Hi all. Hope you are all enjoying your break. Is there anyone out there? Anyway I'm currently on my neuro placement. Experiencing a number of frustrations, though not regarding nurses. They are incredibly busy and short staffed on the ward I'm on so hats off to them. I'm a bit frustrated with the different (sometimes conflicting) advice I'm getting from my several different supervisors but I'm going the smile and nod approach to be honest.
While I feel that I've made some real gains with the patients I have had, it's become obvious to me just how much I have missed. Although all patients are to undergo a stroke assessment form within 72 hrs of arriving on the ward, none of my patients are new to the ward, yet none of them have the form. I made the mistake of assuming that a less formal assessment was what was required on the ward. This was a mistake for a number of reasons. Most importantly it has left me without a full understanding of patients impairments and a set of objective measures to re-assess. This has been to my detriment, as I haven't been able to formulate a better problem list. Basically, despite being confident that I have made some treatment gains and being reasonably happy with the techniques I've used, I still feel like I've been pretty ineffective. I'm going to try to address this over the next couple of weeks.
1 comment:
Hi Martin,
It seems like you have really thought about why you want to have the more full assessment. Is the reason you feel you’ve been ineffective because you haven’t had pre treatment objective measures to compare with? Try not to be too hard on yourself; if you feel like you have made gains, you probably have! even if you haven’t been able to measure them yet.
Mel
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