Internship notes 5/13/13 (7:45-12:15)

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1 5/13/13 (7:45-12:15) Started at 7:45am this morning with going over projects that I will be completely throughout my stay with Midwest Physical therapy. I will be updating the facebook page, website, and be creating a brochure for the business. The staff was very friendly. Jan, Deb, Shawntae, Thomas, Jessie, and Kim were they re names. Throughout the morning we went over where things were in the office and exercise room were located Kim explained to me what the tools were and what they were used for (electrotherapy, ultrasound, traction, hot and cold therapy, graston massage therapy) I observed Kim perform evaluations on 2 patients today An evaluation usually takes about an hour depending on the patient I observed Kim take measurements of patients ROM of joints to see progression and to see a starting point. observed Kim preform ultrasound on patients and deep tissue massage The main issues were back, knees, hips, and shoulders Many of the patients performed exercises with bands in order to strengthen their muscles The doctor/patient relationship was very strong Key skills included: listening, being able to think quickly about what was the cause of the pain, and showing that you care We went over the medicare process and took progress notes for the patients Kim stated that there is about an hour and half of work to be done out of the office writing up progress 5/14/13 (7:15-12:00) Kim use manual therapy on patients patients perform exercises and stretches 5/15/13 (9:00-12:00) Kim use manual therapy patients perform their exercises Cleaned mirrors Straightened things up Started to think about the brochure

2 5/16/13 (10:00-12:00) Started researching surveys for the website 5/17/13 (7:30-12:00) Kim use manual therapy (ultrasound, graston massage therapy) Continued to research brochures Continued to work on projects 18 hrs. 5/28/13 (7:30-4:00) 8 hrs Worked on brochures on vistaprint.com The patients were great! It is fun to listen to their experiences and the wisdom the elderly ones share. You develop a therapist/patient relationship throughout the program. Every day is different. Lots of shoulder (rotator cuff repairs), knee, hip, and ankles. It is nice to be able to start conversation and sooner or later you find something in common or find the latest news of the day out. Kim (knee replacement patient) was really having a rough day. Pain pills were making her nauseated and felt crummy. She was very emotional and cried. This was a good experience to see because I saw how Kim stayed calm and reacted with concern and caring words. Kim said that it is sometimes good to see patients let out their emotions because it is better than holding them in. 5/29/13 (8:00-4:30) 8 hrs. Continued to work on brochures. Learned how to update the company s website. Got access to be an admin for the webpage. Sent sample brochures to Renee and asked for feedback. Burta (shoulder patient) told me that physical therapy is a great profession to be in but in order to be successful one must have an inner self that wants to provide the best care and wants to find a way that truly helps a patient long term. (her example was when Kim asked her how she slept at night) Russ (hip patient) told me a story of him and his wife and how they went through a divorce and ended up getting married again. He said that time apart is all they needed to realize that they needed each other. The therapist isn t the only teacher. The patients teach the therapist as well by their life stories and by providing recommendations for the future.

3 5/30/13 (8:00-4:30) 8 hrs. Kim treat patients. Mainly shoulder, knee, and ankle today. Worked on brochure a little. Shawntae 5/31/13 (8:00-4:30) 8 hrs. Shawntae and Kristi Massage and manual therapy, ultrasound, Electrical stimulation Russian (EMS) used to help a muscle recover from atrophy and help bring back function Stimulation relax muscle Ultrasound warms up the muscle before stretching or performing exercises Developed a survey on surverymonkey.com (used gmail account) Touched the brochures up Researched articles 50 hrs. 6/3/13 (8:00-4:00) 7.5 hrs. Kim No evaluations today just a busy morning full of exercises and strengthening Took pictures for the brochure at Pine Lake and A Street locations Worked on the brochure 6/4/13 (1:00-5:00) 4 hrs. Kim and helped stretch a patient 6/5/13 (8:00-4:30) 8.5 hrs. Finished brochure and sent it to Renee 6/6/13 (8:00-4:30) 8 hrs. Updated exercise handouts and observed Sent survey to Renee 6/7/13 (8:00-4:30) 8 hrs. Helped patient with stim and heat Ran errands Took picture at north location for the brochure ed Renee about brochure and survery 86 hrs.

4 6/10/13 (8:00-4:30) 8 hrs. Learned about Medicare Charges are in 15 min increments No charge for heat or ice Kim and Shawntae 6/11/13 (8:00-4:30) 8 hrs. Updated exercise handouts Moved chairs Set up table Kim perform manual therapy 6/12/13 (7:30-4:00) 8 hrs. Kim 6/13/13 (7:30-4:00) 8 hrs. Uploaded survey onto website Created Kim an account for her to analyze results 6/14/13 (7:30-4:00) 8 hrs. Shawntae 126 hrs. 6/17/13 (7:30-3:40) 8 hrs. hand therapist that specialized in hand therapy a PT that specialized in lymphedema therapy Communication with the patient by letting them know what they are doing is very encouraging and eases the mind. Let the patient know that everything will be okay. Encourage and motivate. Be prepared for some patients that have painful conditions including cancer and try to accommodate them so that they are comfortable. 6/18/13 (8:00-4:30) 8 hrs. Did laundry, folded laundry Swept bathroom Cleaned graston tools

5 6/19/13 (8:00-4:30) 8 hrs. Held exercise bands for patients Assisted Kim in with stretching a patients glute Therapists gave feedback about my observation and advice for the future. Recommend volunteer hours and to not worry about getting straight A s in grad school. Recommend applying for clinicals In an area you would enjoy working 6/20/13 (7:30-4:00) 8 hrs. and ordered brochure 6/21/13 (7:00-3:30) 8 hrs. and created patient survey print out. Total hours: 166 hrs.

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