200w Weekly Clinical Communication on major depressive disorder.

Clinical Hours completed this week	8	Patient Encounters completed this week	8
Total Clinical Hours completed to date	96	Total Approved Patient Encounters completed to date	96

 

Clinical Highlights

Choose one or more of the following to guide your self-reflection of your experience this week. Do not report on an extended SOAP note patient. The reflection should be a minimum of 100 to 150 words.

· Discuss an encounter that was particularly interesting and what you learned from it?

· Discuss a difficult or challenging encounter and how you handled it?

· Discuss an example of how you were able to independently contribute to this week’s encounters?

· Were there any patient management plans developed by your preceptor that surprised you?

· Were you able to “teach” your preceptor anything this week?

· Identify a personal learning need you discovered while assessing or managing a specific diagnosis. What steps will you take to improve your understanding or skills?

· What insights did you gain during your experience this week that will prove most helpful for future encounters?

· What personal success do you want to celebrate?

· If I could have a do over, I would have done this instead……

Discussion

The most interesting encounter this week was a thirty-five years old male patient who has been diagnosed with post-traumatic stress disorder. The patient reported to have served in the military for more than twenty-five years. He presented with severe symptoms which have been persistent since his retirement from the military. His symptoms of post-traumatic stress disorder include hyper vigilance, nightmares and flashbacks (Dutheil et al.,2021). Additionally, his next of kin reported that he has difficulties in maintaining relationships and also, he has a sense of detachment from his family. According to the patient, these symptoms have affected his life since it is hard for him to be understood by people who ha e not gone through similar experiences. After comprehensive examination, the patient was initiated to treatment which include medication, therapy, ex-military support groups and community support. Support groups works better for patients who have undergone similar experiences (Harnett et at.,2020).

 

Looking Ahead

· What clinical goal would you like to tackle next week ?

Discussion

In the coming week, my main goal is to improve my competency in the use of cognitive behavioral therapy techniques to post traumatic stress disorder patients. Cognitive behavioral therapy is the most common therapy used in treatment of PTSD (McLean et al.,2022).

· What is your proposed clinical schedule (date/time/total hours) for next week ?

· I have completed all clinical hrs required for this course.

 

I am going to email/message you to further discuss … (Optional)

· Reviewing a challenging patient encounter.

· Challenges/concerns with my preceptor and/or my clinical site.

· The absence of the application of EBP/CPGs in the clinical setting.

· Challenges with gaining access to enough patients in the required age range.

· Challenges with gaining access to a wide variety of diagnoses for the course population.

· Incorrect action(s) taken by me at the clinical site.

· Locating resources to assist with my clinical experience.

· Anything else . . .

Topic to Discuss

If any, type your response here –

 

 

 

 

 

 

 

 

 

 

 

 

References

Dutheil, F., Mondillon, L., & Navel, V. (2021). PTSD as the second tsunami of the SARS-Cov-2 pandemic.  Psychological medicine,  51(10), 1773-1774.

Harnett, N. G., Goodman, A. M., & Knight, D. C. (2020). PTSD-related neuroimaging abnormalities in brain function, structure, and biochemistry.  Experimental neurology,  330, 113331.

McLean, C. P., Levy, H. C., Miller, M. L., & Tolin, D. F. (2022). Exposure therapy for PTSD: A meta-analysis.  Clinical psychology review,  91, 102115.

Rumball, F., Happé, F., & Grey, N. (2020). Experience of trauma and PTSD symptoms in autistic adults: Risk of PTSD development following DSM‐5 and non‐DSM‐5 traumatic life events.  Autism Research,  13(12), 2122-2132.