keep it simple stupid.
i found myself trying to address too many impairments in one session with my patients at a neuro outpatient clinic. Trunk work, reaching, muscle length, gait, balance, HEP...that was a common treatment plan for one of my sessions. To me, it sounds great if i could help the patient with all of those things, but the fact is i cant. the choice is, do 10things poorly or 1-2 things really well. My supervisor mentioned to me that one of the really experienced PT's will work on a shoulder for a whole session. THis got me thinking and i decided i would do the same thing. just work on the one area and give it a full sessions worth of attention. It worked really well, i was able to see things i couldnt see before in my observations and i had more ideas about treatment. I cant speak for other areas, however I think in the outpatient setting and with the appropriate patients it is important to reduce the complexity of ones treatment and treat a few things really well.
1 comment:
This is a very good point. I think we often get carried away with trying to solve all the patients problems at once and therefore end up not being as effective in our treatments as if we focussed on one or two problems at a time. Especially as we are still learning and dont have much experience it is better to spend more time doing a really effective treatment.
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