Description

Weekly mentor session with my senior one in the out-patient department at the General Hospital.

Date - 4 August 1999

Location

Out-patient department

Attendees 

Myself and my mentor.

Meeting outcomes 

• To discuss my dizzy patient and develop a treatment plan.
• To have a better understanding of the causes of dizziness.
• To be able to safely VBI test patients and differentiate from vestibular.
• To know how to perform cervical instability tests.

Reflection

I have been nervous of treating one of my patients due to her presentation of dizziness which can be an indicator of serious pathology. Now that we have completed this mentor session on dizziness I know how to appropriately to question patients further regarding their dizziness to aid clinical reasoning and differential diagnosis. I feel confident to complete VBI testing and have a better understanding of instability testing. In this way I feel that my management of dizzy patients is safer and I should be more effective at recognising those patients at risk. This means that the patient willl benefit from safer, more effective and appropriate managment and the department will benefit as I will not be using up appointments inappropriately.

Two day course at Holme Pierrepont in Nottingham presented by Alan Taylor and Roger Kerry.

16 hours CPD.

Dates - 22-23 November 2002

Activities 

• Lecture on haemodynamic anatomy and physiology
• Lecture with clinical examples of how altered haemodynamics may mimic MSK conditions
• Clinical reasoning workshop
  
• Practical sessions to assess haemodynamic function
  

Evidence 

Certificate of attendance attached.

Altered Haemodynamics Course Certificate

Reflection 

With a lack of haemodynamic education in physiotherapy training it has been a very important course to attend. My knowledge of haemodynamic anatomy and physiology has been improved and I am more aware of the signs and symptoms that vascular conditions may present and how they can mimick musculoskeletal conditions. I now feel confident to incorporate vascular assessment into my consultations which previously I have only irregularly done. This will improve my clinical reasoning and consequently client management. I feel that presenting vascular clients will benefit from more accurate diagnosis and therefore more appropriate subsequent management. This will directly benefit the out-patient department waiting lists and success rates by recognising patients that are inappropriate for physiotherapy treatment and referring them on for more appropriate management.