The thing that I have learnt most at my paeds placement is to be flexible when dealing with patients. This differs greatly from the other placements that I have experienced, such as musculo inpatients/outpatients and cardio. With these placements, I usually am able to follow a certain format that I plan out before seeing the patient. For example, for musuclo outpatients, I plan out the objective assessment so that it follows a pattern (testing in standing --> sit --> supine -->prone).
Since the previous blog, I have had a couple of other patients. Most of them are young infants with motor delay and toddlers/young children with intoeing. During the treatment session, I have had to combine both objective and treatment together. This was a shock at first, especially with a new type of condition, but with practice I will be more proficient at this.
I have also realised that it was difficult to follow a carefully thought out plan during the treatment sessions. I have not had one treatment session that went according to plan. Most of the time, I would need to use my powers of observation to assess and structure the treatment session around what the child happens to do. This means taking the oportunity to work with the child wherever his attention is focused on. In future, I would need to work on my creativity skills and being able to pull out a treatment session easily in any clinical situation. But at the same time, still working on formulating a plan as it helps me understand and prepare for each case.
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I visited a paeds rehab centre when I did my SDP in Japan. I realized the physios basically created a "play" environment for the kids. They incorporate all their treatment techniques/strategies into all kind of interesting games they could think of which I found very interesting. They even had a Hello Kitty frame :) I have not had any experience working with paeds so thanks for sharing all this valuable information.
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