Placement experience
Practicum experiences by far have contributed to my most cherished memories as a student. The satisfaction I get through close working with my mentors to attain expertise on previously studied theories was immense. Being endowed with theoretical knowledge, the chance to apply it in a real hospital setting was a fantastic experience. Perplexed by the various conditions a variety of patients suffered from, I was encouraged to be the best on my field. Above all, the opportunity to work closely with patients did strengthen my confidence in self and motivated me to view healthcare from a different perspective.
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This past week’s experience has been nothing short of fulfilling. With a chance to choose from a variety of ailments, renal disorders did intrigue my mindset. Patient of choice, Mr. Jaheem Johnson a 65-year-old white male presenting with chronic kidney disease. I was able to learn the mode of presentation of the ailment after a comprehensive, focused health assessment. I was also able to note the critical elements of the patient’s past and present medical history, the drug therapy and treatments given and follow-up care provided to the patient. Having encompassed all degrees of renal failure (Wu et al., 2016)., it was a good experience to witness first-hand the management of Chronic Kidney Disease.
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Patient education. In any health care setting, patient education patients presenting with various conditions does hinder readmissions. As a healthcare provider, it is your role to set strategies to ensure the adequate education for the patients upon discharge. Patient education plays a vital part. Educating the patient before discharge from the hospital is essential too. Clients are advised on the dietary restrictions required and informed on the importance of religiously taking the prescribed medications to slow down development of pericarditis, restless leg syndromes, pruritus, malnutrition and peripheral neuropathy (complications and possible indicators of End Stage Renal Disease).
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Follow up care. Despite initial treatment, further emphasis was laid on some measures to increase the effectiveness of the treatment modalities offered to Mr. Jaheem Johnson. Despite being placed on dialysis; he was also advised to prep for a kidney transplant should the treatment options provided take time to manifest desired outcomes. A distinct joint effort between different medical personnel was also put in place to manage Mr. Jaheem Johnson’s case. Follow-ups will also ensure that the blood pressures are under control. Nephrologists, general nurses, general doctors and his family were put to task towards providing he’s well-being. His medical tests were all stored for the next visit’s comparison and appointments scheduled for future reviews.
References
Chawla, L. S., Eggers, P. W., Star, R. A., & Kimmel, P. L. (2014). Acute kidney injury and chronic kidney disease as interconnected syndromes. New England Journal of Medicine, 371(1), 58-66.
Robertson, D., Maibach, H., Katzung, B., & Trevor, A. (2015). Basic and clinical pharmacology.
Webster, A. C., Nagler, E. V., Morton, R. L., & Masson, P. (2017). Chronic kidney disease. The Lancet, 389(10075), 1238-1252.
Wu, B., Bell, K., Stanford, A., Kern, D. M., Tunceli, O., Vupputuri, S., … & Willey, V. (2016). Understanding CKD among patients with T2DM: prevalence, temporal trends, and treatment patterns—NHANES 2007–2012. BMJ Open Diabetes Research and Care, 4(1), e000154.
Zarbock, A., Kellum, J. A., Schmidt, C., Van Aken, H., Wempe, C., Pavenstädt, H., … &Meersch, M. (2016). Effect of early vs. delayed initiation of renal replacement therapy on mortality in critically ill patients with acute kidney injury: the ELAIN randomized clinical trial. Jama, 315(20), 2190-2199.
