My clinical tutor put me on the spot today and asked me to carry out a full Sx assessment of a patient without any guidelines. Although she did choose a very friendly talkative lady which didn't make it so intimidating. I was initially concerned as was not sure which questions needed to be asked and how to ask them. On reflection i think my questions were appropriate to the patient presentation. I was initially concerned about interrupting the patient and using closed questioning to avoid patient rambling, but i did not find this to be an issue and it was generally easy to focus the patient on the topic with a simple question or comment. On the other hand i will need to develop good communication skills using open and leading questions as many patients on the ward are daffy and lack cognitive skill. Overall i thought my performance was good except i missed out on some important questions which my tutor brought to my attention. Most importantly i needed to ask questions regarding home living situation as this is the goal of rehabilitation for most NOF patients. One key lesson i learnt was therapist postitoning, because initially i kneeled beside the bed but as this got uncomfortable i had to interrupt the patient and excuse myself while i fetched a chair. In future i will properly prepare my environment.
Overall i felt fairly confident but i need to challenge myself myself to a different patient out of my comfort zone!
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