Reflections
Bed Mobility & Transfer (Part 1)
What didn't go so well
I didn't address the patient's shortness of breath prior to beginning the session. Additionally, in future, I should try harder to prompt the patient to ask questions or clarifications if they want to.
I also need to think ahead and ensure I do everything I need to before starting. This could be improved by mentally reviewing everything before the session. This will also make the session flow easier and more efficient, with fewer filler words.
I can also work on improving my conversational skills to enhance the therapeutic alliance I build with my patients.
What went well
I consistently checked in with my patient throughout the session.
I kept my instructions short and simple so that my patient (who has some concentration difficulties) didn't get overwhelmed or lose focus when listening.
I managed environmental risks to ensure the safety of my patient and I. This included adjusting the plinth height to make movements easier and maintain correct posture. Additionally, I cleared the surroundings of any items or wires and placed the foot plate at a reachable but out-of-the-way location.
Walking Aids (Part 2)
What didn't go so well
I needed to talk louder and reposition my body to speak more directly to my patient, who had a hearing impairment in their right ear.
I also needed to lower the plinth before asking the patient to shuffle towards the edge of the bed.
I also used too many filler words and had to pause to think of the next part too many times. This means I needed to practice the flow of the session more.
To continue, I had to let go of the patient to adjust the rest chair, which left the patient unsupported for a moment.
I also didn't raise the plinth when moving the patient's legs back on to the plinth. This meant I had to lean down more, which increases the risk of strain and physical harm to myself.
What went well
I reassured the patient and checked in on how they were feeling throughout the session. I also asked the patient if they had any questions at the start and end of the session.
For the majority of the session, I was constantly hands-on supporting the patient.
I made sure to link the session's purpose to getting her back home and to her usual activities. This improves the motivation of the patient.
I also improved by speaking more casually while maintaining my professionalism. This makes the session more relaxing and personal for the patient.
Goals
Improve conversation skills to enhance therapeutic alliance. This will improve the patient experience.
Improve voice projection for patients with hearing difficulties and increase confidence in my words.
Ensure the environment is safe for both practitioner and patient. For example, plinth height.
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