Patient Reflection

I resist any distraction that is present during the class. There are at times students outside the classroom who are playing around but I ignore them because the information that is being told is important, because I will need to know this information for the Clinical Medical Assistant Certification Exam. In addition, I ignore my phone that is placed on my desk even when I receive a text because the information being told will not be repeated due to the fact that the day he repeats the lesson is the day I am volunteering. For example, on December 19, 2016, we were shown a presentation for the hand washing assignment, I made sure to pay attention to the steps taken, even as Dr. Levinson was explaining as the lady went on I paid attention to

Reflection is a process of exploring and examining ourselves, our perspectives, attributes, experiences and actions / interactions. It helps us gain insight and see how to move forward (Nursing Times 2018). I believe reflection is particularly important when it comes to Nursing, as medicine is constantly changing/ improving and us ourselves medical professionals must adapt with the changes in medicine. I find that reflection is extremely useful in doing this as we can look over procedures or experiences that we have had, how that made us feel, whether we would change anything, then in the future we can see the changes that may have been made, whether this has changed our feelings and opinions on medical practice.

Overall the patient had excellent homecare and was a Calculus Level One. There weren’t any risk factors discussed with this patient, but her concern about the throbbing in her upper jaw was addressed. Her general goal of the appointment was to keep her plaque score the same or lower since she was at 14%. She was a Periodontal Case Type Two based on the bleeding from probing, bone loss, and previous radiographs. The patient said she has been flossing more and is really trying to maintain her plaque score.

Today, February 3, 2017, was another busy yet successful day on the med/surg unit with Missy. The day began as a fairly typical Friday morning. I attended my weekly meeting with Taryn and I gained independence on prioritizing our patient interactions for the day. Today, I mainly focused on one patient interaction, as well as a group play session. I also observed Missy’s role in a mid-level trauma, where a 5-year-old female was shot by a stray bullet. Missy was able to provide distraction/diversion and emotional support/education regarding hospitalization.

Today in the clinic I worked on my patient Evelyn Serrano. I started her a month ago, but could not see her again until now because she is a stay home mom and is hard for her to find who babysit her kids. For today, her boyfriend did not go to work to stay home with the kid. Also, she lives in Danbury and do not drive, so she come to her appointment with me. The dental office where she had her last dental radiographs taken two years ago, was not able to send us her radiographs, and we decided on taking vertical bite wings (VBW) because she while doing her periochart she had some pockets depth between 6-8 mm. However, taking the VBW resulted very challenging experience because my patient Evelyn had difficulty biting down on the sensor. Her teeth never reached the bite block and she was trying holding it in place with her lips. In addition, she had a bad gagging reflex. At the end, I was able to take 4 horizontal bite wings and 4 periapical for the Mx/Mn anterior. The radiographs allowed me to corroborate my probing findings on her extensive bone loss. My patient had active sings of periodontal disease since she had generalized bleeding with minimum manipulation of the gingivae tissue and some of the pocket depths readings were higher today than on her last visit (which is an indicator the gingivae tissue is more inflamed than the last visit). Her diagnosed was a generalized chronic moderate periodontitis with localized chronic advanced periodontitis; and due to the presence of generalized calculus and inflammation, we decided that she will benefit if we first did a power instrumentation cleaning in her teeth to help reduce the inflammation. With the cleaning and the OHI

I was able to be more confident and assertive with all of the tasks that I performed in clinical this week, which is a huge improvement for me.

Today I was at Trauma ICU at Deaconess Main. The nurse I was paired with was named Aimee. She had rooms four and seven. Before we went to check on the patients she gave me a little background information on each one. She also took me on a tour of the floor.

I had an uncomfortable situation with a difficult patient. The tech pulled up the patient chart to see why the patient was there. In his history it showed that he had retinal detachment and was referred to a retina specialist. In his chart, there was no summary from the retina specialist. Then the tech talked to the scribe, to see if she saw that patient the last time he was there. The scribe did and remembered that the patient was told and refer to the retina specialist. Then we took the patient back to his exam. The tech asked him what brought him in today and he said something like he wanted to get cataract surgery. Then she asked him if he saw the retinal specialist and he acted like he had no clue about the retina specialist. Then she

During the ICU rotation, there was an opportunity to interview an intubated patient, with whom I was assigned to for 2 consecutive clinical days. As per the patients and reports given by the nurse, the patient came to the emergency department complaining of right abdominal pain. Furthermore, the patient's lungs were unable to compensate making it difficult to breathe due to the patient being morbidly obese. In addition to this, the patient had a past medical history of Coronary Artery Disease, Diabetes Mellitus and Hypertension and a left atrium enlargement. Therefore, the patient was admitted intubated on 10/22/2017 and taken to the ICU, as a result of a perforated viscus ulcer.

My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward.

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking

My client is a full time night shift nurse. Her nursing diagnosis during visit 3 was having a disturbed sleep pattern. She states inconsistent sleep patterns with an average of less than 5 hours of sleep per night. Our long term goal was for her to be able to sleep for 8 hours within a 24-hour period and out short term goal was for her to develop a sleep routine, track her sleep cycles and quality of her sleep.

In today’s clinical I was on the more intensive unit. When we first got their, my instructor told us about an individual on the unit and how they did not want students on the unit because of it. So when I got my assignment, I was a little scared to find out that I was on that unit for the day. I was scared that something might happen while we were on the unit and that we could of got hurt. However, as the day went day on and after being on the unit for a little bit, I was no longer scared of being on the unit. I got to see how bad some of the mental illness are and how if affects their ability to function. I got to talk to a few different patients, and the thing that surprised me the most was how long they have been on the unit. I never realized

The assignment critically discusses a reflective practice with regards to a clinical placement I undertook. In the following critical incident that I encountered I will utilize the Gibbs Reflective Model. Gibbs reflective model is fairly straightforward and encourage a clear description of the situation. Analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion and action plan where other options are considered and reflection upon experience to examine what you would do if the situation arose again (Gibbs 1998). Unlike many other models (with the exception of Boud) Gibbs model takes in to account the realm of feelings and emotions, which played a part in a particular event. My rationale for

Patient voices his first major concern as being a room transfer. My patient felt like his roommate was vulgar and disruptive. He felt like he would be more comfortable and relaxed in another room. This concern was addressed, but the there wasn't a room open at this time for my patient to move. My patient second biggest concern was when his diet was going to be changed from NPO to a regular diet. This was changed during my clinical and my patient was able to eat a regular dinner. My patient third concern was the management of his