Here I am, at the completion of my first week in Neuro!
To be honest I was feeling a little anxious about this placement, and I really don’t know why. I have only had one week, and already I am seeing how rewarding neuro really is.
I am seeing a pt who has suffered a left superior cerebellum stroke. She is ataxic with gait, and her STS (one min assist) is not quite what we would want due to in her internal displacement (forward).
I have been treating her STS, with some 4pt kneel exercises, AI's, extensor strength exs, and of course retraining the functional task. After 30 minutes we both (the pt and I) saw a huge improvement in her STS, where only a SBA was needed, UNREAL!
I have just started training her gait, where she is responding well to the side to side weight shift, adding a step. And I am looking forward to seeing her on Monday to cont with this.
I guess my reasoning for this post, is that, we are very capable when leaving uni to treat these pts, and as much as the uni staff know this, I sometimes think that it takes something like this to occur for students to see it! To see the look on a 'usually' independent pt, when they can do an every day task, really does make all that hard study worth it.
This may sound stupid, but I have been buzzing for days, and she was just one pt! Enjoy the rest of your clinic
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2 comments:
I agree, it is the patients that make placements and the sometimes overwhelming slog of assessments and being assessed worth it. My first week of neuro I had a R MCA pt who was pretty functional and just working on the last - recovery of his hand, we did some sensory stimulation, reaching, grasping and finally pincer grips. As with many flexing was ok but it was the release from the grip that was the problem. By the end of the session he was able to pincer grip, lift move the object (Whinnie the Pooh) and let go, not sure who was more excited he or I. Anyway was a great day and while neuro can seem to take a while to get a change on getting the change it is pretty exciting.
Enjoy
I agree with both of you. Having just finished my neuro placement a week ago I also found it an excellent reminder and sheer encouragement when a pt you are treating has a really obvious improvement. I guess we shouldn't be so surprised that physio actually works. I learned from my neuro placement to not make assumptions about the effectivenes of your treatments. I had a pt who wasn't responding well for two weeks, 2 x assist to transfer. two more weeks after that with some perserverence he was SB A amb c q/s. Enjoy making a difference, this stuff works.
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