hello all soon to be physios.
I must apologise for my late entry but to be truthful with PCR looming I totally forgot to make an entry. So here I am writing my entry 2 hrs before I sit my PCR so that should get me back in the good books???Well my last week in neuro was great. I got to consolidate the skills that I had picked up on the way. However the last week was a test of my patience. I had a new pt on the ward who had suffered a brainstem stroke and apart from the usual impairments that go with the pathology he had significant short term memory loss. It was like banging my head off a brick wall. I tried all approaches to try and get carryover between sessions but it was impossible. In fact for example when teaching STS between the first and 5th repetition the pt had forgotten my cues entirely. I felt as if I was stuck on replay. The sad thing was, he was trying really hard in therapy and was making progress (with continuous prompting by yours truly) but when left for second to do his own thing all previous information was gone. So I thought of the usual strategies to try and make tasks move from being cognitive to automatic ex. written cues in his room that he and nursing staff would have to adhere to when he was STS. But unfortunately the ward was extremely busy and nursing staff short so I doubt very little that much time would be given to my little project. I was stuck, and still am. I know I won't be seeing this pt again but I know this will happen again, then what???Any ideas welcomed...
ps best of luck with the PCR today
see you all tonight,yay...

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