Hey guys,
I am currently on my musculoskeletal prac, and I am still trying to get a handle the overwhelming workload/theory involved. I am still struggling to ensure that I get most important things checked (good observation, palpation, arom, prom, ppivms, paivms, etc etc etc....). I had a new patient last week, and he was sort of a workers' comp with yellow flags...he had Cx, shoulder and LBP at the same time...so it was really hard to get a good idea..esp when there's so much pain.
Because he was referred for the Cx pain...i spent more of my time assessing his neck. However, on top of the spinal assessment, his pain was directly associated with his shoulder...and so I had to complete a "quick" shoulder assessment as well - he was limited in range in his shoulder too...
Getting my head around to the neck assessment techniques was hard enough...I managed to only complete a thorough Ax with Rx in 2 hours 10 min...LOL!
Hope someone can beat this record! I'd better buck up and be more efficient in my Ax!
Mark
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Hi Mark,
I have not had the luxury of having that amount of time available for a treatment session (due to being on a rural prac whereby patients are rushed trhough very regularly). However, if that time was avialable, I'm sure I could give you a run for your money. I am struggling just like you to fit all of my assessment measures in, as well as treat the patient. I'm also under stress from my supervisor who continues to tell me to HURRY UP, but then when I leave out certain objective measures, he tells me I'm not thorough enough!!! In conclusion, I think its best if we recognise that we are still only learning and that treating neck's are extremely difficult and therfor, we should take the time that is required in order for us to get it right!!!! Hopefully by the end of our pracs we will have cut the time down by learning how to do the measures effectively in a shorter space of time and also learning which measures are priority for that particular treatment session.
Best of luck,
Kate.
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