My long-term care rotation consisted of being at the Veteran Affairs center doing 8-hour shifts five days a week for five weeks. The shifts were during the day (9am-5pm) and I worked during the weekdays. I really enjoyed my five weeks working at the long-term care rotation. The patients I saw were called “Residents” because they actively resided at the VA center. I worked with a singular preceptor throughout my 5 weeks, and I really enjoyed the comradery with my fellow practitioner. The clinician and I had our own set of patients that we saw daily, as well as other …

For my site evaluations, I did three History and Physicals on three different patients. The first patient I wrote about was a patient who had right lower back pain for the past two weeks. The patient said that the pain did not radiate anywhere, and laying down alleviated the pain. The second patient I wrote about had decreased hearing out of the right ear for the past 4 days. There was no pain associated with the decreased hearing. The third patient I wrote about came in for his monthly medical evaluation. He denied any pain, fever, chills, shortness of breath, …

ProKera is a therapeutic medical device used to treat various eye conditions. It is an amniotic membrane graft (also called a sutureless, cryopreserved amniotic membrane) that combines the healing properties of cryopreserved amniotic tissue with a flexible ring that fits over the cornea like a contact lens. The amniotic membrane promotes corneal healing, reduces inflammation, and minimizes scarring. ProKera treats many different types of ailments including corneal erosions and ulcers, patients with severe dry eye disease, corneal infections such as herpetic keratitis or other inflammatory corneal conditions, chemical burns, neurotrophic keratitis, and Stevens-Johnson Syndrome. The device is typically placed by …

Source: Resident + information from EMR CC: Decreased hearing from R ear X 4 days + Complete physical exam HPI: 83-year-old male with PMHx of thrombocytosis, chronic PTSD, rosacea conjunctivitis, bilateral neurotrophic keratoconjunctivitis of the eyes, dementia, recurrent bilateral LE cellulitis, HFrEF (EF 25-30%), HTN, DMT2 (HbA1c 6.1 – 10/2023), CAD s/p CABG (1995), diverticulitis s/p sigmoidectomy 2006, large ventral/abdominal hernia with failed surgical repair 2007, PUD s/p hospital stay 1/27 – 2/5/24. Resident is complaining about reduced hearing out of his right ear for the past few days. He says there is no pain associated with it. Resident currently …