Longitudinal Clinic Journal Paper

I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to

I started the interview with straightforward questions. I asked her about her health and I asked her about her pain. She is currently taking a medication that is controlling her diabetes. Since she has been diagnosed with diabetes for more than ten years, I wanted to know more. I asked if she remembers why or how did she develop type 2 diabetes. During that time, Maria was under a lot of pressure. Her mother and her sister had recently died and her husband was making less than $70 per week. She was constantly worried that her life was falling apart. When I asked her about pain, my grandma told me she has chest pain. Due to her pain, she recently found out that she is diagnosed with

My Story: Today, was an awesome, extremely busy clinical day; I absolutely loved it. I saw five total patients. The first patient that I saw was with Laura, this patient was diagnosed yesterday, 2/7, with cirrhosis of the liver and HEP C. The patient’s chart says he has a history of anxiety, however, the patient stated that his anxiety started when he was told in the ER on 1/25 that he could have cirrhosis of the liver (more information in part D and E). This patient was very interesting, and I was amazing by how much he was going through; I felt bad for him. I did vital signs and my part D and E with this patient, and built a therapeutic relationship with this individual. I completed my part D and E on my first patient, due to not knowing if other patients were going to cancel because of the snow, as well as I didn’t know what patients I could see because the NP, Tanya wasn’t in the office in the morning. At the end of the visit, the patient asked me if I would be coming back again. This made me feel good, because I knew listening and being there as support for this patient helped him. The rest of the day I followed the

I explained to the patient that I am an intern student. I would be sitting in on session

The interview took place in a private setting, in the participant’s home that was free of distractions and noise. It is required to obtain an interview in a private setting for patient confidentiality and privacy. It took about an hour to for the interview because of the required information, family health history, current medications and remembering dates of the family history information. I first started introducing myself, explaining the purpose of the interview, estimated duration of the interview, and I asked the patient of any known allergies.

I felt that I asked the appropriate questions to get information about the patient’s current illness. Also, I felt that I carried out the doctor’s orders in a timely manner.

I began the interview with the patient by introducing myself and allowing her to do same, I then said to her whatever information she gave to me is strictly confidential between her and I and the nurses and doctors that would be taking care of her. My patient was a 60-year-old woman, who is an alcoholic that have drunk for the past thirty years of her life. As the interview progresses, I make sure that was listening attentively, had good body posture and eye contact to the

This week I had 2 patients of my own and I rarely needed any help. I am starting to feel comfortable with caring for my own patients and performing my assessments.

After I have finished, patient said that is very thankful for everything what I have done what made me feel really special. During all my shift that day patient 1 was always asking for my help which grew up my confidence and let me to communicate more effectively. All the experience was very rewarding because for the

From the beginning I explained why I needed an interview and how I can protect her information confidentially. It was a relaxed and respectful conversation; we communicated easily and had eye contacts attentively. I opened the conversation by asking how she was doing? She started talking about her family, life and work. I was an active listener, allowed sufficient time sharing her experience before asking follow up questions to explore in depth medical and psychosocial concerns.

The guy was dealing with Morton’s neuroma and essentially a pebble like growth had formed and had to be removed, due to the painful “gravel-like” feeling a person would get when dealing with it. We also talked about his total knee surgery and that process which was super interesting. The actual reason the guy was there though, was to fix some shoulder pain. Noah got him healed up in no time with some band exercises and an ultrasound. The last guy who came in was someone I’d met before who had injured his knee. He’d been in a couple times between the last time I’d seen him, and wasn’t really responding to the treatment. Noah explained that it happens, and recommended that the guy see/do something else as the PT wasn’t effective. If I were Noah, I would’ve been pretty bummed out to have tried all my stuff, but still being unable to help someone. He didn’t seem shook at all though, and I really admired his humility and understanding that sometimes PT doesn’t always work. It’s something that I hope I can apply to my own life. Overall I’m incredibly grateful for my shadowing experience. I honestly wasn’t really sure what to expect when I started, but it was a really fun process due to the people working, and the stuff I learned during my

During the interviews, I found myself asking a lot of questions where most of them were closed ended which forced the patient giving simplistic responses with limited information. I also found myself giving false reassurance; “you’ll be fine, don’t worry,” when a patient expressed how they were distressed to be in a psych institution while they are completely sane. I was so nervous the first time that I couldn’t find a better way to be kind, but then I realized that the false reassurance was blocking the conversation with the patients and discouraging further expressions of their feelings. A better response would have been “It must be difficult for you to be here”. The therapeutic skills I plan to use next time is seeking clarity, I have learned

Over the course of the past semester, I feel that I have really gained and understanding of the importance of open and active listening, in addition to how much you, as the clinician, can actually gain from engaging in this type of interaction. Furthermore, I feel more confident in my ability to conduct an interview, along with feeling at ease that interviewing is indeed becoming slightly more natural and am excited to further strengthen my interviewing skills in the upcoming semesters.

The discussion went well because it got the conversation on how OT/PT could have been utilized in their past patients’

I came well prepared for the clinical experience. I had the majority of the paperwork and equipment I needed for that day. I knew I was not familiar with the rehab setting and had to immerse myself in the routine of things immediately so I can maximize my time. I was proactive in asking the staff to teach me the interventions they were performing. I asked significant questions like the rationale behind what they were doing etc. I respectfully listened to the explanation they provided and of course, I thanked them for their time.