Hello everyone, I hope everyone is doing well in the placement. In my second week of cardio placement, I have dealt with a very impulsive patient who has undergone a surgery. When I first saw him, my first impression to this patient was that he was really impulsive and he was unaware of personal safety because he detached some of the drains and attachments.
My plan on him was ambulation and deep breathing exercise on day 1 post-op. Even though his vital sign was normal, I still paid extra attention on him during the treatment session not because of his medical condition but his behavior. He did not follow my command and after he stood up from the bed, then he just walked away without realized that all his attachments got caught. At that time, I told him to stop immediately and take his time to do everything he wanted. Also I told him slowly and clearly to follow my steps in order to reduce his impulsive behavior. Eventually, the whole treatment session was performed in a safe situation.
On my reflection, my experience above did not seem like a big issue however it contained a unsafe issue. I have tried to control the environment as well as my patient’s behavior by removing any obstacles and providing a clear explanation. Having said that, I have not done enough to make sure the patient was safe to do treatment. If I have chance to do it again, I will request extra person to help me to handle this particular patient, simple and clear explanation is a must in this situation, and liaise with the nursing staff in case if something goes wrong.
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2 comments:
Hey Simon you handled this patient well. I had a similar patient who was also pretty “gun ho” and tried to walk with independently after surgery, I found that if you stop and explain to them that they may not feel the “same” as before surgery and may have to take it a bit slower initially they usually are quite happy and are thankful for the pre-warning. It often gives the patient a sense that you are controlling and leading the session and not them which is very important in terms of safety.
Simon
Some individuals, particularly those nearing or recently post-retirement, are stoic and independent individuals. Education, with clear and concise statements, along with precise and efficient preparation of the environment is essential for these patients.
These type of patients are the ones that may have a fall, etc. Whilst we should encourage their independence, most patients respond well to a therapist who appears confident, well planned and effective with their communication.
Regards
John
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