Hi guys, hope everyone's enjoying their placement. I'm currently on a neuro inpatient placement and really enjoying it, they take a bit if a different approach to what we're taught at uni so it's alot of new stuff to learn, but finding it really interesting and think I'm catching on pretty quick.
One of the issues I've faced so far is with my observation skills, mainly analysis of movement and some assessment of posture and resting tone. I've found it quite overwhelming having so many things and areas that need to be observed, and some of the changes can be so tiny and so subtle that I find them really easy to miss. At my placement they tend to assess tone through observation, comparing muscle bulk and alignment between sides. There are quite obvious changes such as internal rotation at the hip, or lateral flexion of the spine, and there are the smaller changes such as the level of the creases at the base of the posterior ribs, marginal differences in thoracic extensor bulk, and the patients belly button being off center.
I know some of you have done neuro already, and those of you who haven't may have some ideas, but I was wondering if any of you had a systemic approach to observation of movement and posture in a neuro patient, something which you find helps you pick up everything, or if it's solely just one of those things that comes with practice.
Thanks for your help, and enjoy the rest of your placements,
James
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment