I am currently doing my cardio prac, and was required to do a 6MWT on a patient who was being treated by the psychiatrist for his bipolar condition. The notes suggested that he was a non-compliant patient, who could be difficult to talk to at times, but when I went to see him , he initially presented as a friendly man. Following doing a subjective and nearly finishing his objective assessment, I then explained to him, the process on the 6MWT and then we went out to the corridor to complete the test. We started the test (using a 25 metre track) and we walked a couple of laps, before he said what u want me to keep going? I replied yes we still have to walk for just under 6 more minutes, and said he was doing well. After completing the test, he said that I had only told him to walk 25 metres and never said that he had to walk 6 minutes and that I should tell him next time, otherwise he expected only walk 25 metres.
I thought for a second, because I had explicitly told him what he was going to do, but to avoid confrontation in front of other patients, I said i am sorry and should explain myself better.
I dont think i behaved badly following the 6MWT, however to make sure that I am not at fault, it would be good to have pt's such as this to repeat back to you the procedure, to make sure they fully understood what was required.
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that happened to me a couple times before not just 6MWT but also other walking tests like 10MWT when I was on my gerontology prac. I found that counting down the time during assessments was useful to give the pt an idea how much time left you want them to keep going. And your suggestion to have the pt to repeat back to you the procedure is really good, I will remember that next time.
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