Rotation Reflection – LTC

My rotation through the geriatric clinic at Metropolitan hospital was very exciting. I was able to learn a lot about the geriatric population and about the correct ways to properly do a geriatric physical, diagnose and treat the patients. The clinic allowed me to see many patients with unique diagnoses, such as neurofibromatosis. Additionally, it allowed me to see the common diagnoses of hypertension, hyperlipidemia, and diabetes. I learned how to balance the patient’s medications to try to make sure the patient does not fall prey to poly pharmacy. I learned about the classic side effects of many of the main medications that are used in the geriatric population such as metformin and atorvastatin. I was able to assist in performing many EKGs and the provider would always work through and explain each one. I feel that because of this experience I have become more skilled at interpreting the EKG. This rotation I was also able to see how important the physical exam is. Each patient was checked from head to toe. The feet are a big indicator of many types of diseases and complications. For example, diabetic neuropathy was a constant diagnosis in many of the patients. This rotation was hard for me because many of the patients were not English speakers and the providers were able to speak the languages of the patients. At first I was unable to fully comprehend what was spoken about in the appointments but then I was able to pick up on many words, questions and phrases. The last thing that I picked up on in this rotation is the team work that is needed for a geriatric practice. All the specialists need to work together to coordinate medications, procedures and appointments. The staff in the clinic all needed to work together to ensure that the patient had the shortest and most efficient visit. The patient’s have multiple appointments and do not want to be in a hospital for longer than they have to be.