I am experiencing a very frustrating situation on my placement at the moment, will really appreciate if someone can give me some advice on this.
Few weeks ago, a new patient with history of frequent falls had come into our clinic for physiotherapy treatment. After assessment, her main problem was muscle weakness in the lower limbs, so I decided to get her to do some exercises to strengthen the quads and the hip extensors.
The amount (reps and sets) of exercises was determined according to patient’s ability and since my patient could do 15 reps of squat and bridging in a good form, I asked him to do 7 reps, 2 sets, 2x/day of squat and bridging as HEP to strengthen his muscles.
However, my supervisor strongly disagreed (She is the type of supervisor which I don’t feel comfortable to negotiate with) and said 2 reps, 1 set, 1x/day were going to be enough for this patient (by looking at his age and past medical history). I disagreed with her in my heart but as a student I understood the importance of supervisor-student relationship was vital for passing my placement.
In the end, I did what my supervisor told me and after the patient went; my supervisor told me I did well in that situation. I didn’t give her any response and just kept silent.
I felt I had betrayed my patient for my own benefit. If I was giving a second chance, I would have negotiated with my supervisor.
What do you think? How would you handle this situation?
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1 comment:
Tough situation Kent, I agree that the relationship between supervisor and student is important to the result of your prac. May not determine whether you pass or fail but how good your report is. On the other hand showing initiative shows to the supervisor that you are a competent physio. As long as you have good reasons or evidence then you are entitled to treat your patient how you best see fit.
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