During this placement I have been treating a client who deteriorated rapidly two days post elective embolization for an AVM. ( R sided weakness, expressive and receptive dysphasia, vomiting and drowsiness). During our treatment sessions her expressive dysphasia is obvious and she has difficulty in communicating as she is unable to find the right word. What I did not realise until I attended her speech session with her was the extent of her speech dyspraxia. The speech therapist gave her choices and then needed to repeat the words six to seven times before the client was able to say the word, this included the names of her children !!.
I have attended many,many, many !!! sessions of speech therapy with my children but still found this single session very informative. Knowing the methods being used to aid her communication during the speech session has allowed me to use the same techniques with her during physio. I hope everyone has taken the opportunity during their placements when offered to attend sessions with other allied health specialists.
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I agree! I attended a home vistit with an OT and this helped me to realise that a patient can be discharged home from hospital even if they may still be requiring PT rehab. Also, liasing with a social worker or chaplain, or a psychologist can help you to under stand your patinet better, ie. why they are so anxious all the time ect. Treating a pt based on what you have learnt and know about PT will not give you the best outcome. The more info you can obtain about a pt the better you can cater a PT program to suite them.
I so agree with liasing with other allied health team. My rural prac there was regular allied health team meetings and we got to know what the pt's problems were from med/nursing/OT/SW/speech POV. Comparing to my last prac, there was lack of communication between allied health and med team and it makes it quite difficult sometimes. It is also good to keep everyone on the same track if the whole team is liaising well for the benefit of the patient
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