Journal entries need to connect your previous professional experience with your practice, competencies/concepts in the program, and the literature. Your journal entry
should be week-based and sequential so that all journal entries are contained in one file.
• Describe the observed activity
• Using an evidence-based approach, analyze the problem, issue, or situation. Address questions posed in the weekly practicum pages if appropriate.
• Reveal how the real-world might mirror or diverge from program-related evidence, concepts, and/or theories.
68 years old female patient came in for follow up from tick bite/Lyme disease two weeks ago. Patient very healthy no past medical history. She stated that the fever,
chills, fatigue, body aches and a headache had improved and she is feeling better.
Patient finished taking Doxcycline 100 mg twice a day for 14days.
I discussed about prevention techniques with patient.
The link is below.
By Mayo Clinic Staff
The best way to prevent Lyme disease is to avoid areas where deer ticks live, especially wooded, bushy areas with long grass. You can decrease your risk of getting
Lyme disease with some simple precautions:
• Cover up. When in wooded or grassy areas, wear shoes, long pants tucked into your socks, a long-sleeved shirt, a hat and gloves. Try to stick to trails and avoid
walking through low bushes and long grass. Keep your dog on a leash.
• Use insect repellents. Apply insect repellent with a 20 percent or higher concentration of DEET to your skin. Parents should apply repellant to their children,
avoiding their hands, eyes and mouth. Keep in mind that chemical repellents can be toxic, so follow directions carefully. Apply products with permethrin to clothing or
buy pretreated clothing.
• Do your best to tick-proof your yard. Clear brush and leaves where ticks live. Keep woodpiles in sunny areas.
• Check yourself, your children and your pets for ticks. Be especially vigilant after spending time in wooded or grassy areas. Deer ticks are often no bigger than the
head of a pin, so you may not discover them unless you search carefully.
It’s helpful to shower as soon as you come indoors. Ticks often remain on your skin for hours before attaching themselves. Showering and using a washcloth might remove
• Don’t assume you’re immune. You can get Lyme disease more than once.
• Remove a tick as soon as possible with tweezers. Gently grasp the tick near its head or mouth. Don’t squeeze or crush the tick, but pull carefully and steadily. Once
you’ve removed the entire tick, dispose of it and apply antiseptic to the bite area.