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.

Practicum experience

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

PRACTICUM EXPERIENCE
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.

PRACTICUM EXPERIENCE

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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