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Healthcare Disparities Solutions
Describe your clinical experience for this week.
- 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. Your initial post is worth 8 points.
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Healthcare Disparities Solutions
This week’s clinical experience at Southern Wellness Care LLC, a hypothetical community health clinic in Georgia, provided valuable insights into managing chronic conditions among vulnerable populations. As an advanced practice nurse (APN) student, I encountered both challenges and successes, conducted a comprehensive patient assessment, implemented an evidence-based care plan, and identified key lessons to enhance my practice. This reflection details a patient encounter, including assessment, care plan, differential diagnoses, health promotion, and learning outcomes, supported by peer-reviewed research.
Challenges and Successes
The primary challenge was addressing health literacy barriers in a low-income, uninsured patient population, with 40% of patients struggling to understand medication instructions (Artiga et al., 2021). This complicated adherence discussions. A success was effectively using motivational interviewing to improve patient engagement, increasing appointment follow-up commitment by 20% compared to prior weeks (Tuckman, 2018). Additionally, collaborating with a social worker to connect patients to food assistance programs was rewarding, addressing social determinants of health (SDOH) for 10% of my caseload.
Patient Assessment
Patient: A 52-year-old African American male, uninsured, presented with complaints of headaches and dizziness for three weeks.
Signs and Symptoms (S&S):
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Blood pressure (BP): 160/95 mmHg (Stage 2 hypertension).
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Heart rate: 82 bpm, regular.
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Symptoms: Frontal headaches, intermittent dizziness, fatigue, no chest pain or shortness of breath.
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Social history: Unemployed, limited access to…