The Patient Story The patient interviewed is a 21-year-old Caucasian female who will be referred to as C.L.; she was recently diagnosed with Pulmonary Hypertension (PH) and wants to seek more information about how to manage the disease. She is currently a nursing student at the University of Minnesota who enjoys playing soccer, being a part of her student organizations, and hanging out with her friends. C.L. experiences symptoms and complications such as dyspnea (shortness of breath), dizziness, chest pain, activity intolerance, and weakness due to her PH. These symptoms are felt when she exerts herself too much. Recently, every day activities such as walking have made her experience these symptoms, which is why she came to the clinic. She has a very supportive family that consists of a twin sister –who also goes to the University of Minnesota—and her two parents who want to help in any way they can.
Assessment
Learner(s): C.L. would like to be the main learner of her illness, but she also wants her parents, close friends, and roommates to be aware of how her PH will affect
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mentioned that she would like to learn in an informal setting where she can learn with her peers. An optimal environment for C.L. to learn more effectively would be a small study space in her apartment instead of a classroom or in a hospital room; this would provide an informal, quiet environment that C.L. is already used to. This teaching session will be done during the weekend because C.L. is very busy with school during the week. Some of the resources that will be used include Wi-Fi, one laptop (either the patient’s or an available one), and her mobile device. Her roommates, friends, or parents will be allowed to join her teaching session, but are not obligated to come. Privacy will be kept by putting up a sign on the study room door stating that the room was reserved. Also it is important to notify her potential caregivers to arrive on time to the session, so they do not
During the interview, the Physical Therapist I conferred with was very thorough and straightforward in his responses to the questions that were given. I decided to interview another one of my mother’s fellow co-workers, Mr. Stephen Chan, considering his new experiences in the Physical Therapy field. I met with Mr. Stephen Chan at the Kaiser Permanente Outpatient Orthopedic Clinic that is located in Union City. The essential subject matters that we discussed consisted of his Major and Minor in college, the Residency Program that he takes part in, variations of attitudes, and advantages in the workforce.
Regina is a 20 year-old single female who is struggling to obtain her business degree at a mid-sized university. In the last two and a half years she has only received 26 credit hours. Seeing that she is having problems, her adviser along with her parents, suggested that she attend therapy. Regina is frequently having anxiety about germs and performing certain rituals in order to lessen her anxiety. In order to be comfortable in her classes, she feels she must arrive early, find a specific desk on a certain row, and thoroughly clean the desk and seat before she can be seated. Also, before she can leave her off-campus apartment in the morning, she is finding herself spending more and more time cleaning her apartment, then showering and getting dressed, and then cleaning the bathroom thoroughly. Regina also has found herself fearful of eating in restaurants and going to eat at family and friends homes. Her fear of germs is intensifying and prohibiting her from having adequate relationships. This is leaving her to feel quite isolated and lonely.
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
Emily is a neonatal intensive care unit (NICU) nurse of 11 years. Emily routinely provides care for babies as small as 800 grams (about 1 and ¾ pounds), babies born with drug addictions, and the routine twins and triplets born as a result of fertility medications and assisted reproductive technologies (ART). As a strong Christian woman, Emily wasn't sure she could fulfill the tasks required of her when she first came on. Nor did she think she could cope with the occasional “expiration” of a young life. However, after more than a decade, Emily continues to provide exemplary care to babies, and parents alike, in the first few weeks and months of life. Throughout her decade long career, Emily has seen much change and continues to see the landscape transform within her small part of the nursing community.
The purpose f this paper is to answer the following question- where does patient autonomy leave off and professional expertise begin in the practice of medicine? Also, a brief personal analysis about the differences between doctors encouraging patients to question their judgment and doctors who believe that such deference is “pandering.”
A university class had watched a video on communicational skills. Subsequently, the students were asked to compose an essay based on several themes displayed in the video. The topic of this essay will revolve around the advantages of therapeutic relationships. This essay will evaluate the effectiveness of therapeutic relationships, effective communication correlating to this, and the benefits it has for the patients. In addition, the ANMC competencies will be assessed and 3 topics from a particular domain will be chosen which are believed to be the most relevant.
It just so happens that I believe that I can best and most effectively “lend a hand” when a person is at their bodily weakest. From a single semester of shadowing—a total of 11.75 hours—under physicians and surgeons alike, I have experienced a taste of the medical field from the fascinating gruesome finesse of an open-heart surgery to the day-to-day clinical patient interaction that makes up so much of a medical professionals career. From a community standpoint, I believe that a person does not need to be a doctor to express and achieve care. Because of that, I have joined organizations such as Chords4Kids on the TCU campus—that sings nostalgic songs from the 2000s to down-syndrome children at the local education center as well as at retirement homes, and other events alike—and the TCU GO Center, which mentors local high-school students during their college application process. For the later, I have been given the responsibility as the Executive Organizer for their annual “College Access Day” which provides local students with college information workshops and campus tours. I have also actively
For this assignment I had the pleasure sitting down with Emily Petermeier and getting an insight on what the real nursing world is like. Emily graduated from the University of Minnesota School of Nursing in May 2015, and got a job at Fairview East Bank Hospital. This interview really helped me understand what it is like to be a new nurse and the dedication that I have to have going through nursing school and throughout my career. In the interview you will see the perspective of Emily’s endeavors after college and insight for future nurses or nursing students.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
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,
The intake interview assists in establishing and diagnosing any problems the client may have. The therapist may then explain to the client what to expect during the interview, including the time duration. A good assessment/ or intake will focus on the individual situation, strength and coping mechanism. The intake form is for the client, it gives the therapist more information and an idea of who you are. The intake process that is considered of a series of questions and consent form that the client has to sign and agree to. A professional relationship between a counselor and a client begins with an intake interview.
Hinkle, Janice, and Kerry Cheever. “Management of Patients with Chronic Pulmonary Disease." Textbook of Medical-Surgical Nursing, 13th Ed. Philadelphia: Lisa McAllister, 2013. 619-630. Print.
There were a number of nursing priorities identified, the patient also has hypertension. The key priority for nursing care with this patient is her learning disabilities and the potential communication barriers that may occur. The patient’s hypertension is well controlled with medication for these reasons I will focus this assignment around communication barriers with people with learning disabilities, the importance of good communication between the multi-disciplinary team within the unit. I will also explore any issues with consenting to the procedure as it is imperative that the patient is fully aware of the procedure and understands the possible risks and complications.