Clinical Schedule NR601 WEEK1-2 PART1

I am hoping to get more experience with acute conditions during this clinical rotation. I have seen a lot of chronic issues and follow-ups. I would like to get more experience with more critical acute issues that would cause me to critically think. In regard to the clinical competency checklist I have been able to check off a few items such as restless leg syndrome and hypothyroidism. I am happy to be checking some things off the list, but there are days that I am not able to check anything off because it is chronic issues that I have already had in my previous practicum course. The barriers that I anticipate for my clinical site/preceptor is that we don't get a lot of procedures because she has not gone thru any additional training to learn to suture or to treat specific injuries. I did get a chance this week to help with an EKG, which it was nice to be more hands on in regard to a test. The MA's do most of the tests that are ordered so that we can see other patients. Another barrier that with my preceptor is that she does not see any patients under the age of 18 nor does she perform women's health exams, so these are two areas that I am lacking. I am currently working on establishing sites to get these experiences in the very near future.  Tokpah Miller Tokpah Miller Jul 11, 2019Jul 11, 2019 at 9:19pm Manage Discussion Entry Dr. Sizemore and Class, My clinical schedule for this week is Wednesday and Thursday. My clinical goal this week is to make sure I am seeing patients between the ages of 50 to 80 years old for a wellness exam. I want to get more training in doing prostate exams, and PFT. I want to be able to look at the PFT result and interpret the findings to help me understand the exercise for this week lecture. I do not anticipate any barriers at this time, I am just hoping to get the right patients for the right experience. My preceptor is always willing to teach me new things and I am very grateful for that. If not done this week, I will have to do at some point during this clinical rotation as the opportunity arises. This is a graded discussion: 50 points possible due Jul 21, 2019 Week 2: Polypharmacy Discussion 1818 unread replies.3737 replies. Students will not receive credit for any discussions posted after Sunday 11:59pm MT. Polypharmacy is a common concern, especially in the elderly.  List the definitions of polypharmacy you encounter in your assigned reading. Include an additional reference from an evidence based practice journal article or national guideline.  Discuss three risk factors that can lead to polypharmacy. Explain the rationale for why each listed item is a risk factor. Risk factors are different than adverse drug reactions. ADRs can be a result of polypharmacy, and is important, but ADRs are not a risk factor.  Discuss three action steps that a provider can take to prevent polypharmacy.  Provide an example of how your clinical preceptors have addressed polypharmacy.