Initially, I lacked the confidence in communicating with this patient since she didn’t want to say anything regarding her health. Without enough patient’s information, it can be hard to diagnose the patient. The patient felt embarrassed and was reluctant to explain about her present illness. I believe without the patient’s health history, there could have been possible misdiagnosis. This is because there needed information to help narrow down the etiologies, secondary and primary connections between weight loss and dysmenorrhea. In addition, it was difficult to identify whether the patient required emotional support or not. What I Would Do Differently Basically, adolescence is considered a stage where adolescents face hormonal challenges, sexual development and physical growth. According to Cassiani, et al, (2022), handling patients in this stage requires specific communication approaches and caregiving skills. If I was handling this patient, I would first initiate a welcoming space for the patient. This can be through empathizing with the patient, active listening and supporting her rather than just assuming. Despite that the information provided by her mother was enough for diagnosis, the patient still needed emotional support. I would therefore give the patient more time, interact with her and educate her other alternatives to help her manage weight rather than restricting food. Considering that she had fear of gaining weight, she would still continue with her behaviors regardless of the medication provided. Challenging Cultures There are several cultures that may influence care given and interventions that are selected for patients. The cultures may also affect the social interactions and the autonomy of the patient (Chen & Farruggia, 2018). For instance, in this case, the patient was reluctant to

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

4 talk in absence of her mother. She had low self-esteem which made it hard to develop interactions with non-familial others. Conclusion In conclusion, nurses come across different situations some of which are challenging. These incidences help nurses to gain confidence and improve their skills in handling more complex cases. This case highlights the importance of understanding patients’ perspectives, and approaching patients uniquely. Patients needs to be involved fully to the treatment plan, and initiate trust which in-turn helps in improving medication adherence.

5 References Cassiani, S. H., Dias, B. M., Beltran, M. P., Gualdrón, L. M., Pérez, T. R., Aguilar, G. M., Loli Ponce, R. A., & Valdivia, A. R. (2022). Concepts and issues related to adolescent health in nursing education. Revista Latino-Americana de Enfermagem , 30 (spe). https://doi.org/10.1590/1518-8345.6166.3651 Chen, C. S., & Farruggia, S. (2018). Culture and adolescent development . ScholarWorks@GVSU | Grand Valley State University Research. https://scholarworks.gvsu.edu/cgi/viewcontent.cgi? article=1113&context=orpc

Related Documents

839383383-Nursing care plan (1).doc

The health of African Americans Living in Connecticut.docx

WhatsApp Image 2023-12-04 at 11.01.28.jpeg

Asthma.docx

Untitled document.edited (73).docx

Amended Literature Review Matrix Assignment July BB to write Literature review Assignment 4.docx

957916.docx

NSG5210 PART 2 INSTRUCTIONS.docx

DS.docx

RESPONSES WEEK 8 DISCUSSION TRANSITION 10, 11, 12.docx

Day 4 Hospice.docx

Part 2 crtique.docx

Recommended textbooks for you

Understanding Health Insurance: A Guide to Billin...

Health & Nutrition

ISBN:9781337679480

Author:GREEN

Publisher:Cengage

Comprehensive Medical Assisting: Administrative a...

Nursing

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Cengage Learning

Intro To Health Care

Health & Nutrition

ISBN:9781337338295

Author:Mitchell

Publisher:Cengage

Case Studies In Health Information Management

Biology

ISBN:9781337676908

Author:SCHNERING

Publisher:Cengage

3-2-1 Code It

Biology

ISBN:9781337660549

Author:GREEN

Publisher:Cengage

Biomedical Instrumentation Systems

Chemistry

ISBN:9781133478294

Author:Chatterjee

Publisher:Cengage

SEE MORE TEXTBOOKS

Recommended textbooks for you

Understanding Health Insurance: A Guide to Billin...
Health & Nutrition
ISBN:9781337679480
Author:GREEN
Publisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Intro To Health Care
Health & Nutrition
ISBN:9781337338295
Author:Mitchell
Publisher:Cengage
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage
3-2-1 Code It
Biology
ISBN:9781337660549
Author:GREEN
Publisher:Cengage
Biomedical Instrumentation Systems
Chemistry
ISBN:9781133478294
Author:Chatterjee
Publisher:Cengage