Global Unit 3 Practicum Experience Reflection

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Reflection

The practicum experience helps to increase knowledge and skills learned in previous courses. It creates an atmosphere to apply evidence-based concepts of disease management to patient care plans. Sharing of practicum experiences with classmates will increase knowledge of most common illnesses treated in different practicum settings. Continue to ask questions of your preceptor and examine rationales for prioritizing diagnoses and prescribing medications.

Please share practicum experiences with classmates by addressing the following information:

  • Type of practicum setting
  • Average number of patients seen by you and the preceptor on a daily basis
  • Most common diagnosis treated
  • Available resources (low cost meds, social services, community resources, etc.)
  • Most interesting patient presentation
  • Comfort level with history-taking, physical exam, medical diagnosing, management plans including prescribing medications, and health education and oral presentations.

Patienyt information

68Y/O FEMALE IN OFFICE FOR ESTABLISH AT CARE, HX OF ANEMIA UNSPECIFIED, TRIGGER FINGERS :RT THIRD FINGER AND LEFT SECOND FINGER, ESSENTIAL PRIMARY HYPERTENSION, DEPRESSION & MORBID OBESITY. PHISICAL EXAMINATION: PT COOPERATIVE, NORMAL SPEECH, NORMAL GAIT, NO PAIN, NO FEVER, NO ACUTE STRESS AT ALL. AR: NORMAL BREATH SOUNDS, NORMAL THORACIC EXPANSION, 02SAT”:97% RA,ACV: HEART SOUNDS RHYTMIC, NO MURMURS, PERIPHERAL PULSES PRESENT, NO EDEMA. EENT: UNREMARKABLE. MUSCLESKELETAL: NORMAL ROM OF UPPER AND LOWER EXTREMITIES, FINGERS WITH NORMAL FLEXION AND EXTENSION BILATERAL HANDS, NORMAL WRISTS. SKIN: SURGICAL SCARS IN RT HAND UNDER 3RD FINGER R/T SURGICAL INTERVENTION FOR TRIGGER FINGER, BREAST: NO LUMPS, NO NIPPLE ABNORMALITIES, NO SKIN LESIONS OF THE BREASTS.GI: ABDOMEN SOFT, NON-TENDER, NO ORGANOMEGALIA, NO HERNIAS, NO ANAL FISSURE, NO HEMORROIDS.G/U: NORMAL EXTERNAL GENITALIA.NEURO: AAOX3, NORMAL SPEECH, NORMAL ROM UPPER AND LOWER LIMBS & NECK, NORMAL DEEP TENDON REFLEXES, CRANIAL NERVES: GROSSLY INTACT, NORMAL THOUGHT PROCESS, NO MEMORY LOSS, DEPRESSION SCREENING: NO SUICIDAL IDEATION, NO HARM TO OTHERS, 2 DAYS ON AVERAGE IN THE WEEK WITH SAD FEELINGS ,SLEEP 7-8 HOURS ON A DAILY BASIS, LABS ORDERS & REFILLS WERE GIVEN

This is for clinical in a geriatric clinic most of patient have diabetic and hypertension

 
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