This week was a challenging week for my rehab patient. She had just come back from break where she had her wisdom teeth removed. Her first few days back she was struggling really hard to manage the pain. She canceled her rehab on Monday due to pain. She did come in on Tuesday, but she was noticeably exhausted. She struggled through the rehab I had made for her. I didn’t believe it was hard for her at all. I took into account that she would be in pain and made it easy for her. While she did not tell me she thought it was hard during the rehab, I later found out that she perceived it to be extremely difficult. This led to her canceling on Wednesday as well. She came in on Thursday and still seemed tired and worn out. This rehab I had for her was significantly simplified. All I had her do was: single leg figure 8 jumps, drop calf raises, cone drill, plank, ankle 4 ways. After these exercises, I did a massage on her calves to reduce tightness and I did an ultra sound on arches to help with her plantar fasciitis. Then on Friday she came in and Chaypin had created a rehab for her that was much more challenging than the one I had. We did the more challenging rehab and she completed it perfectly fine with no reported pain or discomfort. She seemed to be in a better mental state and seemed like she was in a lot less pain than she had been over the whole week.
What I learned over this week is to be able to listen and observe the patient to understand and accommodate to the patient’s needs. It was clear that she was in pain and miserable on the first couple days of the week even she did not tell me she was tired or in pain. It is very important to communicate. There was a lack of communication on my patient’s side. For the future I know I will have to encourage her to be more communicative. Steps I have taken to make this easier is to be a good listener for her and I gave her my cell phone number so that if she has questions or needs to reschedule I am easily reachable to her. This week I have two attempts and one mastery.
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This is where I do my weekly clinical blog assignment. There is either a prompt I am responding to, or I just talk about something exciting I saw during the week.
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April 2019
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