****CLINICAL SITE IS AT A OB/GYN CLINIC, TEACHING FOR SIGNS OF PRETERM LABOR
Reflection should be related to signs of preterm Labor .******
The report needs to be 2-3 pages that include all the topics below. Support it with at least 3-4 teaching/learning materials available at the site or other valid articles.
Follow the format below and answer all questions to get full credit
Introduction:
Describe your situation.
What you did and why you did it
Patient Information on one of the patients that were seen today.
What is her OB/GYN history?
What is her chief complaint about today’s visit?
Reflection on the action:
Was it easy/difficult, pleasant/unpleasant, etc.?
What procedure was performed on the patient?
Details on the procedure and the reason for it
What Patient Education was provided?
Reflection on what you learned:
How you might want to follow it up
What other people did and why they did it?
How you used your theory knowledge on the subject
Conclusion: Identify gaps
What other information do you need?
What are you going to do differently in this type of situation next time?
What steps are you going to take based on what you have learned?
3 Nursing Diagnoses: 2 Physiological and 1 Psychosocial (In Order of Priority) – 8 Points (2 points per diagnosis):
1.________________________________________________________________________________________________
2.________________________________________________________________________________________________
3.________________________________________________________________________________________________
Assessment
Nursing Diagnosis
Goals / Expected.
Therapeutic Nursing
Rational for Nursing Interventions (cite source)
Evaluation
Have the Goals been met?
Subjective Data:
Objective Data:
Diagnosis #1
1.
2.
1.
2.
3.
1.
2.
3.
1.
2.
3.
1.
2.
3.
1.
2.
Assessment
Nursing Diagnosis
Goals / Expected Outcomes
Therapeutic Nursing Interventions
Rational for Nursing Interventions (cite source)
Evaluation
Have the Goals been met?
Subjective Data:
Objective Data:
Diagnosis #1
1.
2.
1.
2.
3.
1.
2.
3.
1.
2.
3.
1.
2.
3.
1.
2.
