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Case Study For Patient Complaining Of Vaginal Odor Assignment

Case Study For Patient Complaining Of Vaginal Odor Assignment

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Journal Entry #2 (450–500 words):

In your journal entry, answer the following questions:

Learning and Experiences

Reflect on the 3 most challenging patient encounters and discuss 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?

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Communicating and Feedback

Ask yourself the following self-reflective questions:

  • How might I improve on my skills and knowledge, and how do I communicate that back to my Preceptor?
  • How am I doing? What is missing?
  • What type of feedback am I receiving from my Preceptor?Case Study For Patient Complaining Of Vaginal Odor Assignment

3 most challenging patients

  1. 35 year old came in complaining of vaginal odor, discharge, itching, pain with urination, groin pains on both sides x 1 month. States her primary care provider treated her for yeast but nothing changed. Transvaginal Ultrasound was normal. Urine culture was negative. Wet prep and STD cultures were all negative. Metrogel was prescribed but patient stopped it because it was making her dizzy.
  2. 41-year-old came in for uncontrolled vaginal bleeding x 6 weeks. States she had never missed a period. Denies birth control because husband has had a vasectomy 5 yrs ago. Denies pain with urination. Pregnancy test negative. Ultrasound, pap smear, and bimanual exam were all unremarkable. Cultures are negative for STD’s and infection. TSH was abnormal and the patient stated she stopped taking her Levothyroxin 2 mo ago.
  3. Nice young lady been coming to the clinic because she has not been able to conceive a child. Clomid failed but ovulation has proven to be positive. Her husband is refusing to give a sperm sample.

Class Resources

Clinical Guideline Resources 

As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; for the CDC – zika in pregnancy, etc.).

  • American Cancer Society.Links to an external site.(n.d.). https://www.cancer.org/
  • American College of Obstetricians and Gynecologists.Links to an external site.(n.d.). https://www.acog.org/
  • ANA Enterprise.Links to an external site.(n.d.). https://www.nursingworld.org/
  • Centers for Disease Control and Prevention.Links to an external site.(n.d.). https://www.cdc.gov/
  • American Association of Nurse Practitioners. (2020)Links to an external site.. https://www.aanp.org/
  • HealthyPeople 2030. (2020). Healthy People 2030 framework.Links to an external site.https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework
  • S. Preventive Services Task Force. (n.d.-b). Search and filter all recommendation topics.Links to an external site.https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P&searchterm= Case Study For Patient Complaining Of Vaginal Odor Assignment

RUBRIC

PRAC_6552_Week11_Journal_Rubric

Case Study For Patient Complaining Of Vaginal Odor Assignment

Journal Entry #2: Learning and Experiences

Challenging Patient Encounter 1: Vaginal Symptoms

Most challenging: It was challenging to handle a 35-year-old woman’s persistent vaginal symptoms since her discomfort persisted and the results of the first diagnostic tests were not conclusive.

Learned: Emphasized the need for a thorough approach, considering alternatives, gathering thorough medical histories, and understanding pharmaceutical tolerances to provide effective therapy.

Resources: Valuable diagnostic tools like transvaginal ultrasound, urine culture, and STD cultures. Collaborative discussions with colleagues and accessing medical literature refined diagnoses.

Evidence-based practice: Integrated diagnostic results, considered alternative diagnoses, and adjusted treatment plans based on patient responses.

New skills: This encounter enhanced skills in differential diagnosis, effective communication for thorough medical histories, and adapting treatment plans based on patient responses.

Do differently: In a similar scenario, I would explore alternative diagnostic methods earlier and engage the patient in shared decision-making regarding the treatment plan (Fiorillo et al.,2020)Case Study For Patient Complaining Of Vaginal Odor Assignment.

Managing patient flow: Efficient scheduling, coordinated diagnostic tests, and collaboration with healthcare teams contribute to optimal patient flow.

Challenging Patient Encounter 2: Uncontrolled Vaginal Bleeding

Most challenging: Identifying the cause of uncontrolled vaginal bleeding in a 41-year-old woman, despite unremarkable initial tests.

Learned: This experience emphasized the importance of considering systemic factors while addressing gynecological disorders.

Resources: Available diagnostic tools – ultrasound, pap smear, and laboratory tests. Collaboration with endocrinologists and patient records identified crucial details about Levothyroxin.

Evidence-based practice: Involved a comprehensive approach to gynecological assessments. Collaboration with specialists and adherence to clinical guidelines contributed to evidence-based decision-making.

New skills: Enhanced skills in synthesizing information from different medical disciplines and effective communication with patients regarding medication adherence and lifestyle factors.

Do differently: In a similar situation, I would inquire about medication changes to ensure a thorough awareness of the patient’s history. Prioritize increased communication on the impact of thyroid dysfunction (Burgener, 2020).

Managing patient flow: Managing patient flow is simplified by constant communication, efficient scheduling, and well-coordinated diagnostic testing.

Challenging Patient Encounter 3: Infertility and Refusal for Sperm Sample

Most challenging: Handling an infertile young woman whose husband refused to donate a sperm sample presented challenges for a thorough evaluation and cooperative decision-making process.

Learned: This encounter highlighted the importance of addressing psychological and interpersonal aspects in reproductive health.

Resources: Included fertility evaluation tools, counseling services, and collaboration with reproductive specialists.

Evidence-based practice: Involved incorporating psychosocial considerations into fertility assessments. Collaborating with mental health professionals and utilizing evidence-based interventions for couples facing fertility challenges were integral to the approach.

New skills: Enhanced skills in navigating sensitive conversations with couples, addressing emotional aspects of fertility challenges, and incorporating interdisciplinary approaches to reproductive healthcare.

Do differently: In a similar situation, I would prioritize to involve mental health professionals early and emphasize open communication (Shojaei & Masoumi, 2020).

Managing patient flow: Creating a supportive environment for couples undergoing fertility assessments, addressing their emotional needs, and collaborating with fertility specialists to streamline the evaluation process contribute to managing patient flow.

Communicating and Feedback

Improvement Plan:  I will keep learning through seminars and professional development, getting feedback from preceptors, attending medical literature updates, and participating in medical literature reviews to improve my skills.

How am I doing? What is missing? I acknowledge performing well in patient care but recognize the need to strengthen interdisciplinary collaboration. I will focus on actively engaging with colleagues from different specialties and refining time management for optimal patient flow.

Preceptor Feedback: Feedback from my Preceptor has been constructive and valuable. I receive commendation for my thorough patient assessments and evidence-based decision-making. However, my Preceptor has highlighted the importance of enhancing interdisciplinary collaboration for comprehensive patient care.

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References

Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The health care manager, 39(3), 128-132. https://doi.org/10.1097/hcm.0000000000000298

Fiorillo, A., Barlati, S., Bellomo, A., Corrivetti, G., Nicolò, G., Sampogna, G., … & Vita, A. (2020). The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: a clinical review. Annals of general psychiatry, 19, 1-12. https://doi.org/10.1186/s12991-020-00293-4 Top of Form

Shojaei, S. F., & Masoumi, R. (2020). The importance of mental health training for psychologists in COVID-19 outbreak. Middle East Journal of Rehabilitation and Health Studies, 7(2). https://doi.org/10.5812/mejrh.102846 Case Study For Patient Complaining Of Vaginal Odor Assignment

 

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