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Borang C- Borang Penilaian Prestasi Pelajar oleh Penyelia Latihan Industri

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Borang C- Borang Penilaian Prestasi Pelajar oleh Penyelia Latihan Industri

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Borang Semakan Penyelia Latihan Industri

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Borang Semakan Penyelia Latihan Industri

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Today is my last day of internship in Klinik Kesihatan Bandar Kuala Krai. Normally, I will stay at counter registration and  waiting for the patient. Some patients come to give a referral form from a doctor to do physiotherapy. I just gave an appointment to them because Encik Yusoff should treat other patients. Then, I help him give the treatment to the patients. Wax therapy and Ultrasound therapy is my routine because it was so easy to treat. Meanwhile, he need to give the attention for stroke patients. At 1 pm, I was very touched because after the farewell ceremony was held at the rehabilitation unit. I also got a souvenir from the clinic after the last award for serving there.

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In Klinik Kesihatan Bandar Kuala Krai, there have a program with old folks. Early morning, I stay at counter registration waiting the old folk register their name. Then, Encik Yusoff asked them to go out from klinik to do an exercise. First, we do the strengthing. Before do any activity, we need to do warming up to avoid any injure occur.

Then, Encik Yusoff asked all the old folks took the theraband for exercise. A theraband or resistance bands are latex bands or tubes that are used for physical therapy and light strength training exercises. They are also commonly used by athletes, but also people who are looking for a low-impact strength training workout.
Resistance bands are a great addition to any strength training routine or rehabilitation program and come in a variety of sizes, lengths, and strengths . This portable exercise equipment is also easily stored, making it perfect for home use, hotel workouts, or when you're tight on space at the gym
Resistance training increases muscle strength by making your muscles work against a weight or force. Different forms of resistance training include free weights, weight machines, resistance bands and your own body weight. A beginner needs to train two or three times per week to gain the maximum benefit.

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Today, Encik Yusoff was made an appointment with his patient. After took a breakfast , I stay at counter registration waiting the patient. Then, I go to the wax therapy room to give the treatment to the patient. After 20 minutes, I will do the ultrasound therapy. It take 5 minutes for one hand.
Ultrasound therapy is a treatment modality used by physical therapists or occupational therapists to treat pain conditions, and to promote tissue healing. Ultrasound is applied using a round-headed wand or probe that is put in direct contact with the patient's skin. Ultrasound gel is used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves.Therapeutic ultrasound is in the frequency range of about 0.8-3.0 MHz.

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Today, I just stay at Klinik Kesihatan bandar because we should give the treatment to the patient. Encik Yusoff checked the patient who come early meanwhile I will do the wax therapy to the patient. Encik Yusoff also give the treatment to the patient stroke. The patient stroke have their own wheelchair to do the cycling therapy.

Recovering from a life-altering event like a stroke takes dedication and drive. An at-home regimen of stroke rehabilitation exercises with Theracycle can help stroke sufferers make strides in the stroke rehabilitation process and can be a powerful compliment to our regular stroke rehabilitation sessions. The rugged construction of the bike provides a stable base so we feel secure and supported in your efforts, while 1/2 horsepower a assists our movement as we ease through our daily workout with increased mobility, energy, and renewed confidence

Stroke patients that use Theracycle for stroke rehabilitation exercises find they benefit from:

Improved balance

Increased mobility

Reduced stiffness

Reduced fatigue

Increased energy

Increased leg strength

Increased flexibility

Improved overall health

The stroke patient must be hardworking person to get well faster.
Meanwhile, I need to cover other patient. The patient who have a problem in back pain. I will  put the hot pack at the back. It will release their pain and it take 20 minutes for one session.

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Today, I stay at Klinik Kesihatan Bandar because Encik Yusoff made an appointment with his patient. At 8.30 am, I will start do my routine. I will do the wax therapy to the patients. There have 5 people who need to do the treatment. It takes 20 minutes each person. Wax therapy will release their pain who have a problem in nerve cell.

After that, I will do the Ultrasound therapy to the patient. It take 5 minutes for one hand. All the patient like this therapy because it will release their pain. In addition, I took the gel flexall at their hands for pain release. This therapy is my routine because Encik Yusoff have taught me earlier.

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Today, I follow Encik Yusoff go to Mengkebang. We need do the “10 ribu Langkah” with the community in mengkebang. At 8.00 am, we start go there to arrive early. Then, we start walking at 8.30 am. Along the road, there were many beautiful places that we need to see. It will rilex our mind and also release our stress.

Besides that, that place also wide and not bored so, we will enjoy beautiful views there. We also get the good health because it take long time to reach at the destination. This program can strengthen our relationships. While walking along the road, we will known each other by change the information and idea.

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Today, I followed Kak Syikin as a Nutritional Science Officer go to Manek Urai for the program cooking the food for baby. We stay at the “Dapur Sihat” at Klinik Kesihatan Manek Urai. First, all the participant took a breakfast before we start the program. The participant consist of nurses. Kak Ija as a Nutritional Science Officer give a talk about the food that need to give for baby at all ages. The menu should suitable with their age when we want to cook for them.

After that, all the participant  was divide in four group to cooking the food for baby health. Before that, they discuss the ingredient and menu for preparation the food baby. They were enjoying cooking that food because it very simple and easy to make it. They need to take only 20 minutes for preparation. By referring their own menu, they was done finish their food. After that, each group should give the explanation about their food to Nutritional Science Officer for scoring.

So here, I was learn how to cook the food for baby at all ages.

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Today, I followed Encik Yusoff and Kak Yana go to Klinik Kesihatan Dabong. We take 2 hours  to arrive there. First, we took breakfast. Then, comes a patient stroke to get the treatment. I help Encik Yusoff give the treatment to the patient who want to walk properly. I asked the patient to do an exercise like cycling. The cycling for stroke can improve her movement be more better. Then, she need to walk slowly by holding the big ball to get the balance. After 20 minutes, the patient want to rest.

Meanwhile, Kak Yana treat her patient who have a delay in speech. The student comes with his teacher to get the treatment. After that, Kak Yana give the appointment because there is no equipment to treat. She asked the patient to comes Klinik Kesihatan Bandar two times for a month.

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Today, I go to Pantai Bukit Kluang at Terengganu with Kak Yana and patient PSR. At 8.30 am, we start our journey. It takes 1 hour and half  to arrive there. Then, there have many group  of patient PSR who come from other district. We all stay at the seaside and took a breakfast. All the food we eat come from home. All the patient Psr enjoying their food because it very delicious. Then, we grill the chicken to eat for lunch.

In addition, all participants must engage in activities that have been organized. These activities are very fun, they are very happy to play for a winner. What I was learn today is, the patient should give more attention to avoid them have a negative thinking. We need to full fill their time with the good activity to make them more active and powerful.
This program can also strengthen relationships between people. Sporting spirit also exists within the current participants perform a given activity. This program can also strengthen relationships between people. Sporting spirit also exists within the current participants perform a given activity

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Today, Encik Yusoff was made an appointment with their patients. At 8.00 am, I start help him treat their patient. First, I will do the wax therapy to the patient. It takes 20 minutes each person. Wax therapy will release their pain. Wax therapy, which uses a bath of molten paraffin wax, is one of the most effective ways of applying heat to improve mobility by warming the connective tissues.
Wax therapy is mainly used on our hands and is often used by hand therapists in a hospital setting along with an exercise programme, but the benefits of paraffin wax don't stop there. Because paraffin wax treatments are a form of heat therapy, they're often used for muscle, tendon and ligament ailments. As with conditions like arthritis, they increase blood flow, improve joint stiffness and reduce pain.

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Today, I follow Encik Yusoff go to Klinik Kesihatan Pahi. We arrived there at 9.00 am. First, Encik Yusoff asked me to help him finish the task that he need to settle today. I just wrote down the information that he state in the treatment card.
Then, a few patient come to do a treatment. Encik Yusoff checked his patient and asked me to give the treatment by using the therapy equipment. I made ultrasound therapy to patient who have a problem in nerve at their hand.
The most common conditions treated with ultrasound include soft tissue injuries such as tendonitis (or tendinitis if you prefer), non-acute joint swelling and muscle spasm. Most muscle and ligament injuries can benefit from therapeutic ultrasound.

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Today, I followed Encik Yusoff and Kak Yana go to Manek Urai. First, we must go to PDK Manek Urai. When we arrive there, we asked all the PDK trainee do some physical activity. Physical activity simply means movement of the body that uses energy. Walking, gardening, briskly pushing a baby stroller, climbing the stairs, playing soccer, or dancing the night away are all good examples of being active. For health benefits,physical activity should be moderate or vigorous intensity.

Physical activity helps us live longer and prevent many chronic diseases, such as heart disease, high blood pressure, abnormal blood lipid (cholesterol and triglyceride) profile, stroke, type 2 diabetes, metabolic syndrome, and colon and breast cancers.

That is why, we need all the pdk trainee have a good in health. Kak Yana also taught me and teacher PDK make a flowers by using the paper crepe. Then, teacher PDK will teach their students do this flowers. So, this creativity in produce the product can increase their income.

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Today, I arrived at Klinik Kesihatan Bandar (KKB) at 7.55 am. After took a breakfast, I help Encik Yusoff treat his patient. The patients will come to get the treatment because this day, Encik Yusoff was made an appointment with them.
Firstly, the patient who have a problem in their hands, I will do the wax therapy. This is because, this treatment will release their pain. It takes 20 minutes each person. The characteristic of wax therapy is
1. Low thermal conductivity, provide superficial heat with a depth of 1 cm
2. Give of heat very slowly - no rapid loss of heat.
3. Temperature is maintained at 47-55
4. It is self insulating. (The first layer creates a thin layer of air next to the skin which act as an insulator)

Then, I will do the Ultrasound therapy to the patient after do the wax therapy. A typical ultrasound treatment will take from 3-5 minutes. In cases where scar tissue breakdown is the goal, this treatment time can be much longer.
During the treatment the head of the ultrasound probe is kept in constant motion. If kept in constant motion, the patient should feel no discomfort at all.
Some condition treated with ultrasound include tendinitis, non-acute joint swelling and muscle spasm.
Therapeutic ultrasound has been shown to cause increases in:

healing rates

tissue relaxation

tissue heating

local blood flow

scar tissue breakdown.

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Today, I go to Mengkebang with Encik Yusoff. We have a program “10 ribu langkah” with the community. We arrived there around 8.30 am. Then, we start walking in area Mengkebang. I can see the variety of trees,flowers and local fruits. By the way, that place also have a beautiful view. I am so excited and my mind fell so rilex. Here, I can release my tension. At taman herba, we create the memory by took some photos.

What I have learned today is, this program can connected my relationship with the community. We also can communicate each other and change the idea about the new information. I am so proud to be part of this program bacause it is the one of the healthy lifestyle. Besides my body get health I also have new friendships.

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Today, I followed  PDK Manek Urai and PDK Temailr go to Pantai Bukit Keluang. We go there by bus. At 8.30 am, we start our journey. Cikgu Pdk gave me the money RM 10, food and mineral water. I am so thankful about it. At 10 am, we arrived there safely. At the beach, we were picnic and enjoying our foods there.

The memory that I have not forgot is ride a banana boat with the PDK. Meanwhile,some  PDK trainee ride a boat with their mother. This boat bring us to island, there we were took a shower. The beautiful island made me fell happy with them. At 1.00 am, teacher PDK want to make the sand therapy to PDK trainee. All the PDK trainee were enjoying this therapy.

At 3.00 pm, we go to chalet. There have swimming pool to us learn the hydrotherapy. Encik Yusoff asked the PDK trainee to follow him do the hydrotherapy. Teacher PDK, PDK trainee and I do the step that what Encik Yusoff teach us. After a few minutes, we go to bathroom to change the cloth. Then, we all do the barbique for oul meals.

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Today, our schedule is go to PDK Guchil. At PDK, Encik Yusoff and Kak Yana asked them to do a physical activity. First, we do the warming up and they need to follow our step.
Then, we playing ball outside the PDK to make them active people. I was asked to control and teach them how to catch the ball from other person. They really enjoy with this activity compare they stay in the class. At 10.00 am, they all need to take a breakfast.
In Klinik Kesihatan Bandar KKB, Encik Yusoff have an appointment with his patient. As usual, I will help him give the therapy to the patient. The patient who have a problem in back pain, I will put the hot pack at the back. Until 20 minutes, Encik Yusoff asked me to put the TENS. All the therapy, will release their pain.

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Today, the patients will come and do the treatment. This is because, Encik Yusoff gave them an appointment to do the therapy. At 8.30 am, after took a breakfast, I help him treat their patient by using the therapy equipment.

First, I will do the wax therapy who have a problem in nerve pain at their hands. This therapy take 20 minutes each person. After do the wax, I will treat them by using the ultrasound therapy.

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Today, Encik Yusoff was absent because he need to attend the meeting.  Early morning, I stay at counter registration waiting the patient who want to made an appointment. A few patient comes and give the physiotherapy referral form to me. Then, I give the appointment to them.
At 3.00 pm, I help Kak Yana treat her patient who have a problem in delay speech.

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Today, Kak Yana asked me to join them playing  bowling with their patient. Their patient under Psycho Social Rehabilitation (PSR). At 8.30 am, we start our journey. There have four patient PSR cover by four  nurses.
At 10.00 am, we took breakfast at Pantai Cahaya Bulan. Then, we go KB Mall to playing bowling. Bowling will burns our calories. Bowling is an anaerobic type of physical exercise, similar to walking with free weights.
Bowling helps us in burning calories and works muscle groups not usually exercised. The flexing and stretching in bowling works tendons, joints, ligaments, and muscles in the arms and promotes weight loss.

The patient PSR really enjoy with this game because it release their stress. This program was organised to relax their mind.

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Today, I followed Encik Yusoff and Kak Yana go to PDK Temalir at Mengkebang. There, we do some activity with PDK trainee. Encik Yusoff and Kak Yana gave the therapeutic exercise. Therapeutic exercise refers to a range of physical activities that helps restore and build physical strength, endurance, flexibility, balance, and stability. The goal of therapeutic exercise is returning an injured person to a pain-free, fully functioning state. The Pdk trainee were enjoying with the activity that was given.

At 3.00 pm, I help Encik Yusoff treat his patient at Klinik Kesihatan Bandar. The patient who have a problem in the back pain, I will put the hot packs at the back. This therapy will help them to release their pain.
What are the hot packs and how are they used in physical therapy?
Hot packs are a type of physical modality often used in physical therapy clinics. They are applied to injured body part by physical therapist. Physical therapists wrap moist hot packs in several layers of towels. They are then applied directly on the exposed area that needs treatment.
The heat provided by the hot packs has several important benefits.

Relaxes tight muscles causing tissues to relax.

Decreases pain caused by muscle tension or spasms.

Causes vasodilatation of the blood vessels which increases circulation to the area.

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Today, Encik Yusoff have an appointment with his patient. At 8.00 am, I start my job as an assistant for him. First, the patient who have a problem in their hand, I will do the Wax therapy. This treatment take 20 minutes. What is the wax therapy?
Wax therapy, which uses a bath of molten paraffin wax, is one of the most effective ways of applying heat to improve mobility by warming the connective tissues. Wax therapy is mainly used on our hands and is often used by hand therapists in a hospital setting along with an exercise programme.

After that, I will give the therapeutic ultrasound. Gel is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves. Therapeutic ultrasound in physical therapy is alternating compression and rarefaction of sound waves with a frequency of 0.7 to 3.3 MHz. Maximum energy absorption in soft tissue occurs from 2 to 5 cm.

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Today, I was learned how to take care of patient who have a stroke desease. Encik Yusoff was absent because he need to attend the meeting. Early morning, I stay at klinik until lunch hour with Kak Yana.
After lunch hour, Kak Yana and I followed Kak Mariam for services Care Domisiliari (PPD).

Services Care Domisiliari (PPD) includes treatment and rehabilitation is provided in the home to ensure continuity of care for patients who were discharged, support the families of patients through training caregivers in the care of patients at home and reduce readmission of patients to the hospital through quality medical care in the home and community

We have three patient today. So, for the stroke patient Kak Yana will teach some exercise to caregiver. Then, they will follow the step of exercise to treat the patient.

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Today, I saw Kak Yana as a occupational therapy give the treatment to the patients. She was taken two patient to give the therapy. Most of them are children who have a problem in speech delay. I was learn how to give the treatment to them. What is speech delay/language delay?

Language delay is a failure in children to develop language abilities on the usual age appropriate for their developmental timetable.Receptive language refers to the process of understanding what is said to the subject. Expressive language refers to the use of words and sentences to communicate messages to others.

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Today, our shedule is go to PDK and Klinik Dabong. I follow kak yana and En Yusoff as their shedule. We take 2 hours to arrive there. First, we go to PDK Dabong to give the therapy. This therapy will help the PDK trainner improve their physical. They need to do more exercise because our body need the movement to improve their muscle. En Yusoff treat the patient who have a stroke. Meanwhile, Kak Yana treat other Pdk Trainner who cannot walk properly and her hand also difficult to raise. From here, I was learn how to treat people who have the problem in body movement.

Next, around 11 am we go to Klinik Dabong. Encik Yusoff and Kak Yana have their own patient. I just help them treat their patient. En yusoff have a stroke patient, meanwhile Kak yana need to do a splint for the children who have a problem at the hands. I help Kak Yana do the splint because it so hard to settle the splint at the children hand.

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Today, our scedule is at PDK Guchil. Kak Yana and I go there around 9.00 am. En Yusoff was absent because he unwell. First, Kak Yana try to do some activity to make them active. For the first game, kak yana asked them to take the tools and transfer it to another basket. The next game is, I asked them to throw the ball in the basket. They really enjoy with this game. This game will help their cognitive thinking. As a conclusion, I was learn how to handle the PDK trainer to make them focus with current situation. This game also help them to be more active people.

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Today, the scedule of my supervisor is go to PDK Bedal. So, I must follow him to get the knowledge. First, we asked all the PDK trainner go out from their class. Then, we do some physical activity to make them more active people. Before that, my supervisor asked me to conduct the strengthing. He want me to be a confident person. So, we start our activity. This activity will make them alert in current situation. The person who give the commitment in this game, we will give the reward. They were so enjoy when we playing a game with them.

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Today, I was join the activity “10 000 ribu langkah” with police and nurse at Klinik Kesihatan Bandar in conjuction with Hari Polis yang ke 210. First, Encik Yusoff asked me to conduct the warm-up infront of them with him. The warm-up should gently prepare the body for exercises by gradually increasing the heart rate and circulation, this will loosen the joints and increase blood flow to the muscles. Stretching the muscles prepares them for physical activity and prevents injuries.

It also particularly important to help prevent injury. Warm-up is low-level activity, which should be completed prior to stretching and more strenuous exercise. The objective of the warm-up is to raise total body temperature and muscle temperature to prepare the entire body for vigorous activity. We did some step before start walking . The traffic police will take care of our security along the route in Bandar Kuala krai. I stay with the PSR patient with Kak Yana and other nurse to take care of them.

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Today, Klinik Bandar have a programmed with Elderly. I was join them doing the exercise. Kak Yana was conduct them for the strenthing and some activity. This activity will improve their cognitive function.

The next activity is “gotong-royong”. Kak Yana and I were joined them collect the garbage around the Klinik Kesihatan Bandar.

Then, Kak Yana and I go to PDK Bedal because they invited us to join the birthday celebration. PDK trainees were enjoying their food.

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1. Today, I help Kak Yana treat her patient because Encik Yusoff attends the courses. First patient is children who cannot walk properly. Seconds patients is old person who have a stroke. So, Kak Yana need to do a splint. A splint is a piece of medical equipment used to keep an injured body part from moving and to protect it from any further damage.

A splint is often used to stabilize a broken bone while the injured person is taken to the hospital for more advanced treatment. It can also be used if we have a severe strain or sprain in one of our limbs. Placed properly, a splint will help ease the pain of an injury by making sure that the wounded area does not move.

2. So, what I have learned today is, how to make a split to stabilize the bone patient.

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1. Early morning, I was arrived at Klinik Kesihatan Bandar (KKB). I just stay at registration counter because my supervisor was absent today. T
2. After took a breakfast, I saw Kak Yana treat her patient. Most of her patient are children. This is because, they have a problem in speech delay. I help kak Yana control her patient to get the experience.
3. Speech delay, also known as alalia, refers to a delay in the development or use of the mechanisms that produce speech. Speech, as distinct from language, refers to the actual process of making sounds, using such organs and structures as the lungs, vocal cords, mouth, tongue, teeth, etc.
4. When children come to get the treatment, Kak yana will treat them by give more stimulation.
5. So today, I was learn how to treat children who have this problem.

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1. Today, Encik yusoff absent because he was holiday. So, I followed kak yana to get the something news as my experience. She need to check the patient’s legs who have a diabetes. She used the Doppler to know the condition of leg patients. A Doppler ultrasound is a test that uses high-frequency sound waves to measure the amount of blood flow through the arteries and veins, usually those that supply blood to arms and legs. Vascular flow studies, also known as blood flow studies, can detect abnormal flow within an artery or blood vessel.
Diagnosis is achieved by performing a Doppler ultrasound of the legs. The test itself takes 15-30 minutes to perform. The timing of the result depends on who interprets the findings

2. She asked me to state the result of the patients diabetes. When she check the patients legs, I must record what she told.
3. Then, at 3.30 pm, I follow kak yana go to patients house. There have two patients that we need to go. First patients have a problem after he got an accidents. Kak ma as a nurse in KKB Kuala Krai, she need to take care of her patients. The next patient is old folk.

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1. Today, I followed en yusoff go to Mengkebang. We have to do some activity with the community in Mengkebang at badminton hall. When all the people was there, Encik yusoff asked me to conduct a strething.

2. ABS DAY is an exercise that they need to do. First, Encik yusoff asked me to do a plank. Then, I showed an example of plank around 25 seconds. Then, they need to do the same thing with their partner.  Encik Yusoff will give the arahan and we must do step by step.

3. There have 6 exercise for abs.
- 25 seconds plank

- 30 seconds sit up

- 30 seconds heel touch

- 30 seconds leg raise

- 30 seconds scisors

- 30 seconds Russian twist

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1. Today, klinik kesihatan bandar have a diabetes class. At 8.00 am, the patients come and stay at unit rehabilitation department.

2. People who have a diabetes, we will gives a talk to them. In this class, we have 5 station where patients will be divided into 5 group. Each group will go to the station where the speaker will give a talk to them.

3. First station is pharmacy. The doctor will give the explaination about the medicine that they need to take. Second station is, how to use Insulin when the patients diabetes needed it. As we know, diabetes occurs when the pancreas, a gland behind the stomach, does not produce enough of the hormone insulin, or the body can't use insulin properly. Insulin helps carry sugar from the bloodstream into the cells.

4. The next station is foot care and wearing of shoes with proper technique . Kak Yana asked me to give a talk about that because she want me to improve my skill communication. The last station is, exercise for diabetes. First, En Yusoff asked me to give a talk about the exercise. When I talk, she just added the information and what the function of the exercise. Then, I showed the example of exercise to make them more understand.

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1. Today, I followed en yusoff go to pdk temalir. At 8 am we start our journey and we arrived there at 8.30 am. There have pdk trainer and their parents. Then, we took breakfast like tea and “kuih-muih tradisional”.

2. In pdk temalir, there have a program cerdas minda with their parents.  They need to do All the activity that their teacher provided with their parents. This program to show that how the relationship between the children and parents connected each other. By doing some activity, it will create love and attention to their children.

3. I just help their teacher manage this program successfully. I will give the explaination to them who do not understand about the activity that they need to do. I really enjoy with this program because they give their cooperation without create any problem.

4. The last program is it ended with the reward. The winner will get the present. All the student enjoy with the activity.

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Today, I arrived at Klinik Kesihatan Bandar at 7.55 am. After took a breakfast with the staff, I stay at counter registration waiting the patients. In addition, Encik Yusoff have an appointment with the patients. Early morning, the patients was coming to get the treatment. Firstly, he will check the condition of the patients. As an assistant, I help him do the wax therapy to other patients. There have six patients that need to do. This therapy take 20 minutes for one session. Then, I will do the ultrasound therapy for both of their hands. This treatment will relief their pain. Ultrasound can produce many effects other than just the potential heating effect. It has been shown to cause increases in tissue relaxation, local blood flow, and scar tissue breakdown. The effect of the increase in local blood flow can be used to help reduce local swelling and chronic inflammation.

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Today, Encik Yusoff have an appointment with the patients. He checked the patient who have a new case. I help him give the treatment to other patients. As usual, I will give the wax therapy to the patient who come early, then it take 20 minutes for this treatment. There have five people that I should do. Meanwhile, Encik Yusoff put the hot packs and TENS to other patients. After do the wax therapy, all the patients must do the ultrasound therapy. Before that, I will put the gel flexall at their hands and start do the treatment. It will relief their pain for a while but they need to always come for do this therapy.

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1. Today, Klinik Kesihatan have a programmed with old folks. This program is held twice a month.
2. Early morning, they need to register at the counter for attendance. Then, outside the Klinik Kesihatan, all the old folks need to join the physical activity to make sure that they were an active people.
3. The next activity is, we divide them in group. Each group have four person. We call this activity is "Musang Berjanggut". There have five different products. They need to separate all the ingredient in a same form. We give 25 minutes to settle this activity.
4. This activity to stimulate their sensory and cognitive thinking. They were enjoy with their activity.

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1. Today, I help Encik Yusoff take care of his patient. First, I put the hot pack at her legs. She have a knee pain for e few month. I put it around 20 minutes.
2. Then, she need to cycling to improve joint mobility.
4. The patients have to take part in an exercise program to mobilize the joints and strengthen the muscles around it.

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Today, I stay at Klinik Kesihatan Bandar. Encik Yusoff will give the treatment to the patient. Meanwhile, I help Kak Syikin stapler her card patient. After that, Encik Yusoff asked me to take care of patient under the Infrared treatment.

Low-level infrared therapy, or monochromatic infrared energy (MIRE) therapy, is a type of low-energy laser that uses light in the infrared spectrum. MIRE has been proposed for treatment of conditions such as peripheral neuropathy, pain management and wound healing.

Infrared energy prompts the release of nitric oxide, which enhances blood flow in the immediate vicinity. This boost in blood flow brings oxygen and nutrients to injured, aching tissues, resulting in fast healing. It also reduces pain and inflammation.

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Today, I stay at Klinik Kesihatan Bandar to give the treatment to the patients. As usual, Encik Yusoff asked me to give the Wax therapy to the patient. Wax therapy, which uses a bath of molten paraffin wax, is one of the most effective ways of applying heat to improve mobility by warming the connective tissues. Wax therapy is mainly used on your hands and is often used by hand therapists in a hospital setting along with an exercise programme.
After that, I will do the Ultrasound therapy at their hands. Ultrasound is applied using a round-headed wand or probe that is put in direct contact with the patient's skin. Ultrasound gel is used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves.Therapeutic ultrasound is in the frequency range of about 0.8-3.0 MHz.

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1. Today I followed En.Yusoff go to Manek Urai for fitness test. This program was held to get the BMI for age.
2. I help him handle this program. First, they need to measuring the height and weight.
3. Next, En Yusoff take part in rate of heart. It take 3 minutes each person. Meanwhile, I take care of "jangkauan melunjur".

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Today, I follow En Yusoff joined his program at Mengkebang. There is a program with community who were active in healthcare club. This program held in Badminton Kesedar Hall.

Encik Yusoff as a physiotherapy will be conduct our exercise. First, we must do the warming up before start any exercise. Then, there have six step for the physical activity that we must do. For the first week, he will teach us
- 20 seconds star jump
- 20 seconds mountain climber
- 20 seconds lunges
- 20 seconds high knee
- 20 seconds kick butt
- 20 seconds plank
and we must take a rest 10 seconds each exercise.

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Today, in the rehabilitation unit, we observed the elderly. First, I was assigned to take care of the registration counter. Then, they were briefed about health. Next, I was directed to keep weight scales. meanwhile, other staff measure the height and take your blood pressure. After that, the dishes will be provided like "kuih-muih traditional" and tea. At 11 am, the program is completed.

Then, En Yusoff asked me to treat a patient with Wax. This is because, the patient suffered tendon injuries in her arm. After 20 minutes, I put TENS on her wrist. Then followed by Ultrasound.

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Today, I help Encik Yusoff treat his patient kindly. The patient who have a problem in shoulder, I will put the hot pack at the shoulder. Hot packs are a type of They are applied to your injured body part by your phyiscal therapist. Physical therapists wrap moist hot packs in several layers of towels. They are then applied directly on the exposed area that needs treatment.
Benefits of Hot Packs

The heat provided by the hot packs has several important benefits.
These may include:

Relaxes tight muscles causing tissues to relax.

Decreases pain caused by muscle tension or spasms.

Causes vasodilatation of the blood vessels which increases circulation to the area.

Why does heat help with pain?

This process increases the flow of oxygen and nutrients to the muscles, helping to heal the damaged tissue. Heat stimulates the sensory receptors in the skin, which means that applying heat to the lower back will decrease transmissions of pain signals to the brain and partially relieve the discomfort.

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Today, we have appointment with patients. After took a breakfast, I take care of patient who has a problem in nerve cell. First, En Yusoff asked her to cycling. After 30 minutes, she must do the exercise like walking to balance her movement.

Then, I put the hot pack to other patient at the back who has a problem in back pain nerve. Next, I do the Wax to patients at their hand. Mostly, they have a problem in hand vein injury. It takes time around 20 minutes each session. After do the wax, I must do the ultrasound at their hands. Ultrasound takes 5 minutes only. This treatment to release the pain at their hand.

Besides that, I help Kak Yana as a occupational therapy treat their patient. Most of them are children. She will give the therapy to children who has a problem in sensory, growth and slow learning process.

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Today, I arrived at 8.00 am at Klinik Kesihatan Bandar. Then, I took breakfast with Kak Yana. Meanwhile, Encik Yusoff waiting his patient. At 9.00 am, I was asked to make a Wax therapy to the  patient.The function of Wax therapy is to release the pain. After do the Wax, I was asked to do the Ultrasound therapy. All the patient who has a problem in nerve pain, we will give the therapy by using the Wax and Ultrasound.

Then, other patient, I do the TENS therapy. Transcutaneous electrical nerve stimulation (TENS) is a therapy that uses low-voltage electrical current for pain relief. I do TENS with a small, battery-powered machine about the size of a pocket radio. Usually, you connect two electrodes (wires that conduct electrical current) from the machine to your skin.

TENS machines works by sending stimulating pulses across the surface of the skin and along the nerve strands. The stimulating pulses help prevent pain signals from reaching the brain.Tens devices also help stimulate your body to produce higher levels of its own natural painkillers, called "Endorphins".

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1. Today, En Yusoff, Kak Yana and I go to PDK Manek Urai and Klinik kesihatan Manek Urai for visiting.
2. First, we go to Pdk Manek Urai. There, we do some activity with PDK Trainees. The activity we do will improve their cognitive thinking.
3. Then, we go to Klinik kesihatan Manek Urai. There have some patient who need a treatment in physiotherapy. En Yusoff was handle the stroke patient meanwhile Kak Yana handle the children who have a problem in speech.
4. At 3.00 pm in Klinik Kesihatn Bandar, I was asked to do the Wax Therapy and Ultrasound to the patients. It will release their pain.

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1. Today, I arrived at Klinik Kesihatan Bandar at 7.55 am. At 8.05 am,  I do the Wax to the patient at her right hand. Around 20 minutes, I do the Ultrasound. She have a nerve problem, so we give the therapy to release her pain.
2. At 9.00 am, Kak Syikin as a Nutrition Science fficer asked me to join her in a program Doktor Muda at Sek. Men. Bandar Kuala Krai. She have a slot at 10.00 am to give a talk about the food pyramid.
3. We go back to Klinik around 12.00 pm. Then, I help En. Yusoff gives the therapy to the patients. Today, we have an appointment with the patients. So, my task is, I need do the treatment like wax, ultrasound and TENS to the patients who was come today. All the therapy we give is to release their pain.

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Today, I stay at Klinik Kesihatan Bandar because we have to treat the patient. First, Encik Yusoff asked me to put the hot pack the back patient. Hot packs are a type of physical modality often used in physical therapy clinics.They are applied to your injured body part by your phyiscal therapist. Physical therapists wrap moist hot packs in several layers of towels. They are then applied directly on the exposed area that needs treatment.
Benefits of Hot Packs

The heat provided by the hot packs has several important benefits.
These may include:

Relaxes tight muscles causing tissues to relax.

Decreases pain caused by muscle tension or spasms.

Causes vasodilatation of the blood vessels which increases circulation to the area.

Increased circulation to the injured body part helps to bring in nutrients, oxygen, and cells that help to promote healing.

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Today, I followed En.Yusoff go to Klinik Desa at Mengkebang . There have many old folks want to join the BMI-for-age. When we arrived there, they busy prepared sandwiches for us. Then, En. Yusoff give the information about the function of the step of fitness test. So, we all understood about the talk that he was given.

First, I was asked to measure their height and weight. The next step is, I take part at "jangkaun melunjur". I teached them how to do that and they were excited with it. The last step is, they do the 3 minute step test. This test is to measure the rate of heart after exercise.

The component of body fitness:
- body composition
- Cardiovascular endurance
- Muscle endurance
- Muscle strength
- flexibility

Battery Test Item:
- Body mass index
- Bench
- Push-ups
- semi-ups curled
- reach protrude

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Today, I arrived at Klinik Kesihatan Bandar at 8.00 am. I  took a breakfast with other staff at pantries. Then, I sit at the counter registration waiting the patient. Meanwhile, i learn how to register patient name and others details in registration book. All the patient that being treat at this department must be record in file.
At 8.30 am, I help En Yusoff treat his patient. First patient, he was asked me to do the Wax therapy. This is because, the patient have a problem in muscle pain. I dip the patients hand into the paraffin up to the wrist, then, I will make sure the hand is relaxed, for a few seconds, then remove. I must repeat this treatment 4 or 5 times until hand is fully coated.

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1. Last day my intern for first week. At 9.00am, Encik Yusof asked me to followed him to Taman Tasik Kuala Krai. There have a physical activity programmed with old folks from Klinik Desa Kampung Pahi. Encik Yusof have been invited to guide them for stretching and warming up.

2. Next, Encik Yusof have two patients today. I was learn how to know type of their pain and then do the treatment to relieve their pain. Usually the aims for treatment is to reduce their pain within 4 weeks. The modalities in this department are;
- Hot pack
- Wax
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Ultrasound Therapy
- Short Wave Diathermy Therapy (SWD)
- Infrared (IRR)
- Intraferential Therapy Machine (IT)
-
All the equipment has the function like pain release, blood circulation and pain management.

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Third day of my intern. Klinik Kesihatan in rehabilitation department was hold a Diabetic Clinic Program with their patients. This program started at 9.00am until 12.00pm. There have Six station that consist of one staff with different unit in each station.

First is station pharmacy where the patient need to know what kind of medicine that they need to take for treat them to be better. The second station is talk about how to reduce the glucose in blood that they take every day. This station also taught patient how to use gluco meter by themselves at home. Third station is Diabetic Exercises. The patience have been guided how to do the correct exercise to prevent others complication for diabetic patient. exercise is also to reduce their numbness and for sensory. The next station is foot screening. Patient being taught how to check their foot. Diabetic patient commonly easy to get injured at their foot and sometimes they didn't notice they are injured.The staff give some information about diabetes like what is diabetes and how to prevent this disease. Another station is medical officers station. Doctor will introducing what is diabetic and gives more information about diabetic to patients.

Last station is nutritionist station.The Nutrition Science Officer give some information about the food pyramid. The patients must know how much the fats, carbohydrates, protein, fruits and vegetables that they need to take in one plate every day. There have a lot of information that I have got because  I will know the situation with the patients.

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Second day in Klinik Kesihatan Bandar Kuala Krai, I arrived at 8.00am. Then, I followed En Yusuf and Kak Yana to Pusat Pemulihan Dalam Komuniti (PDK) in Temalir at 9.00am. Kak yana introduced me to teachers at PDK. I am so excited at the place because I got the opportunity to teach the disabilities trainer like writing and coloring. They also enjoy with their activities like playing a game. Meanwhile, En Yusuf as a physiotherapist treat them to be more better. Kak Yana also give the information to father one of the disabilities people about the problem with his children. As occupational therapist, some of the purpose at PDK is to train them to perform independently in their Activity Dailly Living (ADL) and to make them participate in community.
Meanwhile, some of the purpose of Physiotherapist are to train their physical activity as maximum they can achieve to so they can use is for taking care of themselves independently and also train their balance.

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Today, I followed En Yusoff and Kak Yana went to Kesedar. There have a program Parents Support Group Jajahan Kuala Krai. All the students PDK should comes to successful this program. They must comes with their parents. The PDK in Jajahan Kuala Krai is Temalir, Dabong, Guchil, Bedal and Manek Urai.

First, students PDK do the Tommy aerobic. It was conduct by facilitator at JKM. Before that, I was teach this aerobic at PDK Temalir. They was expert doing this aerobic on that day. The next activity is coloring. They are focus to finish this activity to get the number one in coloring.

Then, we continue other activity. We give two color paper, gum and one paper with drawings of fish. Their task is, they should put the color paper on the fish. Who finished this task immediately they will get the number one.

The last activity is cognitive thinking. We give the news paper, gum and stapler. We asked them to create the clothes by using all the instrument that we provided. They are very excited doing this activity. Who made the creative clothes will be the winner.

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Today, Klinik Kesihatan Bandar in Unit Rehabilitation have a talk about diabetes. The old folks who have the diabetes must joined this programme to give the awareness. As usual, there have 5 station here where by it consist of Pharmacy, physical activity, diabetes information, nutrition information and information equipment to check the glucose in blood.

I have joined them from one station to another. There have many information about the diabetes that I have got. First, the optemetrist terapist who give a talk about the factor or effect from the diabetes. Second, the physiotherapist give a talk about the easy exercise that they need to do at home.

Third, the nutrition officer gives the information about the food pyramid that they should follow to heal the diabetes. Fourth, the station about the equipment that they need to use to check their glucose in blood. Five station is Pharmacy. The pharmacy officer will give a talk about the medicine that they need to take. They must consistent with the medicine that was given by the doctor.

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Today, our schedule is go to Pusat Pemulihan Dalam Komuniti (PDK) at Temalir, Kuala Krai. We go there by car and it takes time 30 minutes to arrived there. At Temalir, there have seven students. They are very hard completed the tasks given by their teachers.

Next, Encik Yusoff asked me to conduct the aerobic. First, we do the warming up, and they followed me the exercise step by step. They are enjoying their aerobic. This aerobic to improve their physical and cognitive thinking. Meanwhile, En Yusoff was handle the children who have a Autism disease.

At 10.00 am, it was eating time. They go to the kitchen and enjoying their food.

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Today, our schedule is go to PDK and Klinik at Manek Urai but we just go to Klinik Manek Urai only. At 9.00 am, after taking the breakfast we go there by transport of Kementerian Kesihatan.

In Klinik Manek Urai, Encik Yusoff have six patients. Four of them have a problem in muscle pain and two of them have a stroke disease. The patients in muscle pain, Encik Yusoff treat them by put the hot pack at the back around 20 minute to release the pain.

Then, for the stroke patients, Encik Yusoff asked them to do an exercise like cycling. Before that, En Yusoff guide them to walk properly. I was learn how to treat the patients kindly. En Yusoff will told me the function of equipment that his patients used to return normal. The stroke patients need to patient and be diligent to overhaul limbs as usual.

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Today, I arrived at Klinik Kesihatan Bandar at 7.55 am. After taking the breakfast, I help En Yusoff treat his patients. First, the patient have a stroke disease. The left hand and leg cannot move properly,so En Yusoff treat the patient by asking her to do the exercise like cycling.

Then, The second patient have a problem in spinal cord pain. En Yusoff asked the patient to walk slowly along the road that his provided. Meanwhile, the patient told the story about herself who was suffer in pain nerve. After that, we asked her to do the exercise like cycling.

After lunch hour, we have a few patients who had a problem in muscle pain at the hand. The first thing we do is treat them by using the Wax. After 20 minutes, I must used the ultrasound to release their pain. It take the time around 5 minutes

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Today, En yusoff was asked me to call the patient and make the appointment. Meanwhile, he was busy treat his patient. The majority of his patient have a problem in muscle pain.
After that, I help Encik Yusoff give the treatment to the patient. He asked me to put the TENS at the back patient.
Transcutaneous electrical nerve stimulation (TENS) is a therapy that uses low-voltage electrical current for pain relief. We do TENS with a small, battery-powered machine about the size of a pocket radio. Usually, we connect two electrodes (wires that conduct electrical current) from the machine to their skin.
TENS machines works by sending stimulating pulses across the surface of the skin and along the nerve strands. The stimulating pulses help prevent pain signals from reaching the brain.Tens devices also help stimulate your body to produce higher levels of its own natural painkillers, called "Endorphins".

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Today, I followed En Yusoff, Kak Yana and Kak Mariam visiting their patient at home. We go there by transport of Kementerian Kesihatan. We have four patient today in difference places, so I got this experience to look the real condition of the patients. En Yusoff as a physiotherapy responsible to check the condition of the patient who have a stroke disease.Then, he do the passive stretching to the patients. He told the caregiver to do the exercise to the patients because they need to active everyday. For example, they need to do the movement of hands and legs.

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Today, I followed En Yusoff and Kak Yana go to Klinik Kesihatan at Dabong, Kuala Krai. They have their own patient who made the appointment first. At 8.30 a.m we start our journey, we took 1hour and half to arrive there. There, we took breakfast at 10.30 am. At 11.00 am, the patient En Yusoff comes to receive the treatment.

The patient En Yusoff have the stroke disease. He gives some exercise to his patient as a treatment. I was asked to playing a ball with his patient to strengthen the hand bones, dynamic ballance. Then, En Yusoff asked her to walk slowly at the station to station. After that, I help Kak Yana do the splint to prevent others complication to her patient.

A splint is a piece of medical equipment used to keep an injured body part from moving and to protect it from any further damage.
A splint is often used to stabilize a broken bone while the injured person is taken to the hospital for more advanced treatment. It can also be used if we have a severe strain or sprain in one of our limbs. Placed properly, a splint will help ease the pain of an injury by making sure that the wounded area does not move.

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Today, I looked En.Yusoff treat his patients. Majority of them have a stroke disease. We enter the gymnasium room to give the therapy and he also asked his patient to do some exercise like cycling to improve the strengthen hand or leg.

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1. Today, I help En.Yusoff treat his patient. After the appointment, the patients will come at Klinik Kesihatan and they will do the therapy for recovery. The patient in this picture have a stroke disease, so En Yusoff asked him to walk slowly while holding that iron.

2. Meanwhile, I was asked to treat other patient like doing a wax, TENS, and ultrasound to release the pain.

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1. Early morning, I took breakfast in pantry room. At 9.00 am, I just followed En.Yusoff went to Klinik Kesihatan in Pahi. We stay there around 3 hour for waiting the patients for treatment therapy.

2. Then, I heard Kak Syikin give the information to her patient. For example, she told about the food that they need to take for baby health.

3. At 3.00 pm, I help En.Yusoff treat the patient who have a problem with their nerves pain. En.Yusoff taught me how to use all the equipment for therapy. I am very happy doing this job! hehe..

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1. Today, Klinik Kesihatan have a programmed for celebrating the Chinese New Year with old folks. At 9.00am, all the old folks doing aerobic for their fitness. They are enjoy with their exercise.

2. After half an hour, Kak Syikin as a Nutrition Science Officer give a talk about food intake. There have many knowledge that what I have got. She give the information to create awareness among us . For example, how much glucose we should take every day and what kind of fiber in our menu that we need to take.

3. Meanwhile, I help En.Yusoff treat his patient who have a problem in nerves pain. I used ultrasound and wax therapy to release their pain.

4. At 3pm, Kak Yana as an Occupational Therapist have an appointment with her patient. I was join her, treat the patient who have a problem in cognitive function. By this, my new knowledge was added.

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1. Early morning, Encik Yusoff have the patients. So, I enter the electro modalities room to see how the patients was treat.
2. Infrared is the equipment that has been used in physiotherapy.
3. Treatment with infrared light therapy is one of the pain relief treatment.  Infrared lights, are placed directly on the skin over the area of pain or injury. Energy from the lights penetrates beneath the skin and is absorbed by deep tissues.

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Today is my first day of internship with Klinik Kesihatan Bandar Kuala Krai. My schedule for today started  at 8.00am and finished at 5.00pm. When I arrived there,  Encik Yusuf asked me a little bit about my background studies. Then, he introduced me to other staff at rehabilitation department. We took breakfast before start our work. At 8.30am, I just follow my supervisor Encik Yusuf and Kak Yana by visiting the Pusat Pemulihan Dalam Komuniti (PDK) Manek Urai. There, I was learn how to improve the quality of life of people with disabilities to the maximum level. This program also provide awareness to the local community that disabilities people need our help.