NURS FPX 4905 Assessment 5

NURS FPX 4905 Assessment 5 Reflective Journal Student Name Capella University NURS-FPX4905 Capstone Project for Nursing Professor Name Submission Date Reflective Journal Wellness and Disease Prevention During my practicum, I also witnessed different health promotion and disease prevention measures that were particularly aimed towards the population of people who were recovering due to substance use disorders. Most of the patients attended by Immersion Residential Centre have significant social factors of health such as homelessness, unemployment, poor access to healthcare and trauma history. The employees worked hard to overcome these impediments through systematic sessions on relapse prevention, skills for a healthy lifestyle, nutrition, coping skills, and the use of resources in the community. I was also interested in seeing how technology was applied in electronic health records and telehealth services for referral of patients for follow-up after discharge. This work was combined with such initiatives as peer support specialists and recovery coaching integration, which made the patients feel more accountable and a part of the team. This experience made a significant impact on me as a professional nurse since it showed that prevention in the given setting is much more than clinical duties: it is concerned with the holistic nature of the circumstances within which the patients find themselves. It stressed that the approach to wellness needs to be where people are and has to include social, psychological and cultural aspects. On my part as a nurse, it will be my duty to contribute to the promotion of equity within care, all forms of culturally competent training, and the promotion of trust in vulnerable groups. My experience in observing that the staff is committed to bridging the gap in the recovery care has enriched my knowledge of how active, patient-centred, and preventive care can change lives in a positive way. Chronic Disease Management My experience in a practicum involving a focus on chronic disease management showed the need for interprofessional team-based care. Depression, anxiety, hepatitis C, hypertension and diabetes were other common co-occurring conditions that clients had along with substance use disorders. I attended case conferences where nurses, physicians, therapists, and case managers came to offer their expertise and offer to coordinate detox care, which led to a further plan of long-term rehabilitation. As an example, nurses gave comments about symptoms of withdrawal and requirements of mental aspects, therapists gave comments about the practices of behavioural correction, and case managers gave comments about the availability of outpatient care or community residency. The combined meetings provided a shared vision on how to control both chronic conditions and addiction in one integrated manner. These experiences helped me in remembering the importance of teamwork and effective communication as means to achieve holistic care as a professional nurse. It has brought me the realisation that the care of chronic illnesses rarely works well when it is managed singularly. Observing the way in which each speciality brought its own insights to the care of the patients made me realise that team leading is also a part of the work that a leader in nursing has to do; they are to promote group work, encourage collaboration, and make sure a plan is put in place and acted upon in the best interest of the patient. This experience reaffirmed my self-assertion as I aspired to be a systems thinker- an individual who thinks about the whole care continuum and promotes combined approaches that will curb relapse, control diseases, and eventually improve patient outcomes. Regenerative and Restorative Care Even though the primary goal of my practicum was in relation to substance use disorder recovery, I have noticed numerous situations in which restorative care was significant. Detox can be unpredictable, and at times, patients have been sent into acute mental health crisis, suicidal ideation or outbursts that required them to be stabilised. I experienced the nursing and medical staff react swiftly and put the crisis de-escalation techniques, safety measures and on some occasions medication in place to deal with the extreme withdrawal symptoms. Also, I discovered that some of the clients had had a stroke, a head injury or long-standing psychiatric ailments in the past, and it impacted the process of designing care plans and delivering treatments in the initial periods of the recovery process. Such experience highlighted to me that restorative care is not solely about physical well-being, but it may include mental and emotional stabilising as well. It reminded me of the importance of rapid evaluation, problem analysis, and collaboration with team reactions during the acute failures. As a licensed nurse, I understand that it is necessary to advocate in favour of the multidisciplinary feedback (behavioural health, neurology, therapeutic services) in order to develop person-centred interventions with respect to the cognitive, physical and emotional difficulties. Such observations helped me to realise how intricate the field of patient care is. They drove me towards becoming full of devotion and dedicated to the principles of holistic, adaptable, and compassion-driven approaches to care. Hospice and Palliative Care Immersion Residential Centre is not a hospice or palliative care unit, but I was exposed to the incidents in which the notions of palliative care were very applicable. Other customers have been in the presence of chronic medical challenges as a result of the long-term use of the substance, with some having liver diseases, heart attacks, or acute mental deterioration. These conditions typically had long-term implications, as well as poor prognoses in some cases. With the severe conditions involved, I had observed that the dialogue about quality of life, future planning, and goals of the patient was not the priority. On occasion, staff used to make a referral to locally based palliative options in the community, but the discussions were frequently brought out late. This led me to reflect deeply on the approach of nurses to initiate early discussions with patients about quality of life and advanced care planning, even outside the usual hospice place of work. I learned that principles of palliative care interventions, such as respect for patient values, symptom control and emotional care, were to be integrated for