Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
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- What went well in your assessment?
- What did not go so well? What will you change for your next assessment?
- What findings did you uncover?
- What questions yielded the most information? Why do you think these were effective?
- What diagnostic tests would you order based on your findings?
- What differential diagnoses are you currently considering?
- What patient teaching were you able to complete? What additional patient teaching is needed?
- Would you prescribe any medications at this point? Why or why not? If so, what?
- How did your assessment demonstrate sound critical thinking and clinical decision making?
M1 Assignment UMBO –1, 2, 4
M1 Assignment PLG –1, 4, 9
M1 Assignment CLO –2, 3, 8
Expert Answer and Explanation
Reflection
What Went Well in the Assessment
One of the things that went well in my assessment is the collection of subjective data. I learned a lot from the patient by collecting subjective data. The patient notes that she has asthma and diabetes. The patient also notes that she has never used drugs. The patient says that she occasionally experiences blurred vision but denies throat, mouth, and nose problems. She smokes three times a day, a cigarette for smoke. She does not use alcohol. The patient understands the negative impacts of smoking, still smokes. I have also understood the patient’s family health history by collecting his subjective data.
What Did not Go Well
I did not take the patient’s vital signs. In any medical assessment, vital signs should be taken to determine whether they are normal or not. In my next assessment, I will ensure that the patients’ vital signs have been taken, especially if the patient has diabetes. vital signs can help check whether the patient’s blood glucose has increased.
Findings
I uncovered many things from this assessment. One of the findings is that the patient was diabetic. I realized this when she noted that she had blurred vision. According to Fung et al. (2018), most diabetic patients experience blurred vision. Another finding is that the patient might get diabetes from her family. People with a family history of diabetes risk developing the disease. Diabetes runs in the patient’s family. Her father had type two diabetes and her paternal grandfather died of colon cancer but had diabetes. Another thing I have learned in the assessment is that the wound might take longer to heal because the patient has type two diabetes, a disease that makes it hard for wounds to heal.
Effective Questions
The questions that yielded the most information are the ones that took open-ended structure. The questions were effective because they are seen by respondents are less threatening and allow them to provide unrestricted answers (Semyonov-Tal & Lewin-Epstein, 2021). The questions also allowed the respondent to provide more details about their health. The questions also provide new insight.
Tests
I would order a complete blood count test. This test will help me determine whether the patient has a wound infection or not. I would also recommend a random blood sugar test to determine the severity of the patient’s diabetes. another test that can provide the same results is the fasting blood sugar test.
Differential Diagnosis
- Type two diabetes- The primary diagnosis for this case is type two diabetes. The patient’s wound might be healing slowly because she has type two diabetes. She reports that she cares for wound and applies antibiotic but it does not heal.
- Wound infection- The patient might have developed an infection on the wound. Wound infections often cause pus and pain. The patient has reported discharge from the wound and pain.
- Cellulitis- Cellulitis is also part of the diagnosis because it also causes swelling, pain, and redness on the affected legs.
Education
The teaching I would educate the patient is that she should engage in programs that aim to reduce her weight. At her current weight, diabetes symptoms can be severe. After she heals she should engage in dietary and physical training.
Medication
I would change the patient’s medication. I would recommend that she take Amoxicillin and clavulanic acid. Huon et al. (2020) note that Amoxicillin and clavulanic acid can be used to treat chronic and resistant wound infections.
References
Fung, A. C., Tse, G., Cheng, H. L., Lau, E. S., Luk, A., Ozaki, R., … & Kong, A. P. (2018). Depressive symptoms, co-morbidities, and glycemic control in Hong Kong Chinese elderly patients with type 2 diabetes mellitus. Frontiers in Endocrinology, 9, 261. https://www.frontiersin.org/articles/10.3389/fendo.2018.00261/full
Huon, J. F., Montassier, E., Leroy, A. G., Grégoire, M., Vibet, M. A., Caillon, J., … & Navas, D. (2020). Phages versus Antibiotics To Treat Infected Diabetic Wounds in a Mouse Model: a Microbiological and Microbiotic Evaluation. Msystems, 5(6), e00542-20. https://journals.asm.org/doi/abs/10.1128/msystems.00542-20
Semyonov-Tal, K., & Lewin-Epstein, N. (2021). The importance of combining open-ended and closed-ended questions when conducting patient satisfaction surveys in hospitals. Health Policy OPEN, 2, 100033. https://www.sciencedirect.com/science/article/pii/S2590229621000046
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