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After meeting with our patient twice, I believe we have set into place a relationship where the patient is very open to us about her health. This is helpful for my partner and I as an open and honest patient is beneficial as we assist them in their health. Goals for next semester include reducing our patient’s blood sugar as well as reducing our patient’s fibromyalgia pain. Our patient has expressed to us that her glucose is high but she is ok with the high number as long as she is feeling relatively healthy. We hope to give practical ways to reduce blood sugar throughout next semester so hopefully we can reduce that number by semester’s end. Our patient is going to see her physician soon, so we hope to get an update on the patient’s fibromyalgia
when we return next year. The patient is currently not on any fibromyalgia medication. This is an opportunity I hope I can make a positive contribution if the physician prescribes a fibromyalgia medication for her. My partner and I hope to use the knowledge from our previous patient to help us with the new patient. We have learned that some patient’s will simply not change a part of their lifestyle. Our patient could benefit from losing weight but she dismissed the idea immediately. I look forward next semester to working with her on her overall health and recommending practical ways for her to reduce her pain and blood sugar.
Client shared numerous physical concerns that should be tackled right away. Client explained a fall at home was the initial reason for the visit. While client refuses to go to see a doctor it would be advised client check to make sure there’s no fractures in the bones. At the doctor it would be detrimental to discuss if the diabetes played any effect into the fall. Lastly, it would be ideal the client got a professional opinion on whether her medications are adequate. It’s evident that in order to tackle the psychological barriers, the physical concerns are also priority.
Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38. Torpy, J. M. (2011). The 'Standard' Diabetes. Jama, 305(24), 2592 pp.
Possible benefits are if a patient eats his or her breakfast and his or her blood sugar returns to normal. However, there are applications in the computer where a diabetic educator is able to view when a patient had low blood sugar and it was not rechecked in a timely manner to ensure that the blood glucose returned to normal. Managers are often being talked to by diabetic educators, because nursing staff at times decide to use their own judgment when treating low blood sugars rather than following the hospital protocol, and then nurses are forced to explain their decisions. Thus, the importance of documenting and ensuring a patient’s blood glucose has returned to normal, even though the flow chart was not implemented, is often emphasized. Discussion B Describe an ethical dilemma that could occur in your organization.
The care plan is composed of the right food, exercise and medication (Mayo Clinic Staff, 2014). The person needs to know what type of foods affects their blood sugar levels and most of the time the patient is sent to a nutritionist to follow a diabetic diet. The patient needs to keep track of a food log to discuss later with the doctor or nurse on the next appointment (Mayo Clinic Staff, 2014). An exercise regimen also helps to keep the sugar levels balanced. It is important to keep an exercise schedule that will help the person to keep an exercise routine in accord with the medications and meals. It is very important to stay dehydrated and to keep track of the blood sugar levels (Mayo Clinic Staff, 2014). The medications are to lower the blood sugar levels. It is very important to store the insulin properly, check the expiration date and double check the dose before administration. The person will need to report to the doctor if the blood sugar gets too low or still high, because the doctor might need to adjust the dosage or timing. Also, it is important for the doctor to know if the person is taking medications for other conditions, because that will help the doctor to prescribe the correct medication for the person (Mayo Clinic Staff,
Reinventing Healthcare-A Fred Friendly Seminar was produced in 2008. The film explores the current issues in health care at that time. This paper explores the issues that were addressed in the movie and compares them to the problems of health care today.
My former clinical instructor has DM1, and she taught us about carbohydrate counting, the importance of exercise, and what keeping up with insulin does. We did a carbohydrate counting project that we presented to the nurses and then to the patients. We made sure to an...
The theory used for this case study was effective, because it was able to get P to recognise that change need to occur so the support that she received would be effective. Reflecting on action the outcome of the assessment and intervention that was applied to P’s case I used supervision and to discuss concerns I had regarding this family with my PS. Supervision helped me establish my concerns and areas I required further support in application to theory in evidence based practice ‘blind self’.
Any learning that occurs should focus on treatments, tests, and minimizing pain and discomfort as they improve they can shift their focus of learning (Kitchie, 2014, p.127). I will continue to provide a meeting location that is both comfortable and private. In the emotional aspect of M.M. and her family I will try to identify moments when members feel emotionally supported as it sets the stage for a teachable moment (Miller & Nigolian, 2011, p.56). I will also discuss with each member their previous coping strategies that used that have been successful and to encourage them to find a way to build on and strengthen these qualities. Using teaching methods that are interactive and allow patients equal contributions and participation can help promote health compliance (Habel, 2005,
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
Overall this semester, I believe my writing in this course has been one of my strongest areas and I am excited to keep getting better at this skill. With my mother’s help during middle and high school, my papers have improved significantly and now I think I have a firm grasp on writing for various disciplines, but particularly professional settings like social work. I picked up on APA format quickly after doing MLA for several years and it now feels like second nature to me. There are certainly still formatting areas to improve upon and learn more about, but at this stage, I think I am progressing steadily. Thirdly, I am able to find appropriate sources easily to reference in my activity analyses, which is crucial as I advance in the program.
Considering the Beverly’s complaints, she has been undergoing through a season of stressful moments. She kept wondering why she couldn’t do the things she used to before. The doubt presented by her family members and her husband made her discouraged. This kept her depressed. She also engaged in hard activities that triggered other physical challenges that harbor the existence of Fibromyalgia and depression at the same time. Her daily activities forces her to take bed rest in order to fight the fatigue developed from the previous day’s hard labor. These are the major contributing factors to the condition affecting the
The position statement in paper 2 has an introduction and conclusion, as well as have used a large amount of evidence in the context to demonstrate the contribution of reflective practice in the health care setting. This essay has used credible and relevant references on most occasions. Nevertheless, it is not well structured. The author does not provide a clear plan for this position statement in the introduction, the context is lack of argument, and there are new information presented in the conclusion. The author does utilise several evidences from journal articles and NMBA, and yet have insufficient consideration of alternative views. Furthermore, some sentences in the context are not coherent and logical.
During my experiences working in the medical field, I quickly learned that medicine is not just about the intricacies of the body or prescribing medications to fix the body’s shortcomings. There are many more challenges and difficulties that are involved in healthcare that involve many interpersonal skills. This summer I have volunteered with the medical director at Glenaire Retirement Community in Cary, North Carolina. After a few weeks of shadowing, the medical director asked me to see a patient to discuss her primary complaints before he joined me. I went into the patient’s room, introduced myself, and waited for a response. After multiple attempts and no recognition from the patient, the physician came in to join us.
Knowledge is continuously derived and analyzed from the experience of learners validating the truism that experience is the best teacher (Kolb, 1984). The aim of this module was to assist international students improve their communication skills which is key to a successful medical practice. This essay examines my journey through the module, sums up my experience and highlights its relevance to my career.
The field of social work is one that requires much self-reflection on the part of the worker. In doing so, it helps the worker better understand his or her own emotions and the thought processes that these emotions come from. The goal of this paper is to provide my own self-reflection, relating it to my own emotional intelligence in the domains of relationships, tolerance, flexibility, self-management, and emotional awareness, and my future plans and goals in Widener University’s MSW program.