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NR 511 - Week 8 Reflection - with updated & corrected citation.

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Running head: DIFFERENTIAL DIAGNOSIS REFLECTION 1




Ann Marsh

Chamberlain University

Differential Diagnosis Reflection

NR 511: Differential Diagnosis & Primary Care

May 2018




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, DIFFERENTIAL DIAGNOSIS REFLECTION 2


Part 1 – Clinical Experience and Gap Review

In this NR 511 clinical rotation I was in a primary care office where I saw a total of 129

patients and completed 130 hours. I saw a well-rounded adult-age population comprising of

every age group from 18 to 85+ with most of them being in the age range 36 to 55. I saw two

pediatric patients age 1-4, one patient age 5-11, and five patients age 12-17. This totaled 6.21%

of my patients seen this session who were in the pediatric range; this is short of the required 15%

for the family nurse practitioner program (FNP). As one of my weaknesses was confidence and

ability to connect with pediatric patients I will bring my stethoscope to practice on my nieces and

nephews. I will also ensure I have good clinical experiences with pediatrics in the future.

Per the MyEvaluation reports, I saw four patients from the pacific islander population

(3.10%) and thirty-two from the Hispanic population (24.81%) which is fairly representative of

the Utah population. According to the US Census Bureau, in Salt Lake County Utah, the pacific

islander population here is 1.7% and the Hispanic population is 18% (United States Census

Bureau, 2017).

Per the MyEvaluation logging tool, I also saw one African American patient (0.78%) and

two Asian patients (1.55%) which is slightly lower than the population of these groups in Salt

Lake County, Utah at 2% and 4.2% respectively (United States Census Bureau, 2017). However,

I did label 4 patients, or 3.10%, of my patients seen as “other”. The following areas are

considered Asian by the US Census Bureau: Far East, Southeast Asia, or the Indian subcontinent

(United States Census Bureau, 2017). I should have labeled these “other” ethnicities as Asian

because they were primarily middle eastern. If I had done this, I would have the appropriate

percentage of Asians seen per the US Census Bureau of my area. Therefore, for this gap I will

correctly label the ethnicity of my Asian patients for my future clinical sites.


This study source was downloaded by 100000839495789 from CourseHero.com on 02-02-2022 03:36:32 GMT -06:00


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