Hi all
another late post...had a patient with bilateral wrist pain due to prolonged typing/writing as she is a TEE student. On physical assessment, she was TOP over the anterior surfaces of the radiocarpal joint, no restriction in range, positive NTPT (median nerve test), no restriction on PPIVM assessment and on PAIVMs she was TOP as she couldn't quite take the pressure from the PAs of central and unilaterals so no real objective measure was taken from the PAIVMs. Her mom likes to join in the session as she doesn't quite pay attention during the physio session.
is this a case of the patient making an excuse to not clean her room or something or is it really an issue as I couldn't quite seem to gauge where the problem was coming from, taking into consideration that she was quite hypersensitive to the objective assessments and so the accuracy of the measures is questoinable.
Subscribe to:
Post Comments (Atom)
1 comment:
Hi Wei,
Try not to judge her yet.. As pain can be very subjective. My supervisor would use pimple on the nose as analogy to make other ppl understand inflammation can be very very painful even if it's just a small dot on the nose.
I feel it would be helpful to find out what the patient would like to achieve from your treatment or what her expectation is.
And perhaps you can even further explain what you can do for her with her condition and be honest with her (in a diplomatic way, of course).
if all feels too dodgy, confirm with your supervisor if you have done all necessary diagnostic tests.
Chin.
Post a Comment