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NR 601 Week 7 Reflection Correct Study Guide Updated 2022^1

Week 7 Reflection Chamberlain College of Nursing NR 601: Reflection

Week 7 Reflection I am glad to be completing this course and have enjoyed my clinical experience. My preceptor was very helpful enabling me to care for patients and was also open to questions. This course has prepared me for the future, through my clinical experience, I have achieved my MSN #5 program outcome which is advocating for a positive outcome by being compassionate, collaborating with other providers and using evidence based practice. According to Pfaff & Markaki, (2017), high quality care is achieved through compassionate and collaborative care which also leads to improvement and strengthening on care and control of cost. Also as nurses, we are expected to be patient advocates, because advocating for our patients is what makes us happy and fulfilled in our profession. There was an incident I had at work, we had a patient who came to her appointment with her 18 year old daughter, the daughter is also a patient of my preceptor but in this visit, she followed her mother who came to do her annual health screening. While I was discussing with mother and daughter, the daughter confined in me that for the past 3 months, she has had burning sensation in her vagina and some whitish cheese like discharge from her vagina which is itching at times but no odor. She has been afraid to share this with her mum because of fear of being seen as someone who has sexually transmitted disease. She said she has a boyfriend but they are not having sex together. I explained to her that what she may have is a yeast infection, and this type of infection can be contacted by people who are not sexually active. She asked me to explain things to her mum, so I discussed her issue with her mum and her mother was initially not happy that she did not share these symptoms with her but later calmed down and asked what could be done. I discussed it with my preceptor, he asked his secretary to get her registered to be seen the same day and ordered her some over the counter vaginal medication for yeast that she

known to the patient and her husband and educating them on how to check her foot frequently. We also talked to them about hyper and hypoglycemia, follow up visit and when to call 911 for help. At the end of the day I was very happy to have used the help of this machine to really make sure that my patient understands her care. Providing culturally appropriate care enables the health care provider and their organization to show sensitivity to the differences in culture and use patient centered approach that meets the needs of the patient and patient families (Kamrul, Malin, & Ramsden, 2014). In this example, we were able to use a culturally patient centered approach to integrate clinical prevention of disease and health promotion in the elderly patient. Another example of culturally essential care in prevention and population health was during our rounding in the hospital, one of the Muslim patient complained to me that a male nurse came in to her room to help change her bed linen and she would prefer if she can only get a female care giver. She also requested that she would like nurses and doctors to knock on her door before coming into her room because of privacy reasons. I discussed this with the nurse taking care of the patient and the charge nurse as well and they immediately changed her nursing assistant to a female and I also suggested that they put a sign on her door that says “ please knock before you enter patient’s room”. The charge nurse reassured me that she will make sure that a sign is placed on the patient’s door. During my clinical experience, NONPF #8 clinical competencies became a priority. Ethical principles are important in health care because it enables the clinician or health care worker recognize ethical dilemmas and make judgement and decisions that will help in maintaining personal values and at the same time follow the laws (Haddad & Geiger, 2019). One of the issues I came across was a patient of ours who was recently released from the hospital two weeks ago; her son brought her into the clinic on a wheel chair with complaint of generalized

weakness and continuous decline in health. The patient was treated for diabetes foot infection and CHF. Her son insisted that he was not going to take her back home because she is very weak, no longer able to care for herself and needs to be admitted to the hospital, so that she can be placed in a skilled care or rehabilitation center. He said, he was worried that if she is left alone to care for herself, she might end up falling at home and getting injured or sustaining a fracture. I discussed her case with my preceptor considering the fact that we do not have enough medical diagnosis to admit her as inpatient. But at the end, we agreed that it she can be admitted for generalized weakness and dehydration. She may qualify for inpatient admission which will enable her get physical therapy and eventually placement to a rehabilitation center. My preceptor said that at this time, the benefit of admission outweighs the risk of sending her home with potential risk for fall. Another ethical dilemma I came across was a patient of ours who has uncontrolled diabetes and has no insurance. This patient has been waiting for his disability insurance to kick in, he is already on metformin which he is not taking it regularly due lack of funds. We decided to give him samples of victoza (liraglutide) from the clinic which will last him up to 3 months and my preceptor told him that he could always come back to the clinic before his victoza runs out to get more samples until he gets his disability insurance. I also showed him and his wife how to use Good Rx to get cheap medications. The other staff members in the clinic were not very happy that we gave him almost all the samples of victoza we had for the month but we explained to them that saving one patient’s life was more important that keeping unused samples of medications in the sample storage room.