PRAC 6645 Week 2 Assignment: Clinical Hour and Patient Logs –

PRAC 6645 Week 2 Assignment: Clinical Hour and Patient Logs

S: A.P. is an 11 years old Asian girl who is healthy with no significant intellectual impairments or developmental delays. She however presents as extremely embarrassed and shy as a result of frequent bowel movement accidents. She even had an accident recently, on the bus, during a field trip which led to her peers laughing and teasing her. She was so significantly distressed as a result of this incident and even refused to go to school for the following 2 weeks. She also reports a history of persistent constipation. The patient denies a history of any other health complications. She is not taking any drugs for the current symptoms. She has no history of hospitalization. She confirms consuming a healthy diet and exercising regularly.

O: A comprehensive abdominal examination was carried out to determine the severity of the patient’s fecal impaction and gas

PRAC 6645 Week 2 Assignment Clinical Hour and Patient Logs

PRAC 6645 Week 2 Assignment Clinical Hour and Patient Logs

accumulation. The perianal area was also inspected to check for changes in skin color, malformations, or irritations. The digital rectal assessment was also done to evaluate the sensory changes in the perianal area and rectum. Finally, the lumbosacral area was inspected to overrule causes such as spina bifida occulta. All other findings were normal except for severe constipation.

A: Based on the patient’s history and examination results, it is quite evident the main cause of her frequent bowel movement accidents is persistent constipation.

P: The treatment plan aimed to treat the underlying cause of the patient’s symptoms and promote the patient’s mental health which was impacted by this disorder. The constipation was managed by osmotic laxatives such as lactulose. The patient was also started on CBT to promote understanding of her condition and manage the associated negative psychological impact of the disorder.

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Clinical Hours

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.

Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.

Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments (including the objective to which the log entry is aligned)

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Treatment Plan and Notes — Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter.

By Day 7

Record your clinical hours and patient encounters in Meditrek.



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