Clinical Reflection Paper

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I’m in SNF and some of the diagnoses I will be treating are generalized weakness, balance deficits, and wound care. The therapy department has 8 clinicians: 1 PT, 2 PTAs, 2 OTs, 1 COTA and 2 Speech therapists. There are no support personnel. One of the PTAs is the rehab director and all the clinicians report to him. One thing I found interesting is that every morning we have a 10 minutes meeting during which the director of rehab discuss new admission, update notes , discharges, home assessment that need to be completed as well as the therapy department’s performance the day before. Most of the treatment (95%) are done in the therapy gym, but modalities like US and Diathermy are done in the back room wish is also the office. There is a privacy curtain around the …show more content…
My CI told me it is the same as SOAP note but I noticed that some of the information in each section are a little different form how we will organize the information in the SOAP note. One of the patients I worked with this week is this female who was admitted to the SNF for rehab after a fall. She is in therapy for generalized weakness, balance deficit and edema. Her interventions consist of LE strengthening, balance training and gait training and compression wrapping which is done by one of the OTs who is also certified lymphedema therapist. One thing I found interesting with this patient is that she doesn’t like coming to therapy but when you remind her that she needs to get stronger to go back home to her sister she is willing to do anything . This made me realize how important it is to keep our SNF patients motivated. I will say the concept I’m starting to understand better is Diathermy because I did not have the exposure to it in my previous clinical rotations. One thing I think went well this week is making sure that patient are safe during interventions by using proper guarding techniques, gait belts and locking the

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