Journal Entry: Challenging Patient Encounters Essay

Journal Entry: Challenging Patient Encounters Essay

Journal Entry: Challenging Patient Encounters Essay

Journal Entry: Challenging Patient Encounters Sample Essay

Challenging patient encounters can be attributed to factors related to healthcare providers and patients. Healthcare provider factors encompass a variety of elements, including situational stressors, inadequate communication skills, and biased attitudes toward specific health conditions. Patient factors that contribute to the challenges in healthcare settings include noncompliance with medical advice, poorly articulated symptoms, and personality disorders (Conelius et al., 2019). This journal entry discusses three challenging patient encounters: the development of learned proficiencies, the application of evidence-based practice, patient flow and volume management, communication strategies, and feedback mechanisms.

ORDER A PLAGIARISM-FREE PAPER HERE ON; Journal Entry: Challenging Patient Encounters Essay

Difficult Patient Encounters

I worked with patients who posed considerable obstacles throughout my practicum. In the first instance, the patient experienced three months of persistent diarrhea after kidney transplantation. In addition, the patient’s blood urea nitrogen and creatinine levels were elevated. The patient’s symptoms posed a challenge as it was uncertain whether they indicated transplant rejection or compromised kidney function resulting from dehydration. In the second instance, a middle-aged Caucasian woman going through menopause complained of soreness in her abdomen that responded to touch. Even though every diagnostic test returned negative findings, the patient refused to have a colonoscopy. The last patient is an Asian American lady, age 18, who came to the clinic complaining of vaginal discharge and itching. The patient reported being in a monogamous relationship and emphasized the absence of any documented history of sexually transmitted infections. Moreover, she demonstrated a reluctance to engage in cultural evaluations.

Lessons Learned and Resources Used

As I have seen firsthand, being a healthcare professional requires tolerance, decisiveness, compassion, and emotional intelligence that transcends cultural norms. As a result, many patients with gynecological problems have insufficient health literacy to understand the complexities of care. The healthcare professional must educate the patient to dispel medical or cultural misunderstandings (Conelius et al., 2019). In order to handle the patient above encounters, I used clinical examination tools for diagnostic evaluation, peer-reviewed literature, and written content on the official websites of medical organizations to raise awareness and better educate patients about their problems.

Evidence-Based Practice Applied and Proficiencies Gained

I made use of an open communication technique to make sure that the patient and I both understood everything. Moral factors, such as beneficence, justice, and sovereignty, improved my ability to interact perceptively and effectively with patients. Cheng et al. (2022) demonstrated that implementing EBP laboratory tests has significantly improved the accuracy of diagnoses by providing a solid foundation for precise testing and appropriate referrals. I have acquired proficiency in using reflective comments to provide comfort and improve the well-being of patients.

What I Would Do Differently

In response to the patient expressing dissatisfaction with the efficacy of the prescribed antibiotic, I shall engage in a comprehensive and amicable conversation with her. I will give her an educational discourse on the fundamental nature and significance of adhering to instructions and completing the designated medicine course. Furthermore, I want to raise awareness of the consequences of non-compliance with medication instructions and incomplete dosage regimens (Pitts et al., 2019). This will assist her in deducing the fundamental importance of adhering to the prescribed meds and guaranteeing the completion of the prescribed dose.

Patient Flow and Volume Management

To efficiently manage the patient flow, I shall put the triaging strategy into practice. In order to keep patients’ critical states from worsening, the plan prioritizes them. In managing many patients, I will employ multitasking techniques to optimize time efficiency for each individual. The first-come-first-served policy will be implemented to regulate the influx and quantity of patients (Conelius et al., 2019).

Communicating and Feedback

To increase my skill and knowledge, I will often participate in self-reflection on EBP, continuous learning, and clinical procedures and recommendations. I will pay great attention to my preceptor’s actions and thoughts in various scenarios to improve my knowledge of gynecological problems. Currently, I am making progress, but my preceptor’s feedback suggests that I should prioritize discussing the application of information technology in the context of diagnosis and treatment.

References

Cheng, J.-F., Wang, T.-J., Huang, X.-Y., & Han, H.-C. (2022). First-year experience of transitioning from registered nurse to nurse practitioner. Journal of the American Association of Nurse Practitioners, 34(8), 10.1097/JXX.0000000000000750. https://doi.org/10.1097/JXX.0000000000000750

Conelius, J., Grossman, S., & Becht, L. G. (2019). Interprofessional “on-call” e-learning for family nurse practitioner students. Journal of the American Association of Nurse Practitioners, 31(2), 104–109. https://doi.org/10.1097/jxx.0000000000000120

Pitts, C., Padden, D., Knestrick, J., & Bigley, M. B. (2019). A checklist for faculty and preceptor to enhance the nurse practitioner student clinical experience. Journal of the American Association of Nurse Practitioners, 31(10), 591–597. https://doi.org/10.1097/jxx.0000000000000310

BUY A CUSTOM PAPER HERE ON; Journal Entry: Challenging Patient Encounters Essay

Journal Entry (450–500 words): 

Learning from Experiences

• Reflect on the three most challenging patients. What was most challenging for each?
• What did you learn from this experience?
• What resources did you have available?
• What evidence-based practice did you use for this patient?
• 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 to improve on your skills and knowledge and how to communicate that back to your Preceptor.
• How are you doing? What is missing?
• What type of feedback are you receiving from your Preceptor?