Three of us decided we missed working out so we woke up at 5 and did P90x in the church courtyard.
We started before the sun rose and worked out as the streets began to flood for the morning. It was a great time working out and being in the culture at the same time
The morning was even better because the shower at the home is half outside with no roof. I cannot wait until my home has an outdoor shower one day.
I went with the same group as yesterday because the other group only had 2 patients and they felt prepared while yesterday's group had 7 patients today with one being an evaluation.
Today was the last day of clinic so we started a little early to make sure we saw all 7 patients.
We finished our time with the twin girls providing written home exercise programs and having the family perform all of the exercises. We had trouble leaving this home because of how much progress and happiness we had with them.
Next we went to the home with both of the patients with hip pain. The 93 year old father did so well and was able to perform the stand pivot transfer without weight bearing on the affected leg with min A compared to the max A on Tuesday. He and his daughter emphasized how grateful they both felt from this experience. We were just happy we choose this route for treatment and did not pass over him when we found out his medical history and lack of activity. Every patient can benefit from something and luckily we found it quickly and treated it effectively.
The other patient reported doing way better after last time so today we added prone hip mobility which improved pain and ROM 20 degrees. We also added some soft tissue message to the quad before the prone stretching which increased motion as well. The student working with this patient did a fantastic job reasoning his treatment and progression as well as using reassessment to dictate care. Seeing this integration helped me believe that my method of teaching was effective to apply the methods learned in their curriculum.
The next home was the patient with Parkinson's who reported being very sore from yesterday. We expected that as he had not danced in years but he said he could not wait to do it again. We wanted to dance, but we had a plan of our own and that was to get everyone in the family involved and doing everything so that their was carryover. We also had our community leader speak to each person about the effects of continuing this once we leave and what will happen if it is not continued. The brothers and cousins did a great job and were very receptive to the education. We just hope it continues.
While the group was treating the man with Parkinson's, my third group was next door with the sedentary lady. They added some manual therapy for the shoulders, reviewed the HEP, and worked with each person who transfers her regularly to improve form and reduce the stress on her shoulders.
We had 2 patients left to see and only 1 hour so we split up. 2 students went to see the young man with polio and myself and one student went to evaluate a new patient. He presented with hip and low back pain. I drilled the student hard throughout the evaluation process but he did a great job thinking his was through the case and finding all of the information he needed. After the treatment we walked back together and talked about the process transferring from class to the real world and his passion to critically think and grow in the field of PT. That is all I can ask of a student and felt that I had completed my biggest goal with these comments.
After a late lunch we went to the market to look for some items and the got to see an active volcano with lava. I have seen a volcano before but never one with actual red lava in the middle! It was pretty awesome
For diner we had a great meal and the night was spent as a group celebrating Three Kings Day which is a huge celebration for many of the people of the Granada community.
On a side note:
Throughout the day I was asked 4 times if I was a CI and if I took students. I felt so honored to be asked this by not only my group but students that I did not get to interact with clinically. This reinforcement supports my desire to teach and mentor as I continue to learn and grow in this amazing field of physical therapy.
One more day before heading home!
No comments:
Post a Comment