Advanced Nursing Practice Competencies and Guidelines Essay

PRAC-6635-32 WEEK 11 ASSIGNMENT INSTRUCTIONS

TOPIC: Journal Entry

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes. 

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum Advanced Nursing Practice Competencies and Guidelines Essay

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TO PREPARE:

• Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in the Week 1 Learning Resources (SEE BELOW), and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
• Refer to your “Clinical Skills Self-Assessment Form” (WILL UPLOAD) you submitted in Week 1, and consider your strengths and opportunities for improvement.
• Refer to your Patient Log in Meditrek, and consider the patient activities you have experienced in your practicum experience. Reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

• Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
• Reflect on the three (3) most challenging patients (WILL GIVE YOU A SUMMARY OF THESE PATIENTS AND YOU WILL ELABORATE ON THEM) you encountered during the practicum experience. What was most challenging about each?
• What did you learn from this experience?
• What resources did you have available?
• What evidence-based practice did you use for the patients?
• What new skills are you learning?
• What would you do differently?
• How are you managing patient flow and volume? 

Communicating and Feedback

• Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
• Answer the questions: How am I doing? What is missing?
• Reflect on the formal and informal feedback you received from your Preceptor.  Advanced Nursing Practice Competencies and Guidelines Essay

 LEARNING RESOURCES:

• HSoft Corporation. (2020). Meditrek: HomeLinks to an external site.. https://edu.meditrek.com/Default.html

Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.

• Walden University. (2020). College of Nursing practicum manual: Master of science in nursing (MSN) and post-master’s certificate programsLinks to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
• Walden University Field Experience. (2020a).Field experience: College of NursingLinks to an external site..  https://academicguides.waldenu.edu/fieldexperience/son/home
• Walden University Field Experience. (2020b). Student practicum resources: NP student orientationLinks to an external site.. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

PRAC_6635_Week11_Assignment_Rubric

THREE MOST CHALLENGING PATIENTS:

PATIENT 1:

The patient is a 36-year-old female who presents for a follow-up to assess for cocaine and fentanyl abuse, bipolar, and depression.  The patient came with cocaine overdose and 911 was called. The patient was asked to sit on the floor. She was agitated, restless, her anxiety level was high, she had excessive sweating and severe headache. She was given a shot of naloxone.  The patient became stable and she was assessed. The patient endorses addiction, poor sleep, poor appetite, low energy, poor concentration, and sad mood. The patient appears shabby and confused. The patient denies SI/HI/SIB. The patient is referred to a detox/recovery program. The patient is to continue with Prazosin.

PATIENT 2:

The patient is a 75 old female who presents for a follow-up to assess for dissociative disorder, anxiety disorder, and depression. The patient states “I do not seem to remember things I plan for even my hospital appointments and some personal information.” The patient feels disconnected from herself and the world around her. The patient endorses feeling sad and depressed. She acknowledges crying spells, low energy, poor sleep, and poor appetite. She is easily irritated. The patient eates her anxiety at 7 out of 10 (10 being severe) and mood at 5 out of 10 (10 being best). The patient denies SI/HI/SIB, Patient is to continue with psychotherapy sessions and Sertraline 50 mg PO daily. Advanced Nursing Practice Competencies and Guidelines Essay

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PATIENT 3:

The patient is a 41-year-old female who presents for a follow-up to assess for anxiety disorder. schizoaffective disorder, and sleep disorder. The patient rates her anxiety at 7 out of 10(10 being severe) and her mood at 6 out of 10(10 being best). The patient endorses crying spells, poor sleep, poor appetite, and low energy. The patient denies SI/HI/SIB. The patient is to continue with Psychotherapy and Sertraline 25 mg PO daily. The patient was sleeping most of the interview and she was being waken up most of the time to answer questions. This made the assessment very difficult.

NOTE BELOW:

PLEASE, FOLLOW THE INSTRUCTIONS AND RUBRIC VERY WELL SO THAT I WILL BE GRADED PROPERLY.

I HAVE UPLOADED AND ATTACHED ALL YOU WILL NEED FOR THE ASSIGNMENT, BUT FEEL FREE TO ASK ME QUESTIONS WHEN IN DOUBT. THANK YOU. Advanced Nursing Practice Competencies and Guidelines Essay