peer reply clinic (EC)


O. J is a fourteen-year-old male patient who presents to the clinic with his father. His father is worried because of his dwindling grades; he believes it is because of his excessive daytime sleepiness for the past four months. Upon inquiry, O. J states that he easily falls asleep during the night but often wakes up throughout the night. O.J reports that he cannot control his need for sleep, and he finds himself lapsing into sleep during the day. He has even fallen asleep at least thrice when taking a bath. He is now afraid of going to school because his classmates laugh at him, and his class teacher has summoned him several times. He, however, says that he feels refreshed after taking a nap. He finds it weird that some parts of his books are written in sloppy handwriting, and he cannot recall when he did the writing. He has had a few episodes of being unable to move either side of his body despite being awake, and his body feels sloppy whenever he laughs. He doesn’t report any other symptoms though he comments that he has gained weight over the last few months. He doesn’t take any recreational drugs, doesn’t drink alcohol or smoke cigarettes, and has no medical condition. The results of his physical assessment appear normal.
Reflections on the Clinical Experience
I was anxious during part of the interview with the patient and his father. The patient also seemed to underestimate my capability to take a comprehensive history because of my accent. The patient also seemed apprehensive and shy while giving the history. To manage the anxiety that I initially felt during the history taking; I ensured I was calm during the process (Cornine, 2020). I made sure to ask the necessary questions. I maintained eye contact and maintained an upright posture throughout the interview (Cornine, 2020). I also assured O.J that whatever he told me was confidential (Cornine, 2020). To reduce the patient bias about my accent and ability, I assured them that every question I asked, or the physical examination performed was evidence-based.
Assumptions I made during the interview include children with mental illness have a poor socio-economic background, children make up stories of evading responsibilities, and mental health issues only affect adults (Brouwers, 2020). Therefore, I realized that mental illness could affect anyone irrespective of gender, age, or race. Mental health is not only limited to a few conditions such as mania, psychosis, or depression. It is vital to treat every patient with dignity and respect (Brouwers, 2020).
After my clinical experience with O. J, I became more open-minded about mental health. I committed to doing more research about mental health to increase my knowledge about the pathophysiology, diagnosis, and management of mental illness. Therefore, I will commit to understanding a holistic nurse’s role in advanced nursing practice. This practice will ensure that I manage the patient’s spiritual, emotional, physical, and mental aspects (Frisch