Reflect on your learning in outreach/short placements or with members of the multi-disciplinary team who are supervising your learning.

Where the learning took place

The name or description of the practice area

Jack Emerson Centre- special ventilator unit for long term neuro disability patients RHN

When the learning took place

You can provide a single date or date range

26-07-2022

Who you learnt from

You can list one or more people or provide a team name

Emily Spicer- Occupational Therapist [OT]

Student reflection

• I shadowed and helped the OT during her shower assessment session with one of the patients to give her best way of giving personal care.
• I was able to participate well with OT and communicate well with patient as well.
• I made sure that patient’s dignity and privacy was maintained through out the assessment.
• I was able to see Carendo multipurpose Hygiene chair and the functions understood how it is different and useful.
• I have understood why that special kind of chair used.
• We assessed how comfortable and safe the patient is in the chair and her her ability to recognition.
• The patient we able to communicate via verbally which was very useful in the session, a very good patient participation was there during the session.
• Since the patient was comfortable even when the patient was wet within the chair and we were using the correct size of sling it will be advised for in the future as well.

Apart from that I got a chance for a discussion with OT. She mention about why they do the shower assessment and how it will be useful for the patient especially in giving personal care

She also mentioned about the other roles of OT and how effective it will before the patient overall development, for example, in cognitive thinking, optimisation, and disability management.

overall, I understood that the role of a OT is to make and help the patients to be independent as much as they could.

Practice Supervisor’s comments:

Anna asked very appropriate questions around the OT role in the vent service to further her learning. She communicated well with staff and to the patient. She interacted well with the patient throughout the shower session and assisted in maintaining dignity and safety of the patient. She was helpful in setting up and participated well in the shower assessment.

Reflect on your learning in outreach/short placements or with members of the multi-disciplinary team who are supervising your learning.

Where the learning took place

The name or description of the practice area

Andrew Reed Long term care Neuro disability patients RHN

When the learning took place

You can provide a single date or date range

26-07-2022

Who you learnt from

You can list one or more people or provide a team name

Melissa Gullett – B6 Neuro Physiotherapist

Student reflection

I shadowed the physiotherapist with other two physiotherapist students in standing practice session for a long term care resident. Though, the patient was blind patient has ability for verbal communication which was very effective in the session. I asked the patient consent by introducing myself to observe and join with the physiotherapist before stating the session. I was able to see and understand the use foot splint. Initially, I was able to observe how to start the any session by describing the what they are going to do in the session. Then, I was able to see how to analyse the muscle strength checking. Later With the patient, we practised standing balance and weight transfers during a number of sit-to-stand exercises. Then, we discussed We talked about therapy progressions and rehabilitation principles.

I think it will be very good if I could spend more time with the physiotherapists to understand what there way of working and to analyse how effective each practice session make into patient neuro disability lifestyle.

Practice Supervisor’s comments:

Anna joined us for a session of standing practice with one of our long term care residents. We discussed rehab principles and progressions of treatment. Anna observed use of foot splint, we discussed tendon release surgery. We completed several sit to stands with the patient and worked on standing balance and weight transfers. Anna displayed good communication when introducing herself to the patient.

Reflect on your learning in outreach/short placements or with members of the multi-disciplinary team who are supervising your learning.

Where the learning took place

The name or description of the practice area

Jack Emerson Centre- specialist Vent unit long term patients RHN

When the learning took place

You can provide a single date or date range

22/07/2022

Who you learnt from

You can list one or more people or provide a team name

Nettie SOLIS Clinical specialist nurse

Student reflection

• I was able to learn about different types of tracheostomy tube. How they are different what is purpose of each one. Each part about about tracheostomy why and what it’s do.

• I was able to see and assist tracheostomy tube change.

• I was able to do some oral suctions and trachea tube suctions on some patients.

• I was able to see venti tracheostomy tube and how they are different.
• I was able to see and do closed suction and open suction
• Able to see cough assist.

I think it was better if I could do some more suctions get confident in that.

Practice Supervisor’s comments:

Anna spent time in the ventilator unit with me and very keen to learn about tracheostomy management and care i:e trache suctioning using closed suction system and open suction. Able to observe trache change and cough assist

Reflect on your learning in outreach/short placements or with members of the multi-disciplinary team who are supervising your learning.

Where the learning took place

The name or description of the practice area

Leonara Ward for Tone clinic and Hunter ward for saliva management clinic and Chatsworth – RHND

When the learning took place

You can provide a single date or date range

27/07/2022

Who you learnt from

You can list one or more people or provide a team name

Dr Ashraff Ali – Consultant Grace Alba-Garcia (Physiotherapist) Anisa Cassim (Occupational Therapist)

Student reflection

• I was able to observe the discussion for tone management for a particular patient including discussion of history and review of systemic medication
• I was able to observe the Botulinum toxin injection to salivary glands and then discussed indication for treatment.
• I observed physiotherapist doing ranges for the upper limbs with the use of goniometer.

Practice Supervisor’s comments:

Anna has joined me in the clinics (tone and saliva management) and a physiotherapist assessment of the upper limb ROM.

She is able to ask relevant questions relating to the topic being discussed.

She assisted with handling of patient during goniometry assessment.