Arse, got too busy to post

Hi,

Just coming to the end of my second summer placement in Parkinson’s disease, and noticed I’ve not posted for months. Very sorry, I will get my act together soon… hopefully. I can’t wait for a holiday.

First Summer Placement, Weeks One and Two

I can’t believe that I am now in my third week of placement, the whole thing is only 7 weeks long and I’ll be coming home soon.

However, its going really well, I am in a Community Mental Health Team that looks after over 65′s in Glasgow. It is completely different from the hospital setting that I was in before, and I think I like it more since it is seems more relevant and real, and the changes and interventions you make seem to make an real difference (or at least you see the impact of your interventions, unlike the hospital where you don’t have enough time to see the long term effect).

The OT’s in the team also seem to be a little bit more OT theory driven, although they are still not using standardised assessments or models in the way in which we are encouraged at college. Which surprised me as I had heard that mental health was much more influenced by models like MOHO. Anyway it is a real change from the hospital which was driven from a very medical/physical/functional perspective.

I’m really interested in group work, which I have been involved with since the start of this placement and I’m leading one tomorrow! However, still trying to work out, what the evidence for group work is, i.e. is it a nice fun quiz that fills an afternoon, or is it a treatment or therapy session and how? I’ll need to do some reading and find out.

Finally…. Essay Finished

So, writing my essay took much longer than I thought due to all the other things that have been going on in my life recently (weddings, family stuff, etc). However, after getting an extension I handed it last Friday.

General thoughts… It is much better referenced than my last essay, my references went from 2 pages to 9 pages. I think the argument might be slightly better, but I could have made it stronger if I had more time to think about it. Overall, I think it is probably about the same as my Christmas essay (75%)I will be happy, I’ll be disappointed if I can’t meet it because I definitely think its of a higher standard.

Points to remember for future essays… start writing earlier… make sure all your reading is done early and that you have a good system for referencing them. Must try to be more critical of other people’s arguments (I find this very hard).

Viva sucess….. hopefully

Just had my viva this morning, I think it has been a success (or at least more successful than my last one) for the following reasons…

  • I opened my mouth and talked
  • I made up little handout sheets and gave them to my assessors
  • They smiled at me in an ‘I’m impressed way’ rather than a ‘I’m only smiling so you don’t cry way’
  • My lecturer has just posted on the college secure web thingy that everyone has passed and commented that one student did particularly well since they made up little handouts! (that was me if you hadn’t guessed)

So… the results are out on the 8th June, I just have to wait until then so see how I really did.

Placment week 11

Humm, really struggling to get a good flow of work and responsibility. I’ve now talked to patients, even begun¬† to assess them and do some intervention with them. However, every week I feel as if I’m starting from scratch again. Not too sure why, its partly because the patients have changed,¬† partly because I’m not around all the time so interesting cases come and go while I’m away, partly because I think they only think of me on the days I’m in and they are not planning in advance. Any way I was slightly disheartened when I left today.

However, looking on the bright side of things, I think I have now chosen a case study. Last week I did two dressing practice sessions by myself, and two little assessments, and today I also did an assessment by myself. I am slowly beginning to feel more confident at doing them. I am keen to start an assessment by myself, and hopefully I might get a chance to do this this week.

Motivation Needed

I need to start my essay….. where is my motivation….?

Placement Week 8? 9?

I’m losing track of which week I am in with my placement. Time seems to be really marching on. So what have I been up to….

I spent the day with the Stroke Nurse. This was really really interesting, and to a certain extent I thought what she did was really OT-ish. Chest Heart and Stroke Scotland employ nurses to follow up on patients discharged from hospital who have a stroke. The nurse goes out about a month after the patient has returned home and gives them advice and support about how to return to their previous activities, how to manage their health, and how to prevent further strokes. It is a really good service and she spends about an hour with each patient and follows them up for upto a year after discharge.

I also spent a day in the combined assessment unit, which is reportedly the busy part of the hospital, where the OT is quick and dynamic. However I seemed to have chosen a day where there were no new patients at all. It was regardless of the slowness a really good day, a completely different area from my stroke ward.

What else, I spent a day with the physio’s, which confirmed that I don’t want to be a physio and I definitely want to be an OT (or in the light of recent experience a stroke nurse). I also had my halfway report, which was just fine, much work still to do. Alas.

Third Placement Info: Eldery Admissions

So I can be grateful that this placement will at least be in the same city in which I live, but it doesn’t sound sexy does it?

However, it might surprise me, and after all the majority of all healthcare provision is with people over the age of 60, so it will probably give me a vital insight into what most OT’s are doing.

And who know, I’ll probably like it. I can remember from one of my previous jobs, where I organised events, talks and lectures for the over 60′s that I really enjoyed it, people have fascinating lives and histories, and enjoy having someone to share it with.

Anyway I’ll find out in the second half of the summer after my 7 week spell in mental health.

Second Placement Info: Mental Health

So, last night I finally sat down and wrote a wee intro letter to my second placement, and double checked arrangements like accommodation etc. I’m slowly reconciling myself to the idea that I didn’t get the placement that I wanted, it would have been great to get a placement near my mum’s house, no accommodation worries, no food worries, no more nagging about why I don’t visit her. However, the powers that be had decided that it is not for me and have sent me to the west coast to work in Mental Health.

I’m surprised by how un-excited I am about the whole mental health thing. I’ve been thinking recently about where I would like to work when I have graduated, I thought I was open to working everywhere but maybe that’s not true. Although today we had a lecture on the worker-role interview, and I did think that helping people back to work would be really interesting.

Placement Week 7

So, this weeks placement was ok but not great.

I had a visit to the Mobility Centre, which was ok. I got to play around on wheel chairs and see all the great facilities they had. But my feeling was that it wasn’t really OT or if it was it was so focused on such a narrow area of service that it no longer looked like OT but a efficient wheelchair and seat pad service.

I was glad to return to the hospital the next day. I’ve had so many visits recently that I’ve been feeling out of touch with what is happening on the ward. I saw two more new patients and spent some time reading up case notes etc. But the afternoon dragged slightly, I’m looking forward to getting more responsibility and being able to do slightly more than I can at the moment.