Please respond to discussion below using current APA edition and 2 scholarly references. Must be 150 words at least.
Please respond to discussion below using current APA edition and 2 scholarly references. Must be 150 words at least.
As a nurse practitioner student, I found my clinical experience of the week to be both educational and enriching. Despite attending to different patients with varied comorbidities and conditions, I did not face any serious challenge that could adversely impact my clinical knowledge and skills. I am grateful I had a smooth week and had an opportunity to improve my expertise in clinical matters. I consider each encounter with a new patient to be an addition to my knowledge.
Patient Assessment
I encountered a 68-year-old male with signs and symptoms of sneezing, runny, stuffy nose, itchy nose/eyes, runny nose, fatigue, and congestion. Also, the patient had a history of allergic rhinitis. Given the signs and symptoms and history of the patient, stressed ruling out possible differential diagnoses.
Differential Diagnoses
- Sinusitis: Based on the signs and symptoms of facial discomfort, fever, and nasal congestion, the patient could be diagnosed with sinusitis. Indeed, sinusitis depicts symptoms such as facial tenderness and fever that overlap with allergic rhinitis because of the inflammation of the sinuses (Nur Husna et al., 2022).
- Upper respiratory tract infections (URIs): It is demonstrated that viral infections like influenza and the common cold cause symptoms related to allergic rhinitis. They include nasal congestion, cough, sneezing, and runny nose (Sharma et al., 2022). Nevertheless, symptoms of URIs do not persist for long as they can resolved within one or two, but symptoms of allergic rhinitis might take longer, particularly during allergy seasons.
- Medication-induced rhinitis: Some medications, like nasal decongestant sprays, can lead to rebound congestion if utilized for longer periods (Sharma et al., 2022). It is demonstrated that rebound congestion can imitate the symptoms of allergic rhinitis. The diagnosis should be deliberated if the patient has been using such medicines.
Assessment Finding
After an extensive examination, I noticed that the patient had clear rhinorrhea, pale discoloration of the nasal mucosa, red and watery eyes, a runny nose, and sneezing. The assessment was vital in the diagnosis of allergic rhinitis. Based on the differential diagnoses and assessment findings, the patient can be prescribed loratadine and montelukast to regulate rhinitis and provide symptomatic relief (Nur Husna et al., 2022).
Health Promotion Intervention for the Patient
Patients diagnosed with allergic rhinitis are educated about appropriate medication use and environmental changes to limit exposure and how to avoid allergens (Nur Husna et al., 2022). They should be sensitized about noticing triggers and the significance of strictly using the prescribed medicines to enhance the quality of life and patient safety.
What I learned
The clinical experience for this week highlighted the different lessons that proved resourceful in managing allergic rhinitis and associated health conditions. I noted that it is vital to conduct extensive examinations through methodical evaluation and careful observation to collect important information to be used in diagnosis and medication plans. Also, I realized the need for evidence-based practices in the nursing profession and clinical experience. I should remain current by being informed about emerging developments and recommendations. Ultimately, the clinical experience demonstrated the complicated nature of dealing with allergic rhinitis.
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