Saturday, November 8, 2008

being flexible

Over the last 3 weeks, I have treated a patient who is awaiting news about whether he will recieve a double lung transplant, due to his severe bronchiectasis.
He has been asked by the physios running the exercise class for the advanced lung team to participate in the classes which run daily from 1-2pm. This class time is during our normal lunch hour, and they wanted me to bring the patient down at that time. This meant that for most of the week I had to have lunch on my own and lunch was often cut short.

I also was told that i would just be helping out in the class, but it turned out that I was to just take my patient through his paces, the the physios taking the class did not observe him during the hour he was there. The thing that was a little frustrating was that besides loosing lunch time for almost the whole week. All the exercises i did down in the PT dept could have been completed up on the ward gym during regular ward treating times and I could have just reported back his progress to the physios downstairs as I was doing without having to take him down 9 stories during my lunch break

Now enough whinging, I realise that a change of environment may be beneficial for this patient, and being a student you should just do a you are told. but even as a qualified physio, we need to be flexible sometimes to accommodate different programs. On the up side the patient displayed improved extol and the physios were grateful for me taking the patient down each day. Perhaps if I believe exercising up on the ward and reporting progress later in the day was a better idea, than I could voice that idea to see if it woulf have the same outcome.

1 comment:

Anonymous said...

I think the patient may like the 'group' environment as well to get him more motivated. He can see that people are exercising hard so he might push himself more rather than doing it just with you where he might give up earlier and say he's tired (saves you the fuss of pushing him) it sort of sucks to do it during lunch though!