wk3: reflection number 2

Today I was asked to treat a patient who is currently admitted in restorative who was admitted with a # distal fibula. The patient is 7 weeks post # and I was instructed to take her backslap POP off and start an ambulation program with her.
1.
I was pretty excited about treating this patient and starting her ambulation program as I had treated her while she was PWB and knew how much the patient wanted to be able to walk around more and have the cast off so she can go home. I’m pretty happy with my clinical reasoning as was able to adequately chose a walking aid that suited her level of mobility and while observing her gait find areas of weakness that needed to be addressed to improve her gait pattern. I noticed the patient had a trendelumberg gait and tested her glut med strength which was poor so I started glut med exercises to improve it. She was also suffering stiffness due to immobilisation of her leg as I did mobs to the jts in her foot that were affected. To help her improve her foot clearance I also added exercises in standing and walking to heighten her awareness of the areas she needed to improve to have an effective gait, which seemed to help her improve her gait.

2.
I think I chose exercises that were appropriate and challenging enough for the patient to improve her gait to allow for her D/C in the following weeks. I think I should have properly tested her calf and anterior muscle strength by using the modified oxford scale, instead of just doing a quick test of these muscles strength to have a more accurate baseline measure.

3.
I felt fairly confident in treating this patient as I have treated her in the past so I have some idea of her ability and as I have been treating some other patient's in gait training I have picked up some good ideas and reasoning to establish sound treatments for this patient.

4. and 5.
Keep making sure my treatments suit the individual I am treating and that the treatments I am using have a sound clinical reasoning behind them.

6.
I think today has gone very well, I feel that my treatments have been effective and have learnt to always go back to using my clinical reasoning to confirm the use and effectiveness of the treatments I am using.

7.
Look back on balance outcome measures.