Week Five

S: This week I was presented with a 74 yr old female with a right dynamic hip screw 13/8 after a #NOF following a mechanical fall. The patient had a history of CVA, dysphasia, dementia, and a previous left hip and right knee replacement.

T: My task was to perform an initial assessment on the patient as she arrived to the ward

A: I gathered all the required information for the subjective from the patient notes and proceeded with my subjective history. I then proceeded to perform an initial mobility review as well as an overall upper and lower limb strength and range assessment.

R: I was able to gain an idea of the patient’s history but not exactly how the fall happened due to the patient’s dysphasia and dementia. The upper limb range and strength were within normal limits. The patient’s right lower limb strength and range was less than the right, which was expected post op.

E: I found it very confronting to try and perform an initial subjective history on a patient with dysphasia and dementia. It was difficult for me to gain a rapport with the patient and find out details as the patient became very frustrated due to the dysphasia. I was able to complete the assessment but found it challenging.

S: I was able to establish through my initial assessment that the patient responded well to one stage commands during my assessment and employed these clear, simple commands throughout the remainder of my treatment sessions.