I was so nervous
last Friday for it was my first time ever to handle a real patient. What was
more nerve wracking was the alteration of my original patient, hence the alteration
of the case. Frankly, I wasn’t confident with the scapular retraction exercises
so I really had to work hard and widen my imagination to find out things at
home and improvise to use them as exercise tools. I scanned Kisner, watched
videos and surfed the net to boost my confidence. And on that fateful Friday
morning, I met my patient and taught home exercises for scapular retraction.
My patient was
really jolly and cooperative which helped me a lot to stay at ease and remember
what I had to do. He did not complain even though the exercises were
challenging for him. I learned that the patient’s willingness to cooperate greatly
affects the effectiveness of the treatment session and active communication
between the PT and patient preserves the professional relationship.
Time management
should be practiced at all times. The PT should know the amount of time to
allot in each activity because the therapy should not devour all the hours in a
day of a patient. As for the home program, a good 5-10 minutes should be
enough. Too much chit-chat and explaining of rationale is acceptable in the
classroom because it is GRADED; however, this doesn’t work in real-life
PT-patient settings. Less is more. Simpler, one-word instructions are often
better and easier to remember. A good Physical Therapist is able to understand chapters
and chapters of concepts, translate them into a sentence, and condense them
into a word. And finally, articulate them via the patient’s language.
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