NURS FPX 4905 Assessment 5 Reflection Questions

NURS FPX 4905 Assessment 5 Reflection Questions

Student name

Capella University

NURS-FPX4905 Capstone Project for Nursing

Professor Name

Submission Date

Reflective Journal

• Wellness and Disease Prevention

In my practicum, I also had the chance to observe some health promotion and disease prevention programs, which were particularly aimed at the population recovering from substance use disorders. The patients served by Immersion Residential Center have high social factors of health, which include the following: homelessness, joblessness, lack of medical services, and past trauma.

The employees struggled to get over these hurdles by undertaking organized relapse prevention and skills to a healthy lifestyle, nutrition, coping skills, and use of community resources sessions. I also noticed how technology was applied in electronic health records and telehealth services as a referral method in order to follow up on patients after their discharge. Such initiatives as peer support specialists and recovery coaching integration were combined with this work and made the patients feel more accountable and a part of the team. This experience had a profound effect on me as a professional nurse because it revealed that prevention in the specified environment is far beyond clinical responsibilities: it is focused on the holistic aspect of the situation in which the patients happen to be. It emphasized that the strategy of wellness must be where individuals are and must involve social, psychological, and cultural facets.

As a nurse, I realized that my responsibility will be to play a role in the advancement of equity in care, any form of culturally competent training, and enhancing trust in vulnerable populations. The practice of seeing that the staff is determined to close the gap in the recovery care has been very enriching to my experience on how active, patient-centered, and preventive care can positively transform lives.

• Chronic Disease Management

• Regenerative and Restorative Care

Nonetheless, even though the primary goal of my practicum was associated with substance use disorder recovery, I have witnessed numerous circumstances that required the application of restorative care. Detox may be erratic, and sometimes the patients have degenerated into acute mental health issues or even suicidal thoughts or tantrums, which have led to the need to have them put on their feet.

I observed how the nursing and medical personnel were quick and used the crisis de-escalation strategies, safety precautions, and, in some instances, medication to deal with extreme cases of withdrawal. In addition to this, I discovered that the clientele had a section of clients who experienced stroke, head injury, or chronic psychiatric conditions, and it influenced the development of the care plan and provision of therapeutic interventions during the early stages of the recovery process.

This experience has made me realize that restorative care is not limited to the state of physical well-being of a person but can also include mental and emotional stabilization. It made me remember how important it can be to quickly assess the situation and analyze a problem, and work with it collaboratively with a reaction of teamwork in cases of acute failures. As a licensed nurse, I realize that the advocacy to encourage multidisciplinary feedback (behavioral health, neurology, therapeutic services) should be made, so that the person-centered interventions can be developed regarding the cognitive, physical, and emotional challenges. Such experiences made me understand the complexity of the sphere of patient care and motivated me to become a full of devotion and committed to the values of holistic, adaptable, and compassion-focused approaches to care.

• Hospice and Palliative Care

Immersion Residential Center is not a hospice or palliative unit of care, yet I got exposed to cases where the concept of palliative care was highly applicable. Chronic medical problems have been presented by other customers because of the long-term use of the substance, some having liver disease, heart attack, or acute mental deterioration.

These illnesses tend to have long-term ramifications and, in some cases, a low prognosis. I had noticed that the discussion on quality of life, future planning, and goals of the patient was not the highest priority, although the conditions involved were serious. At times, the staff members would make a referral to the locally based palliative options in the community, but the conversation was often raised late.

This led me to ponder the practice of nurses, in particular, regarding how they should approach the process of initiating the early conversation with patients on quality of life and advanced care planning, even outside the hospice environment where one is supposed to work. It was explained to me that the concepts of palliative care intervention, such as valuing the patients, management of their symptoms, and emotional support, should be included in the recovery care.

This practice has brought out my responsibility as a professional nurse to provide care in a holistic manner, whereby much emphasis is laid on dignity, compassion, and patient-centered goals. It also motivated me to voice out regarding how the system can be improved concerning how they should treat the topic of recovery program-wise with regards to advanced illness, due to the fact that such discussions should happen earlier and in a conscious manner that is more candid manner.

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