Clinical Intertextual Analysis

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At my clinical fieldwork site, Christiana Hospital located 45 minutes south of the Usciences campus, I have been placed in the acute care, stroke rehabilitation floor with a clinical instructor (CI) who has over 25 years of experience. Thus far it has been a great experience and I feel like my CI is learning along with me as we discuss our patients throughout the day. She is very receptive to my input and understands the importance of staying up to date on current occupational therapy topics. That is one reason why she takes on at least two Level I students, and one level II student each year. One topic I tend to mention often is the social support available to the patients we see and how that impacts her clinical reasoning for referring the …show more content…
At first she did not think she was incorporating psychosocial interventions but I knew that was not true because I have been side by side with her for five 8hr shifts. At the end of the day we revisited this discussion and I told her that I believe psychosocial interventions are embedded into her daily approach as she uses a client-centered approach. Before seeing each patient we conduct a thorough chart review to ensure we are using a client-centered, holistic approach. More than that, her excellent bedside manner that allows the patient to feel safe as they are amidst a chaotic hospital environment. Comparing her bedside approach to what I have seen out of the nurses, she is able to obtain more accurate information because of the warmth she brings into the room. This results in patients being more receptive and open with their answers as she displays a great deal of empathy. This also allows me to grow as a student because the patients are more comfortable with having a student in the room due to her therapeutic approach. When I asked if she was familiar with Renae Taylor’s IRM model she responded, “Slightly”. Without even knowing it, she is able to seamlessly bounce from one mode to another and I would attribute this ability to her 25 years of

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