Discussion – Plan for Success

Discussion – Plan for Success

I am completing my clinical rotation at the Inland Empire Family Clinic in Upland, California. This primary care clinic serves a diverse patient demographic, including all ages, genders, races, and ethnicities. The clinic is integral to the local healthcare system, addressing acute and chronic conditions such as hypertension, diabetes, asthma, and hyperlipidemia. These conditions are managed through medication, lifestyle modifications, and regular monitoring. When specialized care is needed, patients are referred to local specialists or more extensive healthcare facilities (Cyr et al., 2019).

My learning goals for this rotation include deepening my understanding of chronic disease management, enhancing my diagnostic skills, and improving patient education techniques. I aim to develop and implement individualized care plans addressing chronic conditions’ medical and psychosocial aspects. Additionally, I seek to build confidence in managing complex patient cases and navigating the challenges of chronic care.

I have some apprehensions about the long-term management of chronic diseases, particularly ensuring patient adherence to treatment plans and effectively communicating the importance of lifestyle changes. I am interested in exploring the latest advancements in chronic disease management, patient engagement strategies, and technology integration in chronic care, as asserted by Samal et al. (2021).

To stay updated with the latest research and guidelines, I recommend the journals Cureus and Nature Reviews Cardiology. These journals are well-regarded for their focus on evidence-based practice and advancements in healthcare. A relevant article from Cureus that discusses the advances in diabetes management, focusing on personalized medicine, is “Advances in the Management of Diabetes Mellitus: A Focus on Personalized Medicine” by Sugandh et al. (2023). Another article—“Lifestyle Interventions for the Prevention and Treatment of Hypertension” by Valenzuela et al. (2020)—from Nature Reviews Cardiology examines lifestyle interventions for preventing and treating hypertension. These articles provide valuable insights into the nurse practitioner’s scope of practice.

References

Cyr, M. E., Etchin, A. G., Guthrie, B. J., & Benneyan, J. C. (2019). Access to specialty healthcare in urban versus rural US populations: A systematic literature review. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4815-5

Samal, L., Fu, H., Djibril, C., Wang, J., Bierman, A., & Dorr, D. A. (2021). Health information technology to improve care for people with multiple chronic conditions. Health Services Research, 56(1), 1006–1036. https://doi.org/10.1111/1475-6773.13860

Sugandh, F. N. U., Chandio, M., Raveena, F. N. U., Kumar, L., Karishma, F. N. U., Khuwaja, S., Memon, U. A., Bai, K., Kashif, M., Varrassi, G., Khatri, M., Kumar, S., Sugandh, F., Chandio, M., Raveena, F. N. U., Kumar, L., Karishma, F. N. U., Khuwaja, S., Memon, U. A., & Bai, K. (2023). Advances in the management of diabetes mellitus: A focus on personalized medicine. Cureus, 15(8), 1–13. https://doi.org/10.7759/cureus.43697

Valenzuela, P. L., Carrera-Bastos, P., Gálvez, B. G., Ruiz-Hurtado, G., Ordovas, J. M., Ruilope, L. M., & Lucia, A. (2020). Lifestyle interventions for the prevention and treatment of hypertension. Nature Reviews Cardiology, 18(4), 1–25. https://doi.org/10.1038/s41569-020-00437-9

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Discussion Prompt
Describe your current clinical rotation setting, its name, location, patient demographics, and its position or role within the local healthcare system. Highlight common issues and chronic conditions treated in your clinic. If your clinic doesn’t manage chronic diseases, suggest where community members can seek such care.

Share your learning goals and any apprehensions regarding chronic care treatment, and topics of interest. Lastly, recommend two peer-reviewed primary care provider-appropriate journals known for U.S. practice guidelines and quality research articles. Your reference list should include two recent articles (one from each journal you mentioned above) related to chronic care, even if they are not cited within the discussion. Ensure the articles fall within the nurse practitioner’s scope of practice, i.e. exclude surgical or highly specialized topics.
Below is an example of a good journal article related to a chronic condition (this example may not be used for your discussion):
Sandhu, J.S., Bixler, B.R., Dahm, P., Goueli,R., Kirkby, E., Stoffel, J.T., & Wilt, T.J. (2023). Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia (BPH): AUA guideline. Journal of Urology. https://doi.org/10.1097/JU.0000000000003698

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