Practicum Experience:Journal Entry on Abdominal Pain
Order Instructions:
Practicum Experience: Journal Entry
After completing this week’s Practicum Experience:
1).Reflect on a patient who presented with abdominal pain, (Write a description of a patient with abdominal pain including signs and symptom).
2) Describe the patient’s personal and medical history
3) What are the patient’s drug therapy and treatments?
4) What are the patient’s follow-up care?
NOTE: If you did not evaluate a patient with this background during the last 6 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
Required Resources, you may choose from another textbook or articles
Readings
• Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.
o Part 12, “Evaluation and Management of Gastrointestinal Disorders” (pp. 612–722)
This part examines the pathophysiology and clinical presentation of several GI disorders. It also describes diagnostic criteria, differential diagnosis, and management methods for GI disorders.
o Part 20, “Evaluation and Management of Infectious Disease”
? Chapter 234, “Infectious Diarrhea” (pp. 1263–1271)
This chapter describes characteristics of three types of infectious diarrhea and identifies the pathophysiology, clinical presentation, treatment options, and possible causes of the disorder.
SAMPLE ANSWER
Practicum Experience: Journal Entry on Abdominal Pain
Abdominal patient care involves the reflection of a past activity, reflection and evaluation that leads development of knowledge and understanding of concepts broadly. This involves a sequence of activities including description of what things that have taken place, feelings that are developed by the individuals involved, evaluation of the right and wrong things in the experience, analysis of the situation, conclusion and a decision on what to do in order to handle the matter.
Bed bathing, as one of the requirement of taking care of a patient suffering from abdominal pains, is a vital part of a patient’s hygiene as it stimulates circulation and relaxes the body. A proper bed bath involves gathering of the necessary equipment like disposable gloves, waste bag, wash cloth, bedpan, towels and soap. A patient is given a bedpan or urinal before bathing, bed bathing is a private procedure, which may make the patient feel embarrassed, and it is important to respect privacy by covering them with clean sheets and putting curtains around their bed (Barker, 2013). Washing of patients begins from the furthest extremity to prevent dripping water across the already cleaned parts. Placing the hand and legs of patients in water is a procedure which helps them to feel fresh and it softens their nails.
During bed bathing, the nurse communicates with the patient and performs checking of the body to get clear information on the client’s progress. The process of communication is one which helps in evaluation of services’ quality hence improving the relationship between patients and health assistants (Buttaro, Trybulski, Polgar & Sandberg-Cook, 2013). Patients get their bed bath under the supervision of a registered bank nurse, after washing the patient the nurse helped to apply cavillion cream on the patient’s bottom, the patient had a moisture lesion on the skin.
During bed bathing, the nurse needs to make a decision on the kind of cream, spray or oil to use depending on the type of skin the patient has. Creams are advisable for moisturized intact skins while sprays are important for dry and broken skin due to their ability to moisturize the skin (Peate & Peate, 2012).
Nurses need to get updated information on how to treat bedridden patients to avoid conflicts with the patients and their assistant practitioners. According to researches carried out in the nursing field, the nurses and medical practitioners require continuous trainings and facilities that expose them to the updated information to avoid making mistakes with their patients (Timby, 2009). From research, it is clear that there are many nurses who make mistakes out of ignorance. Clear and relevant information exist in books and articles on handling of the patient’s skin depending on the moisture level to avoid infections and creating
In conclusion, from the information provided in the paper that discussing professional issues within an environment where clients are available is not okay. Looking at the healthcare sector as explained in the paper, it was not appropriate for the nurse and the other employee to argue on the patient’s caretaking procedure while the patient overheard. Patients in the first place are individuals who are weak and ought to be taken good care of because they need to recover from their illness and regain their health and strength (Melnyk & Fineout-Overholt, 2011). They are individuals who should be given full care making sure that their environment is conducive for them.
References
Barker, J. H. (2013). Evidence-based practice for nurses. London: SAGE.
Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.
Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & health care: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. http://file.zums.ac.ir/ebook/208-Evidence-Based%20Practice%20in%20Nursing%20&%20Healthcare%20-%20A%20Guide%20to%20Best%20Practice,%20Second%20Edition-Be.pdf
Peate, I., & Peate, I. (2012). The student’s guide to becoming a nurse. Chichester, U.K: Wiley-Blackwell.
Timby, B. K. (2009). Fundamental nursing skills and concepts. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
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