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Critical reflection on your growth and development during your practicum experience in a clinical setting helps you 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.
RESOURCES
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. WEEKLY RESOURCES
TO PREPARE
Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources 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” 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 and 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 most challenging patients you encountered during the practicum experience. What was most challenging about each? What did you learn from this experience? What resources were available? What evidence-based practice did you use for the patients? 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. BY DAY 7
Submit your Journal.
SUBMISSION INFORMATION
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CategoryItemValue
Client InformationSiteCounseling Center
AgeChild (0-12 years)
GenderMale
Visit InformationStudent Level of FunctionShadowing – Level 1
Category of CareDirect Patient Care
Practice ManagementType of visitFamily Counseling
Diagnosis1 Impulse-Control Disorder
Student Notes11 years old male who came to the clinic accompanied by his mother. Patient was diagnosed with conduct disorder. All the symptoms started after his parents got divorced, father has a history of alcohol and substance abuse.
Psychotherapy intervention:
Discuss how to manage anger and how to reduce disruptive and aggressive behavior towards others.
Help parents to develop and implement forms of regulations and express feelings in a calm way
ItemValue
Client InformationSiteCounseling Center
AgeAdult (18- 64 years)
GenderFemale
Visit InformationStudent Level of FunctionMostly Independent – Level 4
Category of CareDirect Patient Care
Practice ManagementType of visitIndividual Counseling/Psychotherapy
Diagnosis1 Trauma & Stress-Related Disorder
Student NotesDx: Post traumatic stress disorder with dissociative symptoms.
Treatment goal:
– Overcome and process post traumatic incidents as evidenced by reduced hypervigilance.
– Discontinue persistent and negative beliefs about others as a response to trauma.
CategoryItemValue
Client InformationSiteCounseling Center
AgeAdult (18- 64 years)
GenderMale
Visit InformationStudent Level of FunctionMostly Independent – Level 4
Category of CareDirect Patient Care
Practice ManagementType of visitIndividual Counseling/Psychotherapy
Diagnosis1 Trauma & Stress-Related Disorder
Student Notes55 years old male with history of PTSD after he went to the war.
Treatment goal:
-Work on controlling emotions better.
-Identify triggers.
-Improve sleep patterns
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