Posted: January 4th, 2023

Reflect on the 3 most challenging patient encounters

Journal Entry #1 (2 pages):
The Journal should have introduction and final reflection
In the your journal entry, answer the following questions:
Learning from Experiences
• Reflect on the 3 most challenging patient encounters and discuss what was most challenging for each (consider OB pt. with preeclampsia, Pt with chlamydia infection, encounter for anticonvective in an obese woman, using depo for last 8 years) There are several potential challenges that could arise in each of these patient encounters:

OB patient with preeclampsia: One of the most challenging aspects of this encounter could be managing the patient’s hypertension and other symptoms while trying to prevent the condition from progressing to eclampsia. It may also be challenging to balance the need to closely monitor the patient with the need to respect her autonomy and decision-making capacity.

Patient with chlamydia infection: One of the most challenging aspects of this encounter could be discussing the infection and its potential consequences with the patient in a sensitive and non-judgmental way. It may also be challenging to ensure that the patient understands the importance of completing the full course of treatment and of informing any sexual partners about the infection.

Encounter for anticonvective in an obese woman: One of the most challenging aspects of this encounter could be addressing the patient’s obesity in a way that is respectful and non-judgmental. It may also be challenging to determine the most appropriate anticonvective for the patient, given that obesity can affect the metabolism and effectiveness of certain medications.

Using depo for last 8 years: One of the most challenging aspects of this encounter could be discussing the potential long-term effects of using depo for an extended period of time, and helping the patient to weigh the risks and benefits of continuing to use the method. It may also be challenging to identify an alternative contraceptive method that is suitable for the patient and meets her needs and preferences.
• 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
Respond to the following reflective questions:
• How might I improve my skills and knowledge, and how to communicate that back to my Preceptor?
• How am I doing? What is missing?
• What type of feedback am I receiving from my Preceptor?
It should be done in APA format.
It should be supported with at least 5 updated bibliography work.

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