3/25/24 8:00-12:30; 1:00-4:00 p.m.

3/26/24 8:00-1:00; 1:30-4:00 p.m.

3/27/24 8:00-1:00; 1:30-4:00 p.m.
3/28/24 8:00-12:30; 1:00-4:00 p.m.
Total Weekly Hours: 30

During my twelfth week interning at East Georgia Healthcare Center, there was a slight

change in my plans. Originally, I planned to assist Nurse Practitioner Kim Fulmer with health

screenings at the Salgado Harvesting camp on Tuesday. However, the camp was located farther

than anticipated, requiring a two-hour drive. Considering the distance, I made the decision to

participate in the next camp visit, when it will be more conveniently located. On Wednesday, I

asked Mrs. Kim to fill me in on the events at the camp. She provided me with an update, sharing

fortunately that there were no referrals to the hospital. However, she informed me that there was

a prevalence of hypertension and diabetes among the workers, along with cases of body pains,

particularly back, knee, and wrist pain from harvesting activities, and instances of red eyes due to

onion harvesting. I continued with my routine tasks throughout the week, which included

activities such as enhancing colorectal cancer screening rates, updating patient records, assisting

in health screenings, and handling various errands. On Thursday, I had the privilege of meeting

with three representatives from EXACT Sciences Corp., a diagnostic company that focuses on

early detection and prevention of colorectal cancer. They developed Cologuard, the colorectal

cancer screening test that I often recommend to patients. This week, one patient, aged 46, stood

out to me. He requested a colorectal cancer screening without us saying anything. He is

interested in taking preventive measures because his brother has been diagnosed with colorectal

cancer. It is always inspiring to see patients taking preventive measures for their own health.

Lessons Learned
 This week I observed how low health literacy is associated with poor health outcomes.

On Wednesday, a patient came in for a wound on his shin that would not heal but the provider

discovered that his toes were blue, and she could not feel a pulse in his foot. The patient and his

family did not understand how dangerous and life threatening this issue can be if he does not get

the proper care. The patient recently moved here from Mexico and did not speak any English so

there were language barriers as well as low health literacy. There is an urgent need for improved

health education and communication strategies, particularly for individuals facing language

barriers.

Day Time In Lunch Time Out Hours Worked

Monday, 8:00 A.M. 12:30 P.M.- 4:00 P.M. 7.5

March 25 1:00 P.M.

Tuesday, 8:00 A.M. 1:00 P.M.- 4:00 P.M. 7.5

March 26 1:30 P.M.

Wednesday, 8:00 A.M. 1:00 P.M.- 4:00 P.M. 7.5

March 27 1:30 P.M.

Thursday, 8:00 A.M. 12:30 P.M.- 4:00 P.M. 7.5

March 28 1:00 P.M.

Friday,
March 29

Total Weekly 30
Hours

Total Hours to 372

Date
Weekly Hours:30
Total Hours to date:372