Journal Entry #2

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

This week, you will write a Journal Entry reflecting on your clinical strengths and opportunities for improvement.

Journal Entry (2–3 pages): 

Based on your experience,

• Describe an interesting case or a case that you have never seen before.
• Explain what you found challenging.
• Explain what you would do differently from your Preceptor.
• Explain the cultural differences you found challenging.

Resources

 

• Mold, J. W.,  Fox, C., Wisniewski, A., Darby Lipman, P., Krauss, M. R., Harris, D. R., Aspy, C., Cohen, R. A., Elward, K., Frame, P., Yawn, B. P., Solberg, L. I., & Gonin, R. (2014). Implementing asthma guidelines using practice facilitation and local learning collaboratives: A randomized controlled trial.Links to an external site. Annals of Family Medicine, 12(3), 233–240. http://doi.org/10.1370/afm.1624Links to an external site.
• National Heart, Lung, and Blood Institute. (2012). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma (EPR-3), 1–12.Links to an external site. https://www.nhlbi.nih.gov/health-topics/guidelines-for-diagnosis-management-of-asthmaLinks to an external site.
• Ralston, S. L., Lieberthal, A. S., Meissner, H. C., Alverson, B. K., Baley, J. E., Gadomski, A. M., Johnson, D. W., Light, M. J., Maraqa, N. F., Mendonca, E. A., Phelan, K. J., Zorc, J. J., Stanko-Lopp, D., Brown, M. A., Nathanson, I., Rosenblum, E., Sayles, S., III, & Hernandez-Cancio, S. (2014). Clinical practice guideline: The diagnosis, management, and prevention of bronchiolitis.Links to an external site. Pediatrics, 134(5), E1474–E1502. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1542/peds.2014-2742.

Links to an external site.

Note: This resource is the most current clinical practice guideline.

Practicum Resources

• HSoft Corporation. (2019). Welcome to MeditrekLinks to an external site.. https://edu.meditrek.com/Default.html
  Note: Use this website to log in to Meditrek to report your clinical hours and patient encounters.Links to an external site.
• Walden University. (2019). MSN nurse practitioner practicum manualLinks to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocumentsLinks to an external site.
• Walden University Field Experience. (2019a). Field experience: College of Nursing.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/homeLinks to an external site.
• Walden University Field Experience. (2019b). Student practicum resources: NP student orientationLinks to an external site..
  https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

By Day 7

Complete your Journal Entry #2 Assignment.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

1. To submit your completed assignment, save your Assignment as WK5Journal2+last name+first initial.
2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.

 

My chosen condition is HIV and Mental Health

This discussion represents the second step in a three-step discussion series where you will choose your pathophysiology adventure to analyze and present to the class. Students will continue to explore the disease process that was chosen in Week 2. In this step of the discussion series, you will describe the pathophysiology of your chosen condition from Week 2 and its manifestations, diagnosis, and lifespan considerations. You will also create your case study.  

1. Describe the pathophysiology of the chosen condition. What is the condition’s etiology, signs and symptoms, complications, and risk factors? 
2. Discuss how the condition is diagnosed. What are relevant assessment findings, labs, and imaging studies? 
3. Explain how the pathophysiology of the condition might differ across the lifespan. Does the condition manifest in pediatric, pregnant, breastfeeding, and older adult populations? How might the condition look different across the lifespan? 
4. Create your case study based on the chosen condition (~ 1,000 words or less using bullet points and full sentences). Start with the diagnosis and work backward to develop a clinical scenario that leads to this diagnosis. Include the client’s name, social background, symptoms, lab results, medical or surgical history, and other relevant details. 

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Describe in detail the pathophysiological stages of kidney stones in a working 45-year-old adult male. Explain the clinical manifestations, complications, prognosis, diagnostic tests, and medical treatments and procedures involved. Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs. Provide an example integrating concepts from the “Statement of Human Flourishing,” located in Topic 3 Resources.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.