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Describe your clinical experience for this week as a nurse practitioner student.
- Did you face any challenges, any success? If so, what were they?
- Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
- Mention the health promotion intervention for this patient.
- What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
- Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
- Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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Diabetes Care Management
Clinical Experience Reflection
This week’s clinical experience as a nurse practitioner student was both rewarding and challenging. I worked with a diverse patient population, focusing on primary care and chronic disease management. One of the key challenges was managing time effectively between patient assessments, documentation, and discussions with my preceptor. However, a highlight was successfully identifying a complex case of uncontrolled diabetes in a middle-aged patient, leading to the initiation of an evidence-based care plan that demonstrated the value of a thorough assessment and individualized care approach. Diabetes Care Management
Patient Assessment: Signs & Symptoms, Plan of Care, and Differential Diagnoses
One notable case involved a 57-year-old male presenting with complaints of increased fatigue, frequent urination, blurred vision, and unintentional weight loss over the past month. His initial assessment revealed elevated blood glucose levels, increased thirst, and signs of peripheral neuropathy, such as numbness and tingling in his extremities. My assessment involved a physical examination focusing on cardiovascular, neurological, and skin assessments, and I reviewed his medical history, noting a previous diagnosis of type 2 diabetes that had been poorly managed.
The primary plan of care included adjusting his current diabetic medications, initiating patient education on…