nr 511 week 8 reflection differential diagnosis reflection
nr 511 differential diagnosis and primary care
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Running head: DIFFERENTIAL DIAGNOSIS REFLECTION 1
Chamberlain University
Differential Diagnosis Reflection
NR 511: Differential Diagnosis & Primary Care
, 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.
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