Adult-Gerontology Primary Care Nurse Practitioner Discussion

Reflective Journal

Daily Objective: In my learning plan, I wanted to gain more insights into managing cardiovascular diseases, especially the interventions and education given to the patient and the rationale behind the treatment of the various types of heart disease.

Clinical Objective: The sample was drawn from a military hospital, a large teaching hospital in a cardiology clinic with an ethnically diverse patient population. The clinic focused mainly on patients with chronic and acute cardiovascular disorders, providing the necessary diagnostic and rehabilitation services. Adult-Gerontology Primary Care Nurse Practitioner Discussion

Patient Encounters: One of the critical cases was a 65-year-old male who had a history of myocardial infarction and complained of chest pains. An immediate ECG and cardiac enzymes were done, and a mild rise was observed, which indicates an unstable angina (Reeder et al., 2021). The patient was given nitroglycerin to stabilize the condition and then taken to the hospital for further testing and possibly angioplasty.

ORDER HERE A PLAGIARISM-FREE PAPER 

Challenges Faced: I struggled with finding the meaning of those small ECG changes addressing the patient’s anxiety, managing patients, and practicing while on the job, further challenging the interns.

Successes and Achievements: I have had the opportunity to interpret ECGs, look for ST-segment deviations, and act accordingly, which I managed to do. Also, I ensured that patients were adequately taught about the changes needed in their lifestyles and compliance with the prescribed medications.

Applied Knowledge: I applied theory from cardiology courses, for example, knowing the mechanisms of angina and medications used to treat it when making clinical choices. Some significant ideas, such as the Frank-Starling law and myocardial oxygen demand, were used to handle the patients.

Collaboration and Communication: Another critical factor was ensuring adequate interaction with the cardiologist and other nurses. In this case, I employed the SBAR tool while reporting the patient’s status, which helped to facilitate decision-making. On the other hand, I should work on decreasing the high level of my written and oral communication when stressed. Adult-Gerontology Primary Care Nurse Practitioner Discussion

Ethical and Cultural Considerations: An ethical issue was witnessed during the interaction with the patient, who had reservations regarding using invasive procedures based on her convictions. Given his self-announced decision on the matter, I ensured that I gave him detailed information and arranged for a talk with the cardiologist so that he could make an informed decision.

Professional Development: These gaps suggested that I should focus on improving my understanding of the intricacies of cardiovascular data and on how to calm down patients. In these specific areas, I intend to pursue further training and dedicate time to working with mentors.

Feedback Received: One of my colleagues advised me to enhance my communication skills when discussing critical health issues with patients (Drossman et al., 2021). This includes focusing on compassion and understanding the patient’s position. I can use this feedback to improve my interactions with patients.

Goals for Improvement: The development of improved efficiency for interpreting cardiovascular diagnostics. Improve knowledge in communicating with patients, especially those who are anxious.

Overall Reflection: I was able to cement my future specialty in gerontology and appreciate the necessity of combining theory with practice. It also highlighted the importance of being open-minded and learning more about clinical situations.

Action Plan: Review the current literature for guidelines on managing cardiovascular diseases. Attend seminars on complex and detailed ECG analysis and training on addressing patients. Adult-Gerontology Primary Care Nurse Practitioner Discussion

References

Drossman, D. A., Chang, L., Deutsch, J. K., Ford, A. C., Halpert, A., Kroenke, K., … & Sperber, A. (2021). A review of the evidence and recommendations on communication skills and the patient-provider relationship: a Rome foundation working team report. Gastroenterology, 161(5), 1670-1688. https://www.sciencedirect.com/science/article/pii/S0016508521033205

Reeder, G. S., Awtry, E., Mahler, S. A., & Cannon, C. P. (2021). Initial evaluation and management of suspected acute coronary syndrome (myocardial infarction, unstable angina) in the emergency department. Waltham, MA: UpToDate [cited 2015 Sept 23] Available from http://www update com/contents/initial-evaluation-and-management-of suspected-acute-coronary-syndrome-myocardial-infarction-unstableangina-in-the-emergency-department. https://medilib.ir/uptodate/show/184 Adult-Gerontology Primary Care Nurse Practitioner Discussion