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Clinical observation example
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What was happening? Be specific. Include in this discussion your clinical observation of what skill areas the clinician was targeting. The client had a right temporal craniotomy. In this session, the clinician was targeting recent memory and recall/rehearsal strategies. For example, one activity required the client to look at different color pegs on a peg board. The clinician then removed the pegs and asked the client to put the colored pegs back where they were. The client and clinician worked through different strategies to recall/remember where the pegs were (see feedback section). Another activity consisted of the clinician asking the client to list different types of animals. The client also had to repeat as set of words given to him by the clinician. Client’s cooperation with procedure: Overall, the client responded well to all activities. When he spoke, it was in a very soft voice. The client displayed great insight into his deficits. He started to seem upset and frustrated when he could not remember where the pegs went in the peg board activity. He mumbled to himself during the activity. I assume he was using rehearsal strategies to remember where …show more content…
He seemed to warm up and speak more during the activities. He spoke in a soft, timid voice. He seemed to mumble to himself through the therapy session. I could not hear what he was saying, but I assume he was using rehearsal strategies. Other than the soft voice, the client displayed good expressive language skills. Client displayed good insight into his deficits. It was clear he was upset when he could not complete certain activities due to lack of memory. The client seemed to be taking in and understanding what the clinician was asking him to do. Overall, the client displayed good receptive language
Having worked as a rehab aide in an outpatient clinic, my pediatric observation experience was completely different from what I am used to seeing. The therapist I observed was Allie Ribner who works at All Children’s Child Development and Rehab Center. Each session was completely different from one another for the session was geared towards the goals of the child and families. I found this to be a great learning experience for I saw a wide variety of different treatments and age range from 14 months to 15 years old.
On 1/6/2016, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed with proper attire for the weather. She was well groomed. In the meeting client appears to be space, disoriented and cognitive impairment which making difficult for the client to express herself or dialogue appropriately.
Refrain from asking many questions during recall. The client can only devote attention to so many ideas at once, so repeated suggestions from the clinician can confuse retrieval and even interfere with former memories due to retroactive interference
D- The patient arrived on time for her session as she was seen outside. The patient reports, she has to see her cardiologist for 35 days at noon to monitor her blood flow sometime next month. She is also scheduled on 05/23/2016, at night to conduct her sleep apena and also, scheduled on a Tuesday for a ultrasounds, referring to her pulse to her legs to ensure there is no blockage in her legs.
CM observation: In the meeting client appeared her stated. She was cooperative and appropriate in the meeting. She sometimes made eye contact. She appears to have the intellectual cognitive and functioning disorder. She doesn't grasp information like everyone else and her conversation is always one side geared towards her son. She continues blamed everyone, including her lawyer, LHMC and Case Planner of doing anything to help her get her son back. Client needs to be re-evaluated for intellectual learning disability. She must seek alternative
The foundation to being a good coder is having a thorough knowledge of medical terminology. When we communicate with other people in the healthcare field, the universal language used is medical terminology. When we abstract information from the doctor's notes to code, they will be using medical terms. If we do not have an understanding of the terminology, we could code for the wrong thing and have the claim denied.
Medical Assistants work under the supervision and direction of Registered Nurses, and are relied on more heavily today than in previous years in the healthcare field. They have a multitude of activities and responsibilities. The importance of a Medical Assistant ranges from assisting physician’s in hospitals, doctor’s offices, and medical clinics; to performing a combination of administrative and clinical duties. A Medical Assistant working in a smaller practice may have duties in the administrative area of the clinic. Medical Assistants must be outgoing, courteous,
To become a physician’s assistant is my career goal. Medical missions also greatly interest me; to give help to those who often have no hope of receiving it, and that consequently opening a door to tell them the Gospel.
It would be of advantage to reflect again on this clinical skill in the future, to see how different I am from now and what I have learnt from my experiences (Boyd EM,
Medical error in the field of medicine is a common event. Physicians respond to such mistakes through an apology. Apology is defined as a statement that acknowledges an error together with its outcome. In such a case, healthcare providers take responsibility and express regret for causing injury. Mostly, apology is anticipated to reduce anger, blame, and at the same time enhance therapeutic relationships and increase trust. In addition, apologies are perceived as an effective approach that can prevent a medical malpractice lawsuit. Nevertheless, potential litigation is cited as the most prevalent barrier that restricts apology (Robbennolt, 2009). The intention of
The one skill that I used more of was empathy; I wanted the client to know that I understood her situation as well her feelings. At the end of our conversation, I summarized everything that we talked about, especially her want to open up to her parents and express herself to them. She mentioned that she wants them to fell empathy towards her, because the lack of parental empathy that she felt when she was younger, has even affected her in her adult life (Kilpatrick,2005).
There is no clinical evidence of psychomotor disturbance. At times he struggled to maintain adequate eye contact. Although he was apprehensive to speak at first his speech was coherent, spontaneous, appropriate with normal rate, volume and rhythm. He described his mood as “overwhelmed.” Objectively, his mood was a combination of sullen and angry. His affect is full range, appropriate, with spontaneous emotional reactivity. There were no clinical features of psychotic illness. His behavior is appropriate for a frustrated teenage male. His memory for recent and remote events is intact. He is well oriented to place, time and person. His concentration and attention were both adequate but he did disassociate at times. Additionally, he was preoccupied with the event and its ramifications. He was able to add and subtract figures without difficulty. His general level of intelligence and fund of general knowledge appears to be above average. His level of personal hygiene is adequate. He was able to communicate clearly and he was able to achieve goal directed ideas without difficulty. He denied any current suicidal or homicidal ideation. Client disclosed ideations of hopelessness, shame and guilt. I was able to maintain adequate rapport with him throughout the interview and he was able to follow directions. He denied any auditory or visual hallucinations. Client denied having “real time” flashbacks of the traumatic event. However, he disclosed unwelcome and intrusive memories of the event that occur sporadically outside of therapy. The client has poor insight into the nature of his
In this instance, I will reflect on how the incident aided my learning. I will also look at how effectively I educated the patient.
The first student was Nathan, who struggled with phonemic awareness. I was interesting in seeing Nathan’s problems rhyming and how that was how his disability was diagnosed. His disabily was only seen in his written language and did not influence his communication skills. I thought that it was interested in hearing that a student’s avoidance of something that’s hard can be commonly mistaken for attentional issues. While I was watching the video I came up with ideas that I thought that the special education teacher should do with Nathan. Some of my ideas were for Nathan to work on
During this time, I gave the client enough time to talk about the problem without interrupting. This time gave me an opportunity to undertake reflective listening through active listening which ac...