On the musculo placement, it has become clear that rapid assessment is key, especially in more complex cases (e.g. where there are multiple different pains, sensory loss, sensitisation, etc.). What I am wondering is, how do physios decide to narrow down what things to assess?
Also, how thorough an Ax should we do for hand-over pt.s? In an initial assessment, there is usually enough time to do a thorough assessment, especially for things like a knee or ankle problems. But if we have a hand-over pt, should we just accept the previous student physio's evaluation of what the major problem is or key comparable signs are? At my present placement, the faculty supervisor and the Curtin tutor don't agree on this...
Has anyone found a good way of narrowing down what to assess? I guess we are taught that a good subjective and observation of functional tasks should help, but I have watched someone with Gr.III quads; and someone else with Gr.IV- H.Abdr.s walking without spotting a gait anomaly! Perhaps it just comes with experience?
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Hi Ed,
Yes it very tricky and it is something I struggled with during my placement-what to assess and what not to assess. I don't think you should rely on the previous PT-always try to do some assessment for yourself, even if you are just trying to confirm what the previous PT found.
I know you hear the saying, 'it comes with experience' alot with these placements, but in this case I think it is true. Plus you should always remember that know one gets it right the first time everytime and if your treatment is not having the desired affect during the first few sessions then you are most probably not on the right track and thus you should take a different approach.
Cheers
Nico
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