Hi everyone, how are you guys going? It has been a long long time that I have not written up any bloggings because I was at self-directed for my P1. Anyway, I would like to share my little experience with you all when I am at Cardio general surgical ward.
Generally, patient have undergone upper or lower abdominal surgery so that the pre admission condition of patients were better than those we saw in general medical ward. During my first week there, I realized that many patients presented with anxiety, apprehension and lack of confidence post-op. It is absolutely normal because they have done a major surgery with all different sorts of attachments connected to their body when they first wake up. The physiotherapy intervention is ambulation and deep breathing exercise that prevents any post-op pulmonary complication.
Yesterday I tried to saw a day 1 patient and my aim was to ambulate 10 m. when I first saw him he was extremely anxious and nervous because he was afraid that he will be going to pass out so he refused any treatment. Then I told him the benefits of the ambulation and positioning step by step in order to build up the rapport and gain his confidence. Eventually he walked 10 m with minimal assistant and he said he felt good when he got up and requested more physio treatment.
On my reflection, I understand that the limitation of why patients refused treatment not because physically barrier but psychologically barrier. They really need positive feedback and constant calming. In addition, we should be patient and considerate on patients and try to think the situation from different angles. We know there is no harm on ambulation not because we have personally experience it but we have studied and seen it. Finally, they need our confidence and care.
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That's very true, more often than not, if a patient doesn't want to get it's not because they can't it's because they think they can't. It's vital that we let them know that they can, and explain why they need to, and that we will be with them every step of the way. Understanding why a patient won't get up, and treating them with care can make a huge difference in someone's recovery post op. You did really well in helping that person overcome their fear!
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