Cardiovascular or genetic disorders Journal Entry
Order Instructions:
Cardiovascular or genetic disorders Journal Entry
Reflect on a patient who presented with cardiovascular or genetic disorders (mention one diagnosis and focus on it) during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you did not have an opportunity to evaluate a patient with this background during the last 8 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
Required Resources/References
• Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.
o Chapter 30, “Cardiovascular Disorders” (pp. 669–707)
this chapter reviews normal cardiac structure and function in infants, toddlers, school-age children, and adolescents. It then covers assessment and management strategies for cardiovascular disorders including congenital and acquired heart diseases.
o Chapter 40, “Genetic Disorders” (pp. 1032–1054)
this chapter explores the scope of genetic screening, genetic variation, and genetic disorders. It also provides assessment and management strategies for health care providers caring for children and families with genetic disorders.
SAMPLE ANSWER
Cardiovascular or genetic disorders Journal Entry
During my practicum experience in St. Patrick’s Hospital which is a pediatric hospital, I came across a patient whose dealing with gave me experience in patient assessment and management
The patient who was a ten years old girl was diagnosed with a cardiovascular disorder that is acute myocardial infarction through a series of blood tests which identified that the patient had high levels of proteins in the bloodstream. The diagnosis was shocking to me since at first I had thought that the patient was suffering from pneumonia due to the symptoms she had.
Once the patient’s assessment had revealed that she had myocardial infarction, I had to call in her mother and father. Both parents were first subjected to a session of guidance and counseling and it was during this session that we got to interact more. This was important so as to identify the needs of the patient such as psychological needs. The guidance and counseling session is required since some parents are usually emotionally week and such news of their children being diagnosed with such illness can put them in a state of depression. (Burns, Dunn, Brady, Starr, & Blosser, pg 700)
After the assessing, the next step was to manage the patient. During the first 24 hours of diagnosis, the patient was put under close monitoring for adverse electrical events. The patient’s movements were then restricted for at least12 hours and analgesics were used to relieve pain. After the first day in hospital, the patient was then subjected to treatment using aspirin and beta-adrenergic blocker. The patient was then put under close observation for the identification of any complications. The patient who then developed chest pain was given high dosage of aspirins that is 650 mg every five hours for twenty hours. After two days the patient was released and was given appointments after every two weeks to enable her condition to be monitored. (Margulies, 2012, pg 194)
The patient’s family members were then put under a programme that was to teach them on the type of diet that they should provide to the patient that is a diet low in saturated fat and cholesterol. They were also educated on the importance of ensuring that the girl uses his medication as recommended. (Burns et al.,2013, pg 706)
In conclusion, the experience was able to help me appreciate the importance of guidance and counseling sessions before releasing a patient’s diagnoses and this is as it has been taught back in school.
References
Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.
Margulies, E. (2012). Myocardial Infarction and Cardiac Death. Burlington: Elsevier Science.
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