Advanced Nurse Practice Reproductive Health Practicum Assignment Paper

JOURNAL ENTRY #1

To prepare:

• Refer to the current Clinical Guidelines and consider how these guidelines inform your clinical experience.  (Down below at the end of the page)
• Refer to your FNP Clinical Skills and Procedures Self-Assessment Form you submitted in Week 1, and consider how your self-assessment might inform your Assignment. (Down below at the end of page)
• Refer to your Patient Log in Meditrek and reflect on Weeks 1–5 of your clinical experience. Consider your observations and experiences with patients during this time. (I have seen patients in women clinic, I have seen obstetrics and gynecologic patients) Advanced Nurse Practice Reproductive Health Practicum Assignment Paper
  

  ORDER  HERE A PLAGIARISM-FREE PAPER HERE

Journal Entry #1 (450–500 words):

In your journal entry, answer the following questions:

Learning from Experiences

• Reflect on the 3 most challenging patient encounters and discuss what was most challenging for each.(***** you can add, change, cut or make up something to give a good answer to this question*****) ((1)I had a patient that speak Swahili only, she just moved to Sioux falls from Burinda, she come in due to dysuria, although we had a video translator, communication was difficult, I try my best to explain and make sure she understood the plan of treatment, but I felt that something was missing. (2) I had a patient that come in for an OB check up, she was spotting, my preceptor and I ordered an ultrasound and found out that her baby was dead, it was an early pregnancy but the patient was destroyed, she couldn’t accept that her baby was gone, and was telling that sometimes ultrasound and test are wrong, we had to call her husband and after a lot of tears, she calm down. Sometimes is hard to find the right words to console your patients. (3) I had patient coming to check for STD, she just had a baby 3 months ago, and her husband had an affair, after testing she was + for chlamydia and gonorrhea. I gave all the resources available to my patient ( treatment for STDs, referral to talk to a consoler) but is was difficult to deliver the news.
• What did you learn from this experience?  (**** you can make up anything to give a good answer*****) Advanced Nurse Practice Reproductive Health Practicum Assignment Paper
• What resources did you have available? (**** you can make up anything to give a good answer*****)
• What evidence-based practice did you use for this patient? (**** you can make up anything to give a good answer*****)
• What new skills are you learning? (**** you can make up anything to give a good answer*****)
• What would you do differently? (**** you can make up anything to give a good answer*****)
• How are you managing patient flow and volume? .(***** you can add, change, cut or make up something to give a good answer to this question*****) MY preceptor Dr Radigan, is very efficient and has between 10 to 18 patient per day. I wish I could see all those patients with her, but We have to respect the patient decision, usually the nurse ask the patient if it is okey if the Dr. comes in with her student and some days I will have a good number of patient agreeing to let me come in, and some days, not. Since most of our patients need vaginal exams, breast exams, Its is understandable that they will like privacy. Advanced Nurse Practice Reproductive Health Practicum Assignment Paper

Communicating and Feedback

Respond to the following reflective questions:

• How might I improve on my skills and knowledge, and how to communicate that back to my Preceptor? (**** you can make up anything to give a good answer*****)
• How am I doing? What is missing? (**** you can make up anything to give a good answer*****)
• What type of feedback am I receiving from my Preceptor? (**** you can make up anything to give a good answer*****) so far my preceptor told me I am doing great

Clinical Guideline Resources 

• As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; for the CDC – zika in pregnancy, etc.).
• American College of Obstetricians and Gynecologists.Links to an external site.(n.d.). https://www.acog.org/
• American Cancer Society.Links to an external site.(n.d.). https://www.cancer.org/
• Centers for Disease Control and Prevention.Links to an external site.(n.d.). https://www.cdc.gov/
• ANA Enterprise.Links to an external site.(n.d.). https://www.nursingworld.org/
• American Association of Nurse Practitioners.Links to an external site.(2020). https://www.aanp.org/
• HealthyPeople 2030Links to an external site.. (2020).Healthy People 2030 framework.Links to an external site.
  https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework
• S. Preventive Services Task Force.Links to an external site.(n.d.-b). Search and filter all recommendation topics.Links to an external site. https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P&searchterm= Advanced Nurse Practice Reproductive Health Practicum Assignment Paper

PRAC 6552: Clinical Skills and Procedures Self-Assessment Form

FNP Students

Summary of strengths:

Opportunities for growth:

Now, write 3–4 possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

The first most challenging encounter was communication problems due to language differences. During my interaction with a patient of African origin, collecting relevant information and data from the patient was greatly hampered by the fact that the patient had limited English proficiency. Ansah and Klugah (2021) asserted that cross-cultural communication problems (include language differences, cultural differences, and low health literacy) may have a detrimental impact on the safety and quality of care offered to a patient who is not proficient in English. From this encounter, I learned the centrality of cultural competence in today’s multicultural environment, and how culturally-competent healthcare practitioners can enhance healthcare encounters with culturally-diverse patients and other underserved populations. Some of the resources available included a Swahili video translator. The evidence-based practice used for this patient was the use of lab test (urinalysis) to check for signs of infection and a comprehensive analysis of the patient’s history and physical examination. Some of the new skills I am learning include cultural intelligence and cultural competency (Cutler, 2018). In terms of what I would do differently, I will find proper ways to ensure effective cross-cultural communication with my patients and healthcare professionals as the basic starting point for providing high quality, safe and patient-centered care and support. Advanced Nurse Practice Reproductive Health Practicum Assignment Paper

ORDER  NOW

Another challenging encounter was related to perinatal bereavement that occurred after a woman experienced involuntary or unintended loss of pregnancy. Pinkeney (2020) insisted that the provision of emotional support and patient-centered care to such patients is highly needed as the starting point to assisting the affected girls and women to deal with the emotions following the unfortunate demise of a fetus or a newborn infant. This experience taught me the greater need for delivering patient-centered care as the fundamental basis for making informed decisions aimed at improving quality of care, treatment choice and health outcomes. The resources that were available included performing ultrasound checks as well as surgical procedures (dilatation and curettage) as treatment options for an incomplete miscarriage. Tailored counseling sessions were also made available to assist the patient cope with the pregnancy loss. The evidence-based practice applied for this patient was a caring-based nurse home-visit intervention, and it essentially sought to offer a supportive and safe environment, reduce depression and anxiety through stress reduction capabilities, and manage infections (Davidson, 2018). The new skills I am learning included active listening skills, which enabled me to learn about the specific concerns and feelings of the patient, and information-seeking skills, which allowed me to gather and analyze information to aid in the clinical decision-making) (Pinkeney, 2020). What I would do differently would be to offer a compassionate care and support to the patient and loved ones and to maintain emotional resiliency as the basis for providing patient-centered care. Advanced Nurse Practice Reproductive Health Practicum Assignment Paper

Last but not least, I had an experience with a patient (a young mother) who sought to treatment for sexually-transmitted infections (gonorrhea and chlamydia). This particular case was complicated by the allegations that the husband had played a role in spreading the STIs due to his involvement in extra-marital affairs. Some of the available resources made available for this patient included medications for treatment of gonorrhea and chlamydia and a referral to talk to a counselor for STI counseling and education (Money, 2019). The evidence-based practice for this patient involved the use of evidence-based STI management and treatment guidelines. The new skills learned included counseling skills. What I would do differently touches on involving a duty to warn, through requiring the patient (woman) to be open and honest with the husband as far as the serious threat of harm is concerned following the known STI diagnosis (Rhodes, 2019).

Management of patient flow and volume was made possible by the scheduling plans by my preceptor. Improving my skills and knowledge would be made possible through continuous learning and turning the research into practice. So far, I am doing well as reflected by the positive feedback from my preceptor amidst the greater need to improve further through exploring the available opportunities for growth. Advanced Nurse Practice Reproductive Health Practicum Assignment Paper