3. In week 4-6, In performing a head to toe assessment, I will be able to identify differential diagnosis, health risk factor modifications that I can discuss with my preceptor 4. In week 7-9, I’ll develop treatment plans, lifestyle modifications and interventions for the differential diagnosis that will prevent or minimize health risk factors and discuss with my preceptor. 5. In week 9-10, I will diagnose and formulate a treatment plan that may help to improve quality of life, identify issues with medications that are not therapeutic, minimize risky health- related behaviors to discuss with my preceptor.

JOURNAL ENTRY 3 6. By the end of my practicum, I will be able to identify health-seeking behaviors, effectively formulate a treatment plan, lifestyle modifications for the patient on my own by the end of my practicum. Week 1 Journal Entry My clinical experience will begin on week two with my assigned preceptor. Conclusion Many nursing theories can be used in nursing care to improve patient care. Continuity Theory is applied in all aspects of nursing because it is patients lifestyle decisions that have brought the patient to the hospital. Learning how to identify these decisions can help improve the patient's outcome. As a nurse practitioner student learning to identify behaviors that influence or impedes the patient’s well being is essential to be able to devise at a treatment plan. Journal Week 2 In this weeks journal I reflect on age-related changes in geriatric patients and how to use a functional assessment to differentiate between normal behaviors/disorders due to aging and abnormal behavior/disorders that are not age related. In dealing with the geriatric population it is very important to take a thorough history and physical examination. Sometimes the examination may have to be done in segments that require 2 sessions because patients become fatigued. Clinical interviews with patient should be done with interdisciplinary teams to cover all aspects of care (geriatrician, pharmacist, physician, nursing). An assessment that has proven to be very effective is the comprehensive geriatric assessment which includes evaluation of function and quality of life, this is done with an interdisciplinary team. The Comprehensive Geriatric Assessment (CGA) is a multidimensional, multidisciplinary diagnostic process used to determine medical, functional, and psychosocial problems and capabilities in an elderly patient who may be at risk for functional decline. A