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Misas Hernandez.

Weekly clinical experience 2 

This week during my clinical experience I was extremely nervous considering this terms rotation is women’s health and I didn’t know what to expect. The only challenges I experienced was securing a preceptor for this term which was very difficult to find and being exposed to a new area healthcare I have never worked in before. During this week clinical hours, we had a young patient come to the clinical for her postpartum 1-week visit. Her vitals were taken and recorded in her record. The patient reported no signs/ symptoms of infection to her cesarean incision site or postpartum depression. “Postpartum depression generally occurs within 4 to 6 weeks after childbirth, and symptoms similar to major depressive disorder presenting with a depressed mood, loss of interest or pleasure in activities, sleep disturbance, appetite disturbance, loss of energy, feelings of worthlessness or guilt, diminished concentration, irritability, anxiety, and thoughts of suicide” (Slomian, Honvo, Emonts, Reginster & Bruyère, 2019). My preceptor advised screening and asking questions about support and the mothers health as soon as possible because it is important to identify potential areas of concern seeing as this is a time of major stress and change for the mother and she may require additional resources and support.

My preceptor performed a focused assessment of the patient. My preceptor removed the dressing over the patient’s incision site and assessed the area which appeared clean, dry, and intact, pink, and warm to the touch. There were no openings. No drainage noted upon inspection. No edema or redness. Patient denied pain or fever. Patient reports having been cleaning the area with water and soap and pat drying the site. Patient reports having help at home from her mother and husband. She reported sleeping well and eating well. Patient denies depression. My preceptor scheduled the patient for a 6 week follow up visit. This week’s clinical experience was very beneficial for me as an advance practice nurse because I was expose to a different area of healthcare, I previously didn’t have experience with. I learned and saw new things that I could use in the future especially if I decide to go into women’s health. I was and learned how cytology examinations are performed. How to access for urinary tract infections and which antibiotics are indicated for use according to clinical guidelines. My preceptor also went over the United States preventative service task force for osteoporosis, colorectal and cervical cancer screening with me as we saw a 67-year-old female for had not been seen in over 3 years. “By 2020, approximately 12.3 million individuals in the United States older than 50 years are expected to have osteoporosis. Osteoporotic fractures, particularly hip fractures, are associated with limitation of ambulation, chronic pain and disability, loss of independence, and decreased quality of life, and 21% to 30% of patients who experience a hip fracture die within 1 year” (Osteoporosis to prevent fractures: Screening 2018). My preceptor went over the importance of educating patient on screening that should be completed at certain age groups as recommended by the US preventative service taskforce.

References

Osteoporosis to prevent fractures: Screening. Recommendation: Osteoporosis to Prevent Fractures: Screening | United States Preventive Services Taskforce. (2018, June 26). Retrieved October 28, 2021, from https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening.

Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, 15, 1745506519844044.