WEEK 1

15.10.08

Today we did an initial full Geriatric Assessment of a new pt, presenting post (L) # NOF surgically Mx with PFN, WB as tolerated on (L). MMSE of 11/30, this pt was disorientated and confused. very simple communication and one step commands were necessary to complete COVS, BERG, TUG, Functional Reach, ROMS, 6MWT and Muscle Strength Testing. It was an exciting experience to get hands on and do all the tests that we had done in class.

We were able to complete all of the tests quite efficiently and used appropriate commands for our pt's status. Could have improved our timing of the tests as when the 6MWT was conducted the pain medication for the pt worn off and the outcome of the test was greatly limited by pain.

Next time we see the pt we will be conducting our first treatment session, incorporating all of the problems we identified on our problems list. The main ones being Cognition, Pain, decreased ROM and Strength at (L) hip and static and dynamic standing balance. Cognition can't be directly treated with physiotherapy and the pain will be managed by timing our Rx with pain cover medication. We will be doing various RM and strengthening exercises that are functional and incorporate balance.

Next time, become more efficient at the tests and order of tests as well as liasing with nursing staff for pain medication.

I still need to get used to communicating with the older population and need to fine tune my assessment technique. This will improve with practice and integration with pt's on the ward.

I have to get my supervisor to show me how to document a note in the pt's file.