S:
For all new pts in the Pd clinic an initial assessment must be completed. This assessment includes both subjective and objective components. the subjective focuses on components such as balance, falls, mobility and PD symptoms i.e festinating gait. The objective is based on time trials for tests like the TUG, 6m walk test etc. the assessment form is filed and used as a baseline measure for future assessments to identify any deterioration in the pts function between interventions.
T:
To successfully complete this assessment form it is important that I ask the right qns in the subjective. I must gain a good understanding of anything the pt is having trouble with at home. For the objective it is important to do the tests correctly and explain them effectively to the pt. I must document correctly also, commenting on whether the pt used an aid during the tests etc.
A:
I sat the pt down and had a conversation with them. I started with an open ended qn and allowed the pt to explain to me what they were worried about. I then explored my main subjective topics to gain insight into where my intervention would be based. For the objective I ran through all the tests and took the pt through them.
R:
Overall my assessment was fairly good. There were however some extra qns I could have asked regarding some of the things the pt said. I took my filled in my assessment form and filed it in the pts file for further reference. All my time trials were done well.
E:
Overall I was effective in reaching my outcome of a detailed subjective and objective assessment. My weak points were communication, I was sometimes a bit condescending towards pts assuming their cognition level to be lower than it was. My strengths were my normative values knowledge and my rapport with pts.
S:
Some strategies for improvement are; becoming familiar with the subjective qns and knowing what to ask. Finding ways to explain certain terms to a pt such as festinating. Gaining insight into their cognition early as possible to decide upon the ;evel of explanation required.
Thursday, July 30, 2009
Monday, July 27, 2009
placement number 2
well i finally found my password for my blog since last year, so here is my first blog. so what am i expecting? im at the Parkinsons disease clinic at Osborn park Hospital. i suppose being a hospital setting im expecting the nature of this prac to be your typical ward setting, working as part of an allied health team. its Parkinsons outpatients so i will be working a with a range of patients from high level function to mid/lower level function. this means structuring my treatment differently from things like education to treating joint range of motion to muscle strength. the structure i believe will be basic supervisor student relationship with opportunities to research my area of practice and also treat patients and take classes. my role as a student like any placement will be to conduct myself as professionally as possible, represent the university in a positive and exemplarary fassion. to respect hospital guidelines such as patient confidentialilty. also to be competent to treat patients as a show of respect for them giving their time for me. starting this placement, im inspired to get into a routine and achieve all the things i have set out to achieve like a positive experience with good marks. im worried about not being able to earn any money while on prac and how im going to handle that. however i believe that i can make this experience an absolute positive experience and make it go a long way in my journey to being the best possible physiotherpaist i can be. thankyou and good luck to everyone
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