My most recent rotation in the Senior’s Outpatient Clinic allowed an amazing opportunity to work with patients in the community presenting with complicated chronic disease states and medication regimens. The patients were at various places in their journey of chronic disease management. These included longstanding early on set Parkinson’s disease to newly diagnosed mixed Lewy body dementia. In this rotation, the emphasis on patient centered care was key. This rotation fostered the development of my patient interviewing skills and how to best approach the primary concerns of the patient with the added complexity of cognitive impairment or dementia. As my knowledge of the etiologies and presentation of cognitive impairment (mild cognitive impairment to severe dementia) increased, I was able to more thoroughly assess the patient and their ability to self-administer medications and reports ADRs. The final comprehensive consults challenged me to organize the information into detailed, comprehensive SOAP notes. I still require practice interviewing and clearly identifying DTPs in more complicated situations and this is an area I would like to focus on in my up coming internal medicine rotation. In addition to the technically skills I gained, this rotation gave me exposure to the community resources available for patients to help improve their quality of life and to support for them and their families while making difficult healthcare decisions.

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