My first day was very enjoyable. I feel very orientated to the hospital and welcome in the ward. The ward has around 20 patients onboard and atleast half need to be seen by the physio each day. Emily our supervisor introduced us to most patients today and expects us to be able to SOIER most of these patients tommorow with assistance ahhhh! The skills learnt with annemarie in geriatrics should be very handy on this placement.
I would like to mention a situation from today. A nurse asked emily and myself for assistance to transfer a patient from supine onto a comode. This patient had cognitive difficulties, and didnt understand instructions at all. He was also very resistive to movement and very poor strength. the nurse mentioned he was high care and probably needed a hoist. Overall the transfer was fairly ineffective and the patient was uncomfortable and concerned. I felt also it was rushed and if i had planned the maneouver it would have be far more efficent. The main problem was that the patient had very poor posture while standing in the wzf which made it difficult for him to weight transfer, lift his feet and take steps (Both forwds and backwards). tactile stimulation would have assisted the patient with this task. Finally i think the hoist would have been a far more suitable transfer method and should have been properly considered.
When the same situation arises on another day i need to take my time to properly plan difficult transfers, aquire the correct amount of assistance and facilitate normal movement, which woul make me and my patients feel much more comfortable.
Overall today was an enjoyable experience and i am looking forwd to getting involved tomorow.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment