A good day
10/17/07
P: Today I only had on patient, which is the same patient I have had since the beginning of clinic. I practice ROM, taking heart rate, using the tilt table, and helped with the transfer. I also worked on getting the patient into the proper posture on the edge of the tilt table and head control by using verbal and visual with a small basket ball.
I also work with the first year student on transfers, doing ROM on someone with spasticity and contractures, getting the patient in alignment, using the tilt table, asking subjective information to the family, and writing the note.
O: Today I observed another second year student working with her patient while helping out. I watched the patient do heel slides with the powder board and work on the rocking board in the parallel bars.
I also watched the first year students transfer the patient I was working with and do ROM on one side of the body.
L: Today I learned that I can not use heart rate as a measurement to monitor the patient on the tilt table. I also found that it is sometimes easier to look at someone else’s treatment and decide what I would do differently then when my own treatment.
K: Since I have worked with the same patient for awhile, I feel comfortable and knew how to do the skills that I used today.
A: I plan on practicing taking blood pressure this week, so I am prepared for my patient next week to monitor my patient on the tilt table. Also, I will continue to review and practice past learned skills to continue to develop my skills. I feel pretty good about clinic in general. There are still obvious things that I am still learning, but I feel comfortable about what I am doing now. It is a little different having a different first year following me. I need to adjust how I teach and what this person is able to do.
Jeff said,
October 24, 2007 at 1:14 am
S: Good work in clinic this day. Good work with your 1st year student. Good blog.
O: Keep in mind that you CAN monitor heart rate while using the tilt table but the HR likely will only indicate a relative change in the pt’s anxiety/resting state; however, measuring the blood pressure will give you a better indication if the pt is experiencing Orthostatic Hypotension therefore could be at risk of passing out.
S: When you practice BPs be sure to try it on a variety of people and try taking the BPs in various positions such as sitting, lying, standing.