Thursday, October 23, 2008

WEEK 2 POST 2

Well it was another gruling couple of days :P. But ill just talk about one incident that occurred in that time.
My supivisor asked me to performa an initial "practice" subjective assessment of an elderly patient that had been comming in for treatment for the past 30 years. The process went well and my supivisor said that i gathered the correct information. However i think i needed to be more accurate and direct in my questioning. Asking questions that were a bit more closed so i could get a more direct and succinct answer from my patient.
Another point my supivisor advised is that i try to keep my patients on track when they begin to tell me information that is not necessary- I felt this was a bit difficult as i didn't want to appear rude to the patient- by cutting him off. My supivisor said that sometimes you have to be a bit blunt- for the sake of time; but you can put it in a nice way.
One of my supivisors gave me an acronym that he uses for subjective interviews. I think ill use it for future subjective interviews as it keeps me on track with my quesitoning. The acronym was

W- when
O- onset
C- constant/intermittant
S- superficial/deep

N- numbness/ pins and needles/tingling
O- other areas?
R- relationship/ referal

This Acronym will also hopefully make sure that i am thorough with my assesment and don't leave any important information out.

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