Challenging Patients Assignment Discussion Paper

Challenging Patients Assignment Discussion Paper

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The three most challenging patients

Challenges play a crucial role in professional development among student nurses (Anderson & Heenan, 2021)Challenging Patients Assignment Discussion Paper. While undertaking my practicum experience, I was faced with several challenging cases. The following three cases were the most challenging:

1. Uncontrolled Diabetic

During the practicum experience, the most challenging aspect I encountered while dealing with the diabetic patient was to manage his blood sugar levels which were constantly fluctuating. The patient continued experiencing fluctuating blood glucose levels in spite of receiving insulin and getting nutritional education, which put them at risk for more complications. I learned from this experience how crucial it is to tailor diabetes care to meet the individual needs of every patient. I had resources like my preceptor and endocrinologist for consultation and guidance. Regular blood glucose monitoring and necessary medication modifications were part of evidence-based practice. I gained knowledge on how to improve patient education strategies and my ability to calculate insulin dosage. I am learning to address emotional distress which is affecting their self-care to be able to offer such patients psychological support in the future. It was challenging to manage patient flow due to the needed interventions and frequency of monitoring. Challenging Patients Assignment Discussion Paper

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1. Noncompliant Bipolar Patient

The noncompliant bipolar patient was difficult to care for in a number of ways. The main one was that they were resistant to treatment for a long time, which made it hard to control their mood and stop recurrent episodes. From this experience, I learned the importance of having a good therapeutic relationship that is built on trust and empathy. To handle this issue, it was crucial to make use of the resources that were available, such as my preceptor, crisis intervention team, and psychiatric consultation (Kaihlanen et al., 2021)Challenging Patients Assignment Discussion Paper. To promote treatment compliance, evidence-based practice techniques such as harm reduction approach and motivational interviewing were used. I developed my de-escalation and crisis intervention skills, which have improved my ability to manage patients in acute states of distress. In order to promote trust and involvement, if I were to take on a case like this again, I would emphasize the need for continuous therapy communication even more. This patient’s unpredictable episodes and mood swings made patient flow management difficult, requiring frequent check-ins and a flexible timetable to guarantee their safety and well-being.

• Uncontrolled Hypertension Patient

Taking care of a patient with uncontrolled hypertension presented a unique set of challenges. The main challenge was maintaining appropriate blood pressure management while taking several antihypertensive drugs. This event made clear how crucial lifestyle changes, patient education and patient adherence are to the management of chronic illnesses. In order to successfully address this difficulty, resources such as nutritional counseling and access to a hypertension specialist were crucial. Our strategy was informed by evidence-based practice, which placed a focus on medication management, lifestyle modifications, and routine monitoring. My knowledge of medication titration and patient education has increased as a result of this experience, which will help me help hypertensive patients in the future. In the future, educating and monitoring the patient’s family will produce better outcomes by creating a support network at home. Because this patient had regular blood pressure readings and follow-up appointments, which made it easier to monitor and modify their treatment plan, managing patient flow was easier.

Communicating and Feedback

I intend to aggressively seek out additional training and materials related to handling challenging patients, such as the ones I have experienced, in order to further develop my abilities and knowledge in this field. I will practice self-directed learning, concentrating on the areas where I have determined that I still need to get better. I want to let my Preceptor know this by setting up frequent meetings where we can talk about my development, share my goals for personal growth, and get their advice. I am doing great right now and have no worries. My preceptor has given me constantly excellent feedback, which is motivating and encouraging, but I am determined to keep up this trajectory and advance my patient care competencies. Challenging Patients Assignment Discussion Paper

References

Anderson, K., & Heenan, M. (2021). Rethinking health policy student practicums through the application of the multiple streams framework: A case study. Healthcare management forum, 34(4), 211–215. https://doi.org/10.1177/08404704211009231

Kaihlanen, A. M., Gluschkoff, K., Koskinen, S., Salminen, L., Strandell-Laine, C., Fuster Linares, P., Sveinsdóttir, H., Fatkulina, N., Ní Chianáin, L., Stubner, J., Leino-Kilpi, H., & ProCompNurse Consortium (2021). Final clinical practicum shapes the transition experience and occupational commitment of newly graduated nurses in Europe-A longitudinal study. Journal of advanced nursing, 77(12), 4782–4792. https://doi.org/10.1111/jan.15060

Liu, Y. M., Chen, M. C., Chung, F. F., Huang, H. P., Chao, L. F., Chen, M. Y., Jane, S. W., & Fan, J. Y. (2020). Hu li za zhi The journal of nursing, 67(6), 25–31. https://doi.org/10.6224/JN.202012_67(6).05 Challenging Patients Assignment Discussion Paper

To prepare:

• Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in Week 1’s Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
  

  PLACE YOUR ORDER

Challenging Patients

1. Uncontrolled diabetic
2. Noncompliant Bipolar patient
3. Uncontrolled hypertension patient

 Make up what you need to in order to answer the questions below. Need 3 Scholarly references. APA Format.

 Journal Entry (450–500 words):

Learning from Experiences  (USE YOUR MAGIC 3996)

• Reflect on the three most challenging patients. What was most challenging for each?  Challenging patients listed above
• 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?

Communicating and Feedback

• Reflect on how to improve on your skills and knowledge and how to communicate that back to your Preceptor. (Make this up in a positive manner) Challenging Patients Assignment Discussion Paper
• How are you doing? What is missing? Doing great! No concerns!
• What type of feedback are you receiving from your Preceptor? All feedback was positive.

RESOURCES:

Advanced Nursing Practice Competencies and Guidelines

• American Association of Colleges of Nursing. (2010). Adult-Gerontology primary care nurse practitioner competenciesLinks to an external site.. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/adult-geropccomps2010.pdf?hhSearchTerms=Adult-GeroPCComps2010+and+pdf
• National Association of Clinical Nurse Specialists (NACNS). (2018). Family across the lifespan:The viability of taking pediatric and adult-gerontology certification examinations to attain CNS population certification in family across the lifespan.Links to an external site. http://www.nacns.org/wp-content/uploads/2018/04/Report-FINAL-4-3-18.pdf Links to an external site.
• The National Organization of Nurse Practitioner Faculties (NONPF) (n.d.). National Organization of Nurse Practitioner FacultiesLinks to an external site.. https://www.nonpf.org/
• The National Organization of Nurse Practitioner Faculties. (2012). Nurse practitioner core competencies. Links to an external site.https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdfLinks to an external site.
• Chatterjee, D., & Corral, J. (2017). How to write well-defined learning objectives Links to an external site.. The Journal of Education in Perioperative Medicine, 19(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944406/ Challenging Patients Assignment Discussion Paper

 Rubric:

PRAC_6531_Week10_Assignment2_JournalEntry_Rubric

Challenging Patients Assignment Discussion Paper