Sunday, May 9, 2010

Rotation 3 Initial Entry

Initial Entry

Well I’m off on a rural/paeds placement and I’m a little uncertain of what to expect. It’s the first time this facility has had a student, so I’ve no clinical mixes, or any past experiences from other students to go off.

I think this placement particularly will encompass the biopsychosocial model we’ve been learning about throughout the degree. I’ll be doing home and school visits, so all aspects of the childs life will need to be taken into account, particularly any social influences and restrictions they may have. I’ll be very careful and aware of being a stranger in a child/familys home, and I’ll endeavour to bring some respect and understanding to their situation, to best build a rapport and thus service their needs adequately.

I’m expecting to see more chronic conditions on this placement, in that if a child were in an acute situation, they’d more likely be at a hospital. That’s not to say that I wont be seeing some seriously ill children though. I have always enjoyed being around and working with children, and with the impending birth of my own child quickly nearing, I think the gravity of some childrens situation may emotionally affect me more than it would have previously. I hope to use this empathy in a positive way by assisting the families as best I can, rather than give them sympathy and a reminder of their childs prognosis (they need understanding and skills, not a stark reminder of their situation – particularly from a student!).

I expect the travel required for this placement to be a little demanding. Given my location, I’ll be driving over an hour each way to work, plus the home and school visits throughout the day. I intend to use time in the car to hone in on my nursery rhymes (listening to CDs), and make sure I get plenty of rest outside of the working hours. The travelling is in fact fine though, as I’ve now moved down south permanently (to be with husband), and I’ve always travelled a lot on weekends etc anyway.

I’m a little worried in that we’ve not done paeds specific conditions since second year at uni (?). It feels so long ago since learning this info, but I’ve done some revision and hope that the one-on-one learning I’ll be doing will consolidate that knowledge. I’m such a practical learner, and I know once I “see and experience” these conditions, they’ll live with me.

I’m really looking forward to this placement. I’m from the country myself and I intend to live in the country here on in, and think that rural residents just don’t have the same access to services as metro residents do. I think a service like the one provided is crucial to their quality of life. I think I’ll relate to these people just by having an understanding of what it’s like to live rurally, and all the factors that impact on that. Again, I think the social side of things will play a big part in the families, magnified just by living rurally.

Most of all I hope to walk away with a more consolidated understanding of paediatric conditions, see them in context, and use the invaluable (individualised) problem solving skills that we physios (students) have to help improve their situations.

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