Today we visted a patient who we had we had been walking 2 person assist with a walker. We had previously walked her on the thurday last week, however when we went to walk her on Friday she had had a fall in the morning and so we were unable to walk her. In the fall she hadnt injured herself and so we talked to the nursing staff who said she had stood when they were getting her changed in the morning and that we were able to take her for a walk.
When we went to take her for a walk in the afternoon she had a vistor with her and so we didnt get to see her until late in the afternoon. After talking to her for a long time and demonstrating what she had to do we attempted to get her standing.
We placed her feet in the correct position and her arms on the wheelchair position for her to push up. She would nto keep her feet in the right position, so it made it very hard to get her to stand. She keep lifting her feet off the ground and out in front of her, so she was never going to stand up.
We took time to talk to her since she hadnt walked since her fall, however her dementia plays a huge part in her not walking. She is capable of weight bearing and walking but it takes her a long time to get going.
I was feeling excited to see how she would go walking today after her fall on friday and her progress on thursday. After the first attempts at standing up we realised that we werent going to get her standing. We should of taken the weight belt to put around her so we had a better grip on her and we will try to walk her in the morning like we have been previously since she seems to be more attentive in the morining.
Today we got through all our patients plus more, except for actually walking this patient. Today in the group session I got thrown in the deep end when the PTA said now you can do some more exercises with the scarf. It made me realise how it is all about adapting what you know with what you have and making it fun. It is good to have a few things ready in your mind before you start.
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