Personal Narrative: My Family Practice Practicum

In the first hour of today’s lecture, Dr. Schommer introduced today’ topic by an interesting exercise. Actually my English is not that fluent, so I know how difficult it is for a foreigner to understand Americans thoroughly. Regarding patient experience, health care providers should make medication and therapy decisions with the patients equally, and, what is more important is to consistent of the decisions and follow up.

The Doctor of Nursing Practice (DNP) helped me to develop leadership skills in my nursing practice by utilizing the integration of nursing science, theories, and concepts with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice. At the start of the DNP program, I was a clinical bedside nurse with limited skills as a nurse educator and leadership, now I feel I have achieved mastery in developing leadership skills as well as increased confidence in the use of evidence-based practice and research. Examples of critical events that have stimulated my growth in the program include the DNP project plan and the workshop implementation.

Week three in clinical was difficult for me, I had a great experience overall but I hated seeing and holding a baby that had passed away at 21 weeks. To know what the family could possibly be going through was heartbreaking. I wouldn’t exactly know what to do if I was with the patient and her family exactly. I do know that I did place her in the room when she was admitted to triage. I do feel good about seeing the scenario play out, while being a student rather than being in the field alone. Other than that I was able to see the beginning stage of labor as well as a C-section. Everyone was so bent out of shape on making sure I eat and that I don’t faint, but it seriously wasn’t bad. As a matter of fact I was too intrigued with the mother rather

As a professional administering and delegating care to a patient you have a great responsibility to communicate with them. The world of healthcare is large and to the general public is utterly confusing. As the professional you need make the patient feel secure about the care they are receiving. It also lends itself to informing the families of the patient as well. If the patient is confused, it’ the job of the professional to be the teacher. It’s not enough for the information to be given, the information needs to be interpreted.

I am interested in completing my practicum at Trinity Counseling Center, located in Anaheim, California. I am interested in completing my practicum at Trinity Counseling Center because I have personally received counseling and therapy at Trinity Counseling Center. I began to receive counseling services at Trinity in July of 2014 when I was going through a very difficult time in my life. Before I went to Trinity Counseling Center and began counseling sessions at Trinity, I received counseling services at another Christian counseling center. However, the counselor at this first Christian counseling center abandoned me. He gave me a list of local Christian counseling centers and then he abandoned me. After a few months of feeling very confused and hurt due to abandonment by my first counselor, I was able to begin receiving counseling services at Trinity Counseling

I interviewed the practice manager Wendy Jones at the Banner Health Clinic March 2017. She just recently advanced to be a practice manager for the family practice clinic that I work in. Prior to her becoming the manager she worked as a coordinator for a different family practice clinic where she directly reported to the practice manager of that clinic. In the beginning of her career she worked in a few different labs within the company. She has been with the company for 11yrs. The company that we work for has made many leadership changes to reflect having a practice manager in each clinic and cutting out supervisor and coordinator positions in hopes to have the manager more available for each clinic. Wendy is responsible for most things in

During my time shadowing physicians, I have realized that physicians need to be expert listeners in order to effectively assess a patient and fully understand their problems. I observed that the more a physician actively listens to their patients, patients trust their physician and can openly express any further troubles. My upbringing has given me the ability to be an effective listener. Raised in a quasi-conservative Indian household, I learned to carefully listen to everything my elders have to say. As a physician, I will take advantage of this skill to be an active listener for my patients and be able to better implement the appropriate treatment plans.

“How can I be good again? I just lost my wife and son in a car accident. There's nothing in life that can cheer me up. I have become an alcoholic who is now jobless.” I said. My Therapist, Dr. Newman, told me “Trust me, Mr. Smith. Only time can heal your wounds if you allow it to. Well, that's the end of the session, and I want to recall the accident that occurred so we can talk about it tomorrow.”

I had such a great day at clinical yesterday. I was finally able to see a vaginal delivery and that entire process. When I arrived in the morning, the mom had just received Cytotec, to help induce labor and ripen her cervix. She was forty-one weeks and zero. Around ten thirty in the morning, she asked for her epidural to manage her pain. We bolused her with fifteen hundred milliliters of lactated ringers to prevent hypotension. Shane was the certified registered nurse anesthesiologist (CRNA) who administered the epidural. It was very cool watching him administer all the needed pain relief medication before he administered the epidural to make sure that it would be placed in the epidural space in the spine. Then administered a small test dose, waited till a few blood pressures were taken, then administered the remaining about through an epidural pump. After the epidural was administered, I was able to administer her foley catheter. I was so happy that I was finally able to place one. I learned a few tricks from Maura (my nurse) as well. She taught me that it was easier to take the top off of the lubricant syringe and to place the tip of the foley inside of the syringe, that way it will not wiggle around and become unsterile. She also taught me to grab from the bottom of the labia and pull up, that way it ensures that I will have a clear entrance to

“I want to live.” She said. She lifted her feet off the small coffee table and set them gently on the floor as she continued to look through me, too interested on the inner workings of her own mind.

I have had multiple clinical practices, however, out of all the experiences during my shifts, there is one particular event that holds great meaning for me. This event happened on my fifth clinical day of this semester, which was the day I first dealt with two clients.

The phone was ringing as I stepped into my house. My mother picked up the phone without realizing she would shortly be sent to her knees. She yelled for me to get into the car and we rushed into the hospital. As hectic as the situation felt, time seemed to pass by very slow in that car. We finally arrived to the hospital to find my father nervously talking to the doctor. I learned that my brother had been brutally beaten up by a couple of teenagers on his way home from school and, as a result, had lost most of his teeth.

Throughout my life, I always helped people with different issues and tasks they either asked me to do or I was willing to help them. Overtime, I realized that I wanted to do therapy to help people with different and disorders. Recently, after taking a survey about my different interests, I saw a career that I never knew about before called “Family and Marital Therapist.” I skimmed over the information about what they did. And, it dawned on me that, “I can help people with family/problems in their marriage.”

When I first became a therapist I would read different articles to keep up with pediatric therapy and attend courses. After I had my first child, I greatly decreased my work hours which caused a great decrease in income. The decrease in income limited my ability to access articles as I could no longer afford APTA and I had to reduce the number of continuing education classes I was taking. I easily became frustrated with the internet with not being able to access articles. Fortunately, I live in metro Atlanta where we have many good, high quality, pediatrics conferences which helped to reduce my continuing education cost.

Providing a nursing care, gives us the opportunity to learn that clients with the same co-morbidities will be different from one-another and each case will be unique, hence it will affect the planning our nursing care. In our case, we are caring for a patient that has several diagnoses: Insulin Dependent Diabetes Mellitus, Congestive Cardiac Failure, Chronic Renal Failure, Deep Venous Thrombosis and Rheumatoid Arthritis. Knowing patient’s condition, we should know that we are looking after a patient with polypharmacy, in this case ten different drugs that our client is taking on a regular basis. As a competent nurse, we should know the pathophysiology of patient’s co-morbidities, but also, we must look backwards into our client’s health history in order to understand their current clinical manifestations. Providing care on our ward, we will perform “Head to Toe Assessment” or obtain baseline data, as well as, assess their current signs, symptoms and attend all of the applicable charts.