Here I am down in Surfton (anme changed to protect the innocent... eat yer hearts out, Brent, Shadi & Nick) doing the rural thing.
Patient with a sub-archnoid L parietal haemorrhage was referred to us for a mobility review. Notes said she was mobilising independently, "but probably shouldn't be". So I go see the pt. do the sujective routine, then a mobility review. Bed mob, STS to sit again, Amb all perfectly safe & indep. I have 10 min. before I have to cruise over to senior's centre for Stay on Your Feet, so I go back to physio gym and grab a step to make sure pt can negotiate her 1 step FE. She does it no prob, even when I get fussy on her and ask her to do the step without touching the WZF (she used the door frame: safe, fast and steady). No sign of ataxia, synergistic movement, weakness or other motor defects... So I write up the notes and head off to SOYF.
Later that day, I cop an earful from one of the staff physios who says I need to treat and not just assess. Of course, I listened and accpeted the feedback without question.
After reflection, I wasn't sure if I should do anything different. I mean, I couldn't see any impairments, so what should I treat? I fulfilled the request at the heart of the referral and no other impairments were evident... Ironically, I would have had to do more Ax to find something to Rx!
So my questions is: should I try to ask the physio what he/she would have done (to learn from the situation - but hard to do without making it sound like I am questioning his / her call) or just forget about i?
Subscribe to:
Post Comments (Atom)
1 comment:
Hi Ed
I know we are final year students and it is expected from us to perform at certain level. However, I believe that it will not make harm to ask. Chinese proverb says,” who asks is fool for five minutes, who does not ask remains fool forever”. I am trying to think that shortly we all will have to make our decision regarding assessment and treatment independently thus, now I am concentrating on improving my skills. On the other hand it is our last chance to keep asking and do not feel shame! Finally, I think that supervisors like when students ask questions and show enthusiasm.
Good luck,
Post a Comment