Clinical experience week 7

Clinical Experience and Patient Assessment in a Primary Care Setting

This week’s experience working as a student nurse practitioner in a primary care clinic allowed me to integrate better the knowledge I have learned in school and acquaint myself with my student nursing skills. During auscultation, I detected wheezes and the patient’s elevated respiratory rate; the chart revealed that she has seasonal allergies and spends most of her time in her chest. These data suggest that the clinician needs to meet her diagnostic goals and help her maintain optimal lung health to give an effective treatment plan. Breathlessness, wheezing, and coughing were all part of the patient’s bronchial asthma symptom complex.

The patient may be diagnosed with asthma, COPD, or allergic rhinitis, among other diagnoses that frequently confound medical professionals. Based on the patient’s medical history, there were indicators that the associated allergies and respiratory issues could potentially cause an asthma attack. Therefore, in this case, the asthma attack was actual. When these symptoms are present, especially in frequent smokers, another condition may be the primary cause of chronic cough and dyspnea. The concurrent presentation of seasonal diseases, which can be linked to the history of allergies, is one of the best indicators for diagnosing allergic rhinitis (Jansen et al., 2021). We carefully looked into the matters that were crucial to this investigation. After that, we monitored and evaluated the patient’s tidal volume until it died.

A patient is prescribed a long-term inhaler, which works on the airways to prevent the inflammation from worsening and producing negative symptoms. Furthermore, a quick-acting bronchodilator can be taken immediately in an emergency to treat a worsening disease. I also demonstrated to them how to use the examples and recommendations for the allergen avoidance strategy. In order to do this, adding nasal corticosteroid spray to the medication will be the best option. In order to lessen exposure to allergens, this research discusses occupational health promotion methods such as using inhalers, quitting smoking, and changing the office environment (Keogan et al., 2021). This one-day clinical encounter indicates that the supervisor’s use of an evidence-based medicine concept-based research and analytical evaluation technique is a viable means of diagnosing and treating respiratory disorders in a respiratory specialist. In addition to my proficiency with technology, typical patient plans or directions, and analytics, I want to demonstrate my care. I am going to make humility, empathy, and compassion manifest. Improving patient care and, as a result, my patients’ clinical outcomes are some of the abilities I would like to include in my practice.

References

Jansen, E. M., van de Hei, S. J., Dierick, B. J., Kerstjens, H. A., Kocks, J. W., & van Boven, J. F. (2021). Global burden of medication non-adherence in chronic obstructive pulmonary disease (COPD) and asthma: a narrative review of the clinical and economic case for smart inhalers. Journal of Thoracic Disease, 13(6), 3846. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264677/

Keogan, S., Alonso, T., Sunday, S., Tigova, O., Fernández, E., López, M. J., … & TackSHS Project Investigators (all listed in Appendix). (2021). Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas. Journal of Asthma, 58(9), 1169-1175. https://www.tandfonline.com/doi/abs/10.1080/02770903.2020.1766062

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Clinical experience week 7

Describe your clinical experience for this week in the primary care office. Describe the assessment of a patient you saw in the primary care office as a Nurse practitioner student, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. Mention the health promotion intervention for this patient. What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse? Support your plan of care with the current peer-reviewed research guideline. Your initial post should be at least 300 words, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years.