Today i was very happy because i felt i carried out an excellent initial assessment of a patient in particular i felt i communicated well with the patient. But there were a few pitfalls which i would like to reflect on. Previously to seeing the patient i covered the notes thoroughly and felt confident to handover any information from this patient. One item i thought was interesting was that he was required to wear a Richards splint post-op. Before approaching the patient i should have made myself aware of the splint the reasons for its use, and fully understand the equipment because when i was bombarded with questions such as when can i take it off, how do i know what position to put it in, do i need to use this strap i could have answered such questions. Because i couldn't answer any questions i made sure i asked my supervisor before informing the patient. I thought i acted appropriately but i could have developed alot more confidence of the patient within me if i had looked into his equipment before i approached him.
Another mistake i made was to measure the ROM and swelling of his affected limb but did not measure the other side rendering the objective measures useless. i was fairly disappointed i forgot to do this as it is a part of our assessment that has been mentioned to us students on many occasions.
Finally i mobilised the patient with bare feet which was ok but when i returned patient to his room i noticed he had shoes packed away in his bags. With this patient in particular because he needed to be taught a hoping gait and shoes are fantastic because they absorb alot of the torsion and compression through the leg. I explained to the patient in future to use his shoe when mobilising for these reasons.
overall the treatment was ok and i have made some small mistakes which i can learn from.
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