Hi Everyone,
I started my neuro clinic this week and have found myself on a very steep learning experience. The facility that I am at uses a predominantly Bobath approach and while we are encouraged to use any of the techniques we learnt at uni, we also have the opportunity to learn a wide variety of new techniques from the staff. I have been very focused on trying to learn these techniques and consolidate the ones from uni and because of this, I feel that I have not been able to give as much attention as I need to in observing the patients posture and position during treatments, even though I know it is vital that the techniques are performed in good positions. It has felt as though there are just too many things to think of because I have to consider my body position, the patients body position, the movements that I want them to do, the movements that I don’t want them to do and then what to do with my hands and actually coordinating that. I feel that I have already improved in being able to put everything together since I started on Monday, but am still finding it difficult. In order to improve my ability to put together all of these skills, I plan to take every possible opportunity to practice hands on skills so that they become more automatic and I can focus on other important aspects of the treatment. I will also consider using a mirror in front of the patient so that I can see their position when I need to be behind or at the side of them. Any other ideas??
Mel
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1 comment:
Yup - use of a mirror is always great especially if the patient has no sensation and they don't know where is their leg or their arm.
Heaps of tapping and prompting has worked well.
May be a towel under a buttock to correct the unequal weight bearing. a cushion under one of the feet if there is a discrepancy.
Maybe a bit of SIMMS to correct the foot alignment.
BUt that's more of a treatment.
Other than that - you just gotta do ur best.
Sashi.
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