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in Acute Care you give basic exercises - but most therapists I followed never really get into technique. Using basic tactile/verbal cueing or demonstration can really make the world of a difference in correct performance of them. Interestingly, my two acute care CI’s says ther ex was one of my strengths. That’s my past experience of two outpatient orthopedic rotations kicking in haha! An added plus was I got patient buy in for completioncompliance of a Home Exercise Program (HEP) when I told them I worked heavily in orthopedics before.
It doesn’t hurt that I also am a perfectionist and very much about structure.
Interestingly, I’ve missed implementing a full hour of a specialized exercise/balance regimen for patients while in acute care. It was very functional with little (if any) time spent on exercises (I always tried to implement them after walking in the hallways but I can’t say the same for some others I shadowed under). I’m hoping acute rehab will be a good mix of utilizing specialized exercise/activity while still maintaining the functional goals.
While home, I’ve found my love for correct exercises towards areas of weakness (not for ‘making yourself look better’). This includes things like:
Man, for somebody that is in no way a body builder, I sure love the structure of kinesiology that creates a good foundation for creativity of individualized exercises!
(surprisingly not so many ‘factual’ things because I was stressed about simply performing up to par)
MPD Syndrome = Multiple Personality Disorder
Evaluations in the ICU are really not that bad. In fact, despite all the lines and cords, they’re pretty quite simple and straight foward?
When you are less stressed about guarding and performing for others, it opens up room for growing in other area! (AKA: I feel less ‘under the microscope’ with my new CI and now am working on efficiency and time management)
Acute Viral Syndrome
*It is hard to take criticism at first. Don’t be defensive when it is given on the spot. If you need time to fully digest it, take it. Then take the time to understand it, thank the critque-er or discuss, and then try implementing it into practice.
*As much as things may seem frustrating, hard or bad at times - there are still people who cheer for your success and others who know your genuine strengths.
TKA Revision & Implant
IDA (Iron Deficiency Anemia)
Yesterday I shadowed at an inpatient rehab facility (actually I was working under my old Neuro Rehab professor and Clinical Education advisor – someone I truly admire and kind of ‘idolize’..it was quite funny to see her in scrubs).
It was so nice to work inpatient again after having so much ortho experience in the past year. We got to work with a lovely 80 year old lady with some balance and cognitive problems. Later we had a more involved case of a 70 year old who had fallen after a history of alcoholism and suffered multiple neck injuries (most notable a C2 fracture and iSCI). He was on a large vent machine, required two person assists (+ use of over head lifts) and constantly needed to be ‘orally suctioned’ as we caused ‘things to come up and out’ as he did some exercises. We had to work hard to keep his anxiety down and simply keep him awake!
After reviewing notes with my professor over lunch, she looked over to me and asked “Do you have any questions?” I smiled and said no. I surprisingly didn’t have any. Not having questions is new for me. Sure there were some topics from that day I’d like to brainstorm, but knowing and embracing that I was smart and able enough to figure out the ‘unknown’ new situation at hand and treat accordingly? That was new and meaningful.
It is down to two options
1. Mom & 2 Kids
2. In a house a Doctor at CHOP rents out rooms to students
Oh decisions. I am hoping to have this decided and done with by this Saturday.
I always am the organizer and the outreacher. I’ve been told this can come as the personality of an overachiever - but to me, it honestly feels like everybody else just doesn’t care.
Result = Me doing 99% of the work upfront and feeling it is ‘more work’ to delegate and supervise…
One of my patients is a 59 year old woman who got injured both her knees from a fall at work. She also speaks only Spanish. She had her 10th visit today (so I’ve treated her 3 times a week, for just 4 weeks) and in the past, has had consistent knee pain, edema and range of deficits. Her first week I made sure she was always wearing a knee stabilizer and using a single point cane.
Today, she reported to me having NO pain. Her knee range of motion was back to normal limits, and she completed all her functional goals (treadmill, stairclimbing, box carries)! We both think she’s ready for discharge tomorrow and I couldn’t be happy about her sudden improvement. I’ve treated her all in Spanish on top of all this. She’s a sweetheart and we’ve worked so hard (but well!) together. I’m excited for her and grateful for moments like this where my job really means something.
I constantly struggle between:
Goodbye being consistent with checking you, Tumblr. I’m back to PT school.
Gross Lab: I actually have a good head start in it compared to others who took ‘basic’ Anatomy over a year ago? Thank you Dr. H and thank you self for taking 6 months of 8am Advanced Anatomy classes in my precious senior spring and summer months.
Kinesiology: Welcome back vectors and angular acceleration. This will probably be my toughest class because it takes lots of Free Body Diagrams and physics understanding (and everyone knows Physics was not my favorite class). But needing ‘Scapula revealing clothes’ for Exercise Labs? I actually bought a good Sports Bra and the idea of these Labs gets me nerdily excited. My favorite quote by the professor: “we’re professionals of movement”
PT Exam and Intervention: This week’s topic of taking Patient Histories? I like people, this should be pretty easy. But the tall red professor is the Director of our Department and I’m not looking forward to his many pop quizzes he’s notorious for.
Clinical Correlations: Having a group of 9 and having deep discussions isn’t anything new for somebody who has been to 2 weeks of training and weekly meetings as an RA where you learn the skill of expressing opinions and emotions at the drop of a dime. The professor knows me well since Freshmen Undergrad and had to share that with the class. She’s quite kooky but I think I’ll do okay.
Professional Development: Write resumes, cover letters, read articles about the physical therapy profession and keep updated with APTA’s Guide.
Clinical Practice: There’s three assigned sessions over the quarter at various PT practices in the area. Mine’s at the Drexel PT Rehab Gym (already been as an undergrad) but I’m secretly hoping the 27 year old DPT Chris will be there for me to shadow (and stare) at. Don’t forget to complete the skills checklist! (Obviously I’ve printed multiple copies already…)
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