NURS FPX 4905 Assessment 5: Reflection on Nursing Practice and Care
Student name
Capella University
NURS- FPX4905
Professor Name
Submission Date
Wellness and Disease Prevention
During the practicum experience with Farmington Hills outpatient clinic, I observed a few interventions for adults with type 2 diabetes to prevent disease and to promote good health. Nurses and nurse practitioners identified culturally specific patient education of physical activity, nutrition and self-monitoring of blood glucose as important. Often, telehealth technologies were used to provide virtual follow-up consultations, remind people to get screened, and work to keep people on track within their care plan. They focused on the social determinants of health within the community that impacted their access to resources, such as limited transportation, socioeconomic issues and digital literacy. For instance, if someone didn’t have a way to get to their appointments, they would be able to schedule a telehealth appointment. Others, on the other hand, who had low income, were advised on healthy foods at low prices and neighbourhoods to engage in physical activity.
Through this experience, awareness about the importance of proactive disease prevention and individual education to improve patient outcomes became prominent. It was also a great experience to see these strategies in action and to understand their impact on health behaviour and the importance of customizing interventions. This further reinforced my role as a nurse professional applying to ensure they have equal access to care, health promotion as a part of their daily practice, and actively engaging patients in their own care. I am grateful to have experienced the impact of organized prevention care and now have a greater appreciation for patient-centered care and commitment to providing more targeted, evidence-based interventions to improve the health of populations.
Chronic Disease Management
In the Farmington Hills outpatient clinic, during my practicum experience, the use of interprofessional care for patients with type 2 diabetes was observed to be prevalent across the whole clinic, which showcases interprofessionally coordinated care to manage chronic illnesses. Nurses, nurse practitioners, dietitians, pharmacists, behavioral health providers, and community health workers (CHWs) were all part of the care team, which used all of their experiences to create a personalized approach to the plan for each individual. Nurses were central coordinators, who covered follow-up promptly, recorded patients’ glucose logs based on patients’ self-reports using mHealth applications, and helped with communication between patients and providers. Dietitians provided culturally appropriate nutrition information, pharmacists counseled and/or carried out medication reconciliation to prevent adverse effects of medications on self-care, and behavioral health professionals addressed stress, depression, or anxiety that could impact self-care. The community health workers assisted with transportation issues, food insecurity, and appointment reminders to help patients adhere and to enhance patients’ participation based on social determinants of health.
This experience was to validate the need for interprofessional working to manage complex chronic diseases. The success of team-based care was reinforced by the experience of seeing how well-coordinated processes and decision-making with patients improved glycemic control, reduced emergency visits, and engaged patients. Having the chance to work as a professional nurse during this experience gave me a deeper understanding as a care coordinator, communicator, and advocate in the team. It tells about the importance of interdisciplinary working, through the use of the unique skills of each discipline, and the use of technology, safety, and long-term management of chronic diseases.
Regenerative/Restorative Care
In my practicum in the Farmington Hills outpatient clinic, I observed that.
Regenerative/ restorative care is included primarily in the treatment of diabetes related issues and mental health emergencies. The clinic primarily focuses on managing chronic diseases, but acute diseases such as hyperglycemia, anxiety, and depression flares were also resolved quickly. Nurses played a key role in triage of patients, vital signs monitoring, setting up urgent interventions, and educating the families and patients with acute self-management. For example, patients with very high blood sugar levels were quickly evaluated, and their medical regimen was modified with provider assistance, and care was given in education regarding diet, insulin administration, and monitoring patient symptoms. Additionally, there was cooperation between the behavioral health providers and the nurses whose assessment of the acute depression or anxiety attack resulted in counseling or referral of the patient(s) to the appropriate care. Through this experience, we learned how essential it is to assess early on, evidence-based practices, and interprofessional communication are in avoiding complications and achieving recovery. As a nurse, it gave me reassurance for what my job is: to “catch” things early on, to take action when needed, and to be able to work with the care team to stabilize the patient. The experience of observing how structured care and follow-up education can empower patients to successfully navigate acute care to restorative care and diminish the risk of the patient developing further complications reinforced a greater understanding of how the Nurse can work between acute and restorative care in ensuring patient safety, continuity of care, and long-term health outcomes.
Hospice/Palliative care
During visiting of outpatient clinic in Farmington Hills, I observed hospice and palliative care in terms of referrals to community hospice care and care of patients with diabetes complications. While this clinic was not a full inpatient hospice unit, the nurse was fully engaged with providing education to patients and their families on symptom control, pain management, and palliative services available. An example of such good practice is when those with severe diabetic neuropathy or renal disease were provided with the appropriate education and support for their home care, reminded to take their medication appropriately and provided with liaison with hospice and palliative care services. A patient’s goals of care, wishes, and advance directives were also discussed with them by the nurses to keep patient-centered care in line with their values.
This experience increases the importance of caring for patients with chronic and life-limiting diseases with love, care, and compassion. The profession of nursing is to be far more than just clinical intervention, but it also encompasses emotional care, ethical reasoning, and patient counselling in life-limiting illnesses. As a professional nurse, this time enhanced my ability to give care that was both holistic and patient-centered, and to be part of an interprofessional team to provide comfort, dignity, and quality of life. The introduction of palliative care principles for use in the outpatient setting with people with chronic conditions was a reminder that any intervention and education should happen at an early stage in the person’s experience to prevent the alleviation of crises and to enhance satisfaction with the person and family.
FAQs
Q1. What is the primary objective of NURS FPX 4905 Assessment 5?
Reflections in this assessment aim at evaluating nursing practice experiences, results in patients’ care, and opportunities for professional development and improvement.
Q2. What is needed for a good reflection for NURS FPX 4905 Assessment 5?
For an effective reflective writing piece, it is essential to provide examples of clinical experience, analysis, provision of patient-focused care, personal leadership experience, and evidence-based practice in nursing.
Q3. Is there a need for APA format in my NURS FPX 4905 Assessment 5 from Capella University FlexPath?
Typically, all assessments prepared within Capella FlexPath program imply adherence to APA format requirements.
Q4. What are some common topics covered in Reflection on Nursing Practice and Care assessments?
Among them are communication in nursing, ethical dilemmas and issues in nursing practice, patient safety considerations, teamwork and collaboration, professional leadership, etc.
Q5. Can I receive professional academic assistance with NURS FPX 4905 Assessment 5?
Certainly, there is always the possibility to hire professionals who will offer their writing services.