Sunday, January 11, 2009

Final Entry

1. The five weeks on placement flew by at a rapid pace. The first week or two were consumed with the brain being on high alert, taking in procedures and protocols, and learning to work with our patients one-on-one, whilst trying to absorb what our supervisors were teaching us. The later weeks allowed consolidation of what we were learning on-site, and a greater focus on the quality of our treatment sessions (though challenges were continually thrown at us). I personally found the prac placement extremely rewarding, particularly seeing patients at week one, and seeing their progress on our leaving at week 5. The value of having that hands on, extensive (5 weeks straight) experience in our second year is huge. The placement allowed me to build confidence in myself, my ability, and gave reinforcement that physiotherapy is exactly what i should be doing, justifying any sacrifices made throughout my studies (living apart from husband for 3 years!)

2. Some of the standout things I noted on prac were the importance of having a thorough S and O of the soapier. As mentioned throughout our units, a comprehensive start to the soapier makes for a better and efficient APIER, to both  plan and put into practice. In handover from another student before us, gaps in their soapier became apparent, showing me how important it is for a broad view of the patient and their living context post rehab.
Appropriate communication to the geriatric patients is vital- particularly given the differences of mental and physical health within that age group. You may be talking to a 92 year old who has normal cognitive function , whereas your next patient my be 67 and have dementia/alzheimers etc and requires a different communication approach.
Having the ability to work in a team is also an important note to make. Having a friendly and flexible approach with work colleagues appeared to make a huge difference on this placement. With staff shortages etc, being able to help out or do something that may not usually be your role (particularly with gerontology) can aid in having a good rapport with other ward/ hospital staff. 

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