Rehabilitation Field Observation Report

We have recently contacted you by mail to inform that your case has been released from the waiting list. Please note that is imperative that you contact the office of Vocational Rehabilitation at 239.593.2543 ext. 104 to schedule your next appointment. The next step is the psychological evaluation discussion and employment planning, once this has taken place you will be ready to obtain services. If your call is not received by January 13th, 2016 the case may be closed. Best

​Mental health disorders are a significant cause of morbidity in prisons across the United States (U.S). Deinstitutionalization of the state’s mental health system has turned prisons into America’s “new asylums”; it has become a warehouse for the mentally ill. Our U.S prison rehabilitative services are not equipped to provide care and psychological treatment for the mentally ill which allows for these mental illnesses to persist, worsen or even trigger new ones. It can even cause inmates to wind up back in prison upon release for minor offenses. In addition to the lack of resources for these mentally ill individuals, the prison environment also directly affects the mental

I have worked for the West Virginia Division of Rehabilitation Services (WVDRS) for over three years as a Rehabilitation Service Associate. During that time I have been given the opportunity to work with the clients that we serve on a regular basis. However, the practicum experience provided me with an opportunity to gain a deeper understanding of the rehabilitation process and what it means to work as a team with individuals to achieve goals. The practicum experience also gave me insight on the processes involved in providing individuals information and assistance in finding solutions to help overcome or work through challenges encountered on a daily basis.

This scenario takes place in an, Inpatient Rehabilitation Facility in California. Jane Doe had been employed with the facility for six years. She received her training at an accredited institution and passed her exams and received her CNA and went to work with the Inpatient Rehabilitation Facility six months later. She was assigned to, Unit C, under the supervision of Ms. Nancy Jones, a Registered Nurse (RN) with fifteen years of experience as a supervisor for the facility. Jane received her on the job training in the unit with supervising manager Mrs. Sue Day a Licensed Vocational Nurse (LVN) with ten years of experience with the facility.

This case study is about a patient, T.C., who I treated while a physical therapy assistant at an acute rehabilitation hospital. T.C. had terminal spinal cancer and at the time of admission had a fair prognosis to maintain function and strength enough to be discharged to his daughter’s home with home health care and family support, and he wanted to eventually go back to his own apartment. He was using a wheelchair as he was partially paralyzed from the waist down, and was able to use a transfer board to transfer from his wheelchair to bed and back.

I was nervous at first because this was this was my first field work, and had just started the Therapeutic Recreational program. Nichole Cummins was aware of this and made me comfortable in my new venture at the St. Joseph’s Impatient Rehabilitation Unit. I discussed my goals with her before starting the field work. The unit is on the 4th floor of the main hospital. Files of patients are filed in a secure cabinet. My field work was 60 hours of experience. My goals were to learn about documentation, program planning, and activity modification.

Therefore, it is hard to find a mistake in a rehab hospital as near perfection as Craig Hospital that values the patients voices, the staff's interaction to improve cares and services, education, and maximizing neurological recovery and abilities, so that patients can return home proud. The Craig Hospital is close to perfection with high advance research for cures and improves treatment to assist patient recover at a faster rate with improving treatments based off evidence conducted through

As a coach, I am very limited to what I can do legally in this case. I would have to refer him to an AT, a PT or a physician. I can only control swelling and manage pain.

I am learning about the significance of being committed to patient care and dedicating your life's work to the betterment of every patient. I possess a strong academic history as well as a willingness to commit my time to uplifting of my community. Even as a student who has had some hiccups academically, I am proving that I can overcome adversity and "keep my eyes on prize". Furthermore, I am devoted to being the future of physical therapy and displaying selflessness, dedication, compassion, distinction and authenticity. I have learned to sympathize and empathize with patients, however, at the same time stand firm in the therapeutic methods that need to be implemented for the patient's

Heart. Health. Home. That is the Hammonton Center for Rehabilitation and Health Care’s mission statement. They want to make sure that everyone, residents, guests, and employees are all in the same spirit. Heart comes first, they make caring for people more than just a job. Health, because they are all about staying healthy and fit. And finally, Home. They make sure to make everyone feel like they belong, safe, comfortable, and cared for. The Hammonton center is located in Hammonton, New Jersey right off the White Horse Pike. They provide services for individuals from all over, but mostly in Atlantic County. Hammonton Center is one of the three centers in the South Jersey region, which all are a part of Centers Health Care.

During my placement, I also had difficulty with treatment planning. I struggled to find activities that were motivating and challenging for clients. Additionally my body language had not been clear to my supervisor and patients, making communication difficult. With one patient, this combination of communication and treatment planning difficulties may have left her unprepared upon discharge. C.D. was a 77 year-old female patient with End-Stage Renal Disease among other medical issues. She was new to dialysis, and went three times a week for the treatment. C.D. often stated she was too tired for therapy and required coaxing or encouragement to participate, particularly on the days she had dialysis treatment. She had not been using a mobility device prior to admission but had a rolling walker at home. I struggled to find meaningful occupations that would motivate her participation in

Throughout my life, I have had many experiences that have led me to pursue a career in the health sciences. My interest in the science of movement and passion for patient care has led me to physical therapy. Most recently, my employment as a rehab tech has furthered my belief that physical therapy is my dream profession. Working as a tech in both inpatient rehab and acute care has given me an unbelievable amount of experience, not just in physical therapy, but in all the intricacies that come with an inpatient setting. Prior to my experience in this position, I never thought I would enjoy working as a physical therapist in an inpatient setting.

Traditionally rehabilitation physicians have not been involved with viewing the images, and reading the radiologist’s report has been considered sufficient. This is based on misconception that viewing images is only useful in making clinical diagnosis and thus not of great utility to rehabilitation physicians. However, more and more rehabilitation physicians are realizing that knowing the anatomy and correlating the clinical finding with imaging findings is very important to achieve relevant information from the imaging report, most significantly, view the pathology with their own eyes and thus helping in accurate treatment planning. Moreover, imaging can provide objective aspect to the clinical evaluation, which have an inherent degree of

On February 5, 2016, I had the privilege to spend the day with the patients of Regent Care. I was accompanied by my classmates from the Communication Disorders program. As I walked into the facilities cafeteria we gathered around the round tables. As we waited for instructions our professor gave us an overview of what we were expected to do. There were big squared plastic bins that were filled with different kinds of supplies. As we assisted our peers get the supplies out of the bin we began to separate and organize the supplies by activities. We began by cleaning the round tables with water. After they were dry we began setting up the different stations. There were about five activities which included getting their nails done, decorating a picture frame, decorating a bag, painting figures as arts and crafts and bowling.

Today, we had the opportunity to choose where we would like to spend this clinical assignment. Since, I was wanted to have more experiences with treatment plans for the clients here at the care center. Therefore the clinical has been split in two halves; morning I spent with Dale in the long term care unit and the afternoon was spent with Rose in the rehabilitation unit.