1. Lillie and i were asked to go and assess a client. I felt comfortable in this situation as we had discussed the assessment sheet with the supervisor prior to performing the assessment. The assessment included the clients functional independence, balance, range of motion, muscle strength/ control and tone, sensation, and gait.
The patient had fractured her tibial plateau in july and was still to be NWB. Lillie and i decided it would be inappropriate to assess her standing balance, as she was only to WB as tolerated in transfers only.
For our first assessment i believe we communicated appropriately however we could have planned the order of our assessment slightly better. We then had to go away and plan a treament program for her now and when she is able to WB. We are yet to discuss our plan with the supervisor.
2. I think we handled to patient well. We completed our assessment and i believe we made fair good clinical reasoning decisions about what should and should not be assessed (however, we now understand that gait probably didn't need to be assessed at this point). As mentioned above- prior planning of the order and joints/muscles we were going to assess may have saved some time. We were able to pick her main problems and create a treatment plan aimed at improving these problems and work towards her goal of being able to WB (and therefore ambulate) so she could go back to the hostel.
3. I felt fairly confident doing this assessment but as it was our first patient on our own i was still a little nervous.
4. I would plan my assessment ahead of time in future to save time whislt with the client
5. From watching our supervisor i have learnt more about communication with patients which will come in handy with future patients
6. Had a fantastic day. Much better than i expected and i am really looking forward to going back tomorrow!
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