Throughout my placement at the Quad Centre i have taken several subjective histories from patients. Up until yesterday these had all been informal histories, which i had taken through general conversation with the person as i was treating them. However, as part of my mid placement assessment I had to take a subjective and objective assessment.
As soon as i began taking my subjective history from the patient i realised how different it was to take a subjective history in a formal setting, where you are actually trying to record what you are being told. Although i think i did a fairly solid job i found myself consciously thinking about what to ask next instead of listening to what i was being told. I'm almost sure the patient picked up on this and it made the situation a little incomfortable.
Next time i take a subjective assessment i will endevour to pay much more attention to what im being told and let that guide the questioning, instead of trying to follow a strict structure/plan.
Had an interesting experience today with my supervisor. One of the patients has been having pain in her backside and the source of the problem has been found to be a tight piriformis. My supervisor asked me what was a stretch for the piriformis and i showed him what i believed to be an appropriate stretch. However, he disagreed that this was not a correct stretch. Didn't know if i should stick to my guns or just nod and say yes. I decided to follow what i believed was right and we agreed to disagree. Its a tricky one though, because i didnt want to come across arrogant and rude however at the same time i wanted to get my opinion across. Good times. Anyone got any similar experiences (dont what this to be a whinge session on supervisors, just if anyone has similar experiences and how they dealt with their situation)
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1 comment:
it sounds that you handled it very well. i havent encountered a similar situation but i think you did yourself justice by sticking to your guns. it is hard to have faith in yourself when there is a more experienced professional imposing their opinion but where would you be if you stood and nodded each time there was a conflict. It sounds as if you have a very tricky supervisor and can only hope that in your next clinical experience you have a more understanding guardian.
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