Saturday, February 17, 2007

Neuro from a student

I had imagined the neuro clinic to be by far the most challenging however I have found it challenging in respect to the impact of stroke rather than the content required - I found musculo the most challenging for this as all pts were at different stages and different injuries. My neuro pts are at least 6 months post stroke and progress is slow. I see each twice a week, four people a day for 1.5hrs each. A good amount of time to establish how they are feeling, some stretches and back into functional retraining.

I see the frustration on their faces as they try with all their might to will a muscle to work or to relax a grip. I also see the excitment when for the first time they independently pick up and release something. I wish I was more effective, I try and I want to help them. When my supervisor comes over does a fancy technique with such fluidity then says try that and walks off - my poor pt is left with me trying to remember where the hand holds went and the movement of facilitation, force, direction, rotation? - surely 1.5hrs with him would get this person along much faster than I can do at this stage.

I know it is the point and we are students and it is a great to be able to work with 'real' pts however are they getting the best treatment possible?? I guess I just need to ask more questions make him watch me, I'm tired....

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