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Clinical Learning Points
Clinical Case Study Key Learning Points
Given the patient's history with angina and cardiac conditions, there is a clear need to ensure that he does not allow bad habits to continue in addition to the careful management and monitoring of his health. The patient's medical history also includes known diagnoses for diabetes, hypertension, and obesity. His father had also passed from heart disease, indicating a genetic predisposition to cardiac problems. The patient recently was discharged just a few days prior for a stent placement. He returned for an evaluation, claiming that his major cardiac symptoms, including crushing chest pain, shortness of breath and diaphoretic had subsided dramatically. Still, there is thought to be a high risk of future complications in regards to his cardiac health because of the fact that he has a very minimal support system in order to help him change his dietary and lifestyle habits. His wife is disabled and together the two of them are isolated from other...
Additionally, financial issues have been increasing the stress the patient has been experiencing, which is another indicator of potential complications in the future. However, the patient has admitted that he knows his lifestyle choices are affecting his health in a negative way, especially his over eating and excessive sleeping. He has voiced concern over potential cardiac problems in the future, which is a hopeful sign that he may begin to respond positively to interventions and suggestions for lifestyle changes, although he is clearly hesitant to do so.
The presenting diagnosis for this particular case highlighted some of the major health concerns impacting his health currently. The following tests were performed: BNP-to assist in ruling out CHF, Echocardiogram to determine heart function, Carotid ultrasound, and Lower extremity venous Doppler, and Urine Analysis. During lab testing, results discovered the presence of Carotid bruit, which is indicative of cartoid stenosis. Also, additional…
References
American Heart Association. (2007). Patient-teaching for cardiac nurses. Nursing, 37(10), 14-16.
Centers for Disease Control and Prevention (2012). Preventing High Blood Pressure: Healthy Living Habits. Retrieved from http://www.cdc.gov/bloodpressure/healthy_living.htm
John Hopkins Medicine. (2014). High Cholesterol (Hypercholesterolemia). Heart & Vascular Institute. Retrieved from http://www.hopkinsmedicine.org/heart_vascular_institute/conditions_treatments/conditions/high_cholesterol.html
Clinical Assessment of Learners Clinical assessment involves the evaluation of technical skills, communication skills, professionalism, knowledge base, and teaching skills, where applicable, of students who are about to enter independent practice. Technological changes have made it possible to assess clinical performance in ways that are far more advanced than pencil and paper tests relied on in the past (Dauphinee, 1995). In the late 1970s, clinical training programs utilized continuous practical assessments
Clinical Education The objective of this study is to conduct a critical analysis of issues in clinical education. Toward this end, this study will conduct a review of literature in this area of inquiry. The work of Strohschein, Hagler and May (2002) entitled 'Assessing the Need for Changes in Clinical Education Practice' reports a study that identifies areas of need within clinical education and well as describing "…various models and tools
Lsa Cunningham, D. & Kelly, D. (2005). The evaluation of multiprofessional learning needs assessment tool. Education for Primary Care 2005, 16. 547-55. This article argued for the need to evaluate the evaluation methods for needs assessment within a healthcare environment. The research for this article was compiled in Scotland where the researchers sought to find ways that health care teams can become more efficient by determining a tool to evaluate what
Clinical Supervision and its Strengths and Weaknesses Annie Pettifer and colleague Lynn Clouder explain in the peer-reviewed journal Learning in Health and Social Care that clinical supervision is commonly used in professional contexts as a way to "guide reflection with the purpose of advancing practice" (Pettifer, 2008, 169). Clinical supervision "…enables critical practice and development of personal knowledge, professional expertise and competence" (Pettifer, 169). Pettifer mentions that there is no hard and
In certain countries, an effective supervisor possesses basic teaching skills, facilitation skills, negotiation and assertiveness skills, counseling and appraisal skills, mentoring skills, and knowledge of learning resources and certification requirements (Kilminster). The most important aspect of the role of an effective supervisor is giving supervisee responsibility and the opportunity to practice it (Kilminster, 2000). Supervisees come to view the supervisor as a colleague and this leads them to become self-directed.
Among all the measures, sentence imitation illustrated the greatest power in discriminating poor and adequate readers (2010). Another study conducted by Flax, Realpe-Bonilla, Roesler, Choudhury, and Benasich (2010) studied the profiles of children with a family history (FH+) of language-learning impairments (LLI) and a control group of children with no reported family history of LLI (FH-) with the hope of identifying "which language constructs (receptive or expressive) and which ages