WK 11 reflection

Simple of the reflection plan for your guidance

From the onset of the practicum, my expectation was to learn skills and gain experience in the actual requirements and demands of the position of a Psychiatric Mental Health Nurse Practitioner (PMHNP). Being proficient in communication, assessment, and diagnosis of patients with mental health difficulties across the lifespan was one of my goals and objectives for my practicum. By watching my preceptor, completing the mental health status exam on patients on my own, properly charting the results, and documenting my findings, I was able to accomplish my first goal. At watching my preceptor and then documenting patient encounters under supervision, I was also able to achieve my second goal, which was to properly document the encounter with the patient by the conclusion of Week 10. I was able to use the DSM-5 to find potential diagnoses for at least five of my patients, which was my third aim, which was to be able to spot psychiatric disease and offer a list of diagnoses for clients by the end of Week 11. One patient with a mood disorder and two adolescents with ADHD were the three (3) most difficult individuals I encountered during my practicum. The mood disorder patient, a 26-year-old Caucasian woman with a history of major depressive illness, arrived for a psychiatric evaluation and claimed that while she was currently in a great mood, she knew that it would soon turn terrible. Managing my emotions while listening to this patient's complaints about her numerous pharmaceutical experiences and her loss of faith in ever recovering from her illness presented a challenge. The othertwo patients were both teenagers, so I had to somewhat rely on information from their parents to finish my examination of them. The issue was that it seemed like the parents were projecting their own emotions, which was incongruent with the patients' overt displays of emotion. My preceptor was able to explain to me how to present the patients' cases in each of these difficult circumstances so that the appropriate treatment choice could be made. Through the difficult situations, I developed greater self-assurance in my ability to make assessments. The training materials for this course were a valuable resource, in my opinion. With his vast experience, my knowledgeable preceptor was a wonderful resource as well. I gained a lot of knowledge from how my preceptor interacted therapeutically with the patients and was able to gather crucial data for diagnosis and treatment. With the assistance of my preceptor, who allowed me to concentrate on one patient at a time and complete their evaluations and treatment reviews, I was able to handle the patient flow and volume without any problem. I would utilize screening tools more regularly if I could. I would try to work this into the patient interview as soon as I could. My preceptor provided me with complete assistance and direction to enable me to complete my practicum goals and objectives. In order to complete the needed 160 hours by the conclusion of Week 10, my practicum plan was designed to allow me to spend an average of eight hours per clinical day at the clinical site, at least two days per week. I sourced the majority of the evidence-based practices I used with my patients from the Walden University library database. Making every question matter toward confirming or excluding a diagnosis was the new ability I picked up from my practicum. I discovered that the volume and flow of patients greatly relied on my ability to finish assessments within the allotted time with each patient. In general, my practicum experience has had a significant impact on my ability to become an informed and effective PMHNP.