PRAC 6665 Assignment: Clinical Hour and Patient Logs

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PRAC 6665 Assignment: Clinical Hour and Patient Logs

  1. Enuresis Disorder

Name: J.D

Age: 6 years old

Diagnosis: Enuresis Disorder

S: J.D is a 6 years old African American boy who is healthy with no social concerns. The patient’s developmental stages are all intact, except for only one problem, he has never been able to attain nighttime dryness. The mother claims that the patient still puts on pullups at night. The patient claims that during the day, he has no problems staying dry. He also denies any bowel accidents during the day or night. His main concern is that he wants to go to sleepovers like his friends, but currently, he finds it very embarrassed that they will turn him down as a result of his bedwetting. At home, he plays with his toys but seems sad. He has no history of any other health complications. No allergies.

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O: To determine the cause of the patient’s bedwetting, a thorough physical examination of his genitalia was carried out. The physician looked for an enlarged bladder or kidney by palpating the renal and suprapubic areas. His stool was also examined in the lab for hard texture or blood. Neurological examination was also carried out, with inspection and palpation of the lumbosacral spine. The findings however directed to no specific cause of the patient bedewing. PRAC 6665 Assignment: Clinical Hour and Patient Logs

A: The assessment of the patient was aimed at determining the actual cause of the patient’s nocturnal enuresis. The anal wink and the patient’s ability to stand on the toes were carried out to determine the integrity of the S2-4 spinal reflex arc.

P: The patient was prescribed Desmopressin (DDAVP) to help with the bedwetting. The patient was also started on enuresis alarm therapy and referred to a pediatric urologist for further evaluation.

Clinical Hour Log
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted.
You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm that your Preceptor and Clinical Faculty are set up in Meditrek.

Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments (including the objective to which the log entry is aligned)

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 encounters with patients by the end of this practicum (40 children/adolescents and 40 adult/older adult). PRAC 6665 Assignment: Clinical Hour and Patient Logs

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Treatment Plan and Notes: You must include a brief summary/synopsis of the patient visit. This does not need to be a SOAP note, however the note needs to be sufficient to remember your patient encounter.

By Day 7 of Week 1

Record your clinical hours and patient encounters in Meditrek. 

Week 2: Practicum Experience Plan

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Reminder: Orientation Communication Complete your orientation email by Day 7.
Assignment 1: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek by Day 7.
Assignment 2: Practicum Experience Plan (PEP) Submit Assignment 2 by Day 7.

 

When setting sharp, clearly defined goals and objectives, you focus on what you wish to accomplish and how and when you will get there. Based on your assessment of your strengths and opportunities related to psychiatric-mental health nurse practitioner (PMHNP) clinical skills, you can develop goals and objectives for your clinical practicum that can guide your activities. What are some steps you can take on the way to a larger goal? How might you gain confidence in a clinical skill or seek out more opportunities to practice? What external activities might boost your professionalism or enhance your skill set? As you settle in at your practicum site, keep these questions in mind. PRAC 6665 Assignment: Clinical Hour and Patient Logs

This week, you continue engaging with patients at your practicum site, recording your time and experiences in your Clinical Hour and Patient Logs. You will also develop a Practicum Experience Plan (PEP) made up of goals and objectives designed to formally identify specific categories of clinical skills and procedures you wish to achieve during your practicum experience. Finally, through this week’s reading selections, you can deepen your understanding of the psychiatric interview.

Learning Objectives

Students will:

  • Describe clinical hours and patient encounters
  • Develop a Practicum Experience Plan
  • Create a timeline of practicum activities based on your practicum requirements

Learning Resources

Required Readings (click to expand/reduce) 

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

  • Chapter 1, “The Initial Interview: A Preview”
  • Chapter 2, “Logistic Preparations: What to Do Before the Interview”
  • Chapter 3, “The Therapeutic Alliance: What It Is, Why It’s Important, and How to Establish It”
  • Chapter 4, “Asking Questions 1: How to Approach Threatening Topics”
  • Chapter 5, “Asking Questions 2: Tricks for Improving Patient Recall”
  • Chapter 6, “Asking Questions 3: How to Change Topics with Style”
  • Chapter 7, “Techniques for the Reluctant Patient”
  • Chapter 8, “Techniques for the Overly Talkative Patient”
  • Chapter 9, “Techniques for the Malingering Patient”
  • Chapter 10, “Techniques for the Adolescent Patient”
  • Chapter 11, “Interviewing Family Members and Other Informants”
  • Chapter 12, “Techniques for Other Challenging Situations”
  • Chapter 13, “Practical Psychodynamics in the Diagnostic Interview”
  • Chapter 19, “How to Memorize the DSM-5 Criteria”
  •  Chapter 20, “Interviewing for Diagnosis: The Art of Hypothesis Testing”
  • Chapter 21, “Mental Status Examination”
  • Chapter 22, “Assessing Suicidal and Homicidal Ideation”
  • Appendix A, “Pocket Cards”
  • Appendix B, “Data Forms for the Interview”
  • Appendix C, “Patient Education Handouts”

HSoft Corporation. (2020). Meditrek: Home. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.

Document: Practicum Experience Plan Template (Word document)

Recommended

American  Psychiatric Association. (2013). Section I: DSM-5 basics. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 5–29). Author.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Wolters Kluwer.

Chapter 5, “Examination and Diagnosis of the Psychiatric Patient” PRAC 6665 Assignment: Clinical Hour and Patient Logs

Walden University. (2020). College of Nursing practicum manual: Master of science in nursing (MSN) and post-master’s certificate programs. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Walden University Field Experience. (2020a). Field experience: College of Nursing.  https://academicguides.waldenu.edu/fieldexperience/son/home 

Walden University Field Experience. (2020b). Student practicum resources: NP student orientation. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation