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Knowing how to explain to a patient what you would like to do

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Knowing how to explain to a patient what you would like to do

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Start off telling them "what I would like to do" rather than "I am going to do"

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effective note taking (SOCRATIVES)
S - SITE
O - ONSET
C - CHARACTER
R - RADIATION
A - ASSOCITATED MANIFESTATIONS
T - TIME
E - EXACTERBATING AND RELIEVING FACTORS
S - SEVERITY
- using appropriate abbreviations to save time and collect all of the information needed

Initial questions for case history -
- introduce myself
-name
- age
- D.O.B
- address
- work/ occupation
- GP practice
- possible heigh and weight

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having to wear PPE
reduced practice time, not being able to practice on a range of people due to the risk of covid spreading.
having reduced clinic observation hours

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all done online so difficult to communicate with lecturer, harder to get answers if we have not understood anything

positive - now all lectures (practical and theory) are recorded and uploaded and can revisit them

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keeping everyone safe and reducing the spread of coronavirus.

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Consent is receiving the patients agreement that they are happy for us as osteopaths to undergo a specific treatment, it is important that we continue to communicate with the patient throughout the whole duration of the session and continue to gain consent if we move onto different techniques. Patients can be very trusting in us so we should not jeopardise that trust in any way and make them feel vulnerable. When seeking for consent it is important to not miss out any details of the treatment so the patient can give an honest answer and therefore prevent any misunderstanding.

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C4 and C6

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My overall percentage was 54%.
When carrying out research for my coursework I found it challenging to find valuable resources (journals) to back up my opinions and reason my findings.
I found the feedback that I received from my lectures was not enough in order for me to gain better understanding on how I should structure my future coursework units.

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I found observation at clinic extremely helpful. Seeing what goes on during clinic hours has given a better understanding of my role and the responsibilities that I will have as an osteopath. It has made me gain better appreciation of what us osteopaths can really do. I was able to see the patient - practitioner relationship up close and seeing how a positive relationship is overly important.

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- using netter cards
- making quizlet flashcards
https://quizlet.com/gb/553439284/muscle-revision-flash-cards/
going over past papers which have been provided by the uni

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abbreviations for case history taking (add them in)

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abbreviations for case history taking (add them in)

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google scholar
https://scholar.google.com/
eso referencing guide

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soft tissue - 62%
osteopathic technique - 58%
principles and concepts - 53%
overall - 57.7%

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Each student has been assigned with a personal tutor, we can discuss any concerns or issues we have with them and should meet with them on a regular basis. Covid has made that harder as we have to limit the face-to-face interaction. I personally find it very difficult to speak to someone over Microsoft teams and have found myself on occasions not being overly honest with how my work at the ESO is going. I believe that personal tutors could be more helpful to me out of covid times.

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Pathophysiology exam 1 - 57%
Pathophysiology exam 2 -
During the exam we experienced some server issues meaning the exam questions were loading slowly and further resulted in everyone being removed from the exam in order to deal with the issue. We we're then allowed to continue with the exam however, a lot of unnecessary stress was Brough on us and I believe this has affected my overall performance.
Anatomy OSPE -
I found the Anatomy OSPE rather difficult with the time pressure and having to add a lot of detail to my answers. It was a good experience and it will now prepare me for future OSPE's and I can take more time with the preparation to a further prevent any stress in the exam and allow me to concentrate on answering the questions

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soft tissue
OT
anatomy
clinical integration - add mock paper

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C4 and C6

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Yuliana Kidikova - Female Genital Mutilation_ Recognising and Preventing FGM

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being put in a group with no one I knew meant I had the opportunity to work on a variety of people

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how important it is

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not ideal

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patient expectations

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B1 - applying sufficient and appropriate knowledge and skills to support our work

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B1 - applying sufficient and appropriate knowledge and skills to support our work

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Having the knowledge is extremely important - this requires knowing my anatomy. I failed my first exam which was anatomy and from that I haven learnt the importance of having that knowledge as we will it to apply it in clinic when treating patients.
This is about mental health and its impact on people, it is important to understand peoples feelings and knowing how you can help them. Comes under the 'holistic' approach, treating all parts of the body, this also includes mental health

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B2 - recognising and working within our limits

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B2 - recognising and working within our limits

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this is about knowing your limits, what you can treat within your practice. As a year 1 student I will not be able to treat people as I am still learning. During the duration of Year 1 I have been left shocked as to how much we can treat and the wide range of help we can offer to a patient.

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B3 - keeping professional skills and knowledge up to date

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B3 - keeping professional skills and knowledge up to date

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Including taking part in CPD courses, maybe getting together with other osteopaths to discuss new information. As a student we learn a lot off each other, it has been a very useful tool having our peers around us, this has personally helped me with revision for exams. It further helps me remember knew content if I speak about it.

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C1 - being able to conduct an elevation and deliver a safe treatment 

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C1 - being able to conduct an elevation and deliver a safe treatment 

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At this stage I the course this only applies to my note taking. This is a skill I need to work on as I have found I am rather slow. I need to start using the SOCRATIVES and abbreviations to shorten the time it takes me. Furthermore, I just had my first clinical integration exam and I found the treatment part rather challenging and again I need to work on coming up with a treatment quicker, this will involve me knowing all techniques and treatments we have been shown very well.

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The importance of well written and correct notes with the correct information. When observing at clinic the details that the students had on their notes was overwhelming and to see how quickly they took them.

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Upon receiving my exam result I was extremely nervous as I had a feeling I would have failed but was still hopeful I did enough to at least get a pass, opening that result and seeing that I had failed was extremely hard, I felt disappointed and upset with myself. It defiantly was difficult to look past the fail and this resulted in me loosing motivation and confidence in myself which impacted on my studies greatly. However, it didn't take long before I turned this into a positive and started to work harder, slowly started to build my confidence up, this not only improved my mental well being but I also saw a big improvement in my grades. I was finally satisfied with my work and was able to finish the year with very good results. I am going to be retaking this exam but I now have the confidence in myself that I will be able to pass with my new positive attitude towards my studies.

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We did an exercise to try and feel what's under our hands, I found myself struggling with this and wasn't sure if I was feeling what I needed to do. the lecturer came over to help and just by placing her hand on my patients ankle she was able to tell that she had a trauma in that ankle. I never knew how important touch really is and the idea of "listening with your touch"

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Going to my first clinic observation at the ESO clinic I had no idea what to expect but I was soon overwhelmed by the whole experience. From the clinic group discussions with the tutor to overseeing a session, all of it was incredible to see and be a part of.
During the discussion with the lecturer, the 3rd and 4th years were all gathering their ideas on different treatment methods once they have listened to the case history of the patient. I found listening to other peoples opinions extremely helpful to get a better understand of the situation or to be presented with an idea I hadn't thought of. It was amazing to see all the knowledge they had and the different ideas they all presented, their areas bounded off each other and everyone was adding on extra information that could be of use to the practitioner. This again showed me that knowledge is so vital and without it we could risk making the wrong decision on the choice of treatment and it became another reason why I needed to push myself to get the higher grades in exams.

Going in to observe a session the practitioner talked me through the patients case history and really involved me in the session. At the end he asked if I had any questions about his choice of treatment or if anything didn't make sense. Seeing the way he handled the patient was vital, he continuously made sure the patient was comfortable and continued to gain consent throughout, which is something that has been highlighted in every lecture I've had this year. So to see it being used in real life scenarios definitely highlighted its importance.
Furthermore, seeing the amount of detail he went into when presenting the diagnoses showed me the level I have been working at is very low and I will now begin to develop on that in my lectures so I am more prepared for when I go into clinic come 3rd year.

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Starting university straight after secondary school was incredibly difficult, I knew the step from secondary school to university will be big but I definitely underestimated just how difficult it will be. The work load was incredibly high and as I have never experienced something to this extent I was unaware as to how to deal with it. I struggled with the online lecturers as there was very little opportunity for questions to be asked and I also felt uncomfortable voicing my struggles where all of my year 1 colleagues could see and I therefore did nothing in regards to seeking that extra help. I found with the online lectures that people used the chat/question area for irrelevant conversations about their daily activities which took my focus away from the lecture and I was no longer taking any of the content in. This was a huge hurdle for me to overcome as I felt I was unable to express this feeling with my anatomy lecturer so in response I did nothing about it and tried my best to stay motivated and continue watching the lectures. This soon became apparent that I had to come forward and voice my concerns as this was beginning to affect my studies and I wasn't gaining anything from such important lectures.

Later in the year we received an email from this lecturer about any feedback we have to give him on the online lectures so I saw this as my opportunity to speak about my concerns. I believe he received a high volume of complaints on this matter as the next lecture we had people were reminded about the chat zone to only be used for relevant questions about the topic we are studying. In response to this people stopped having conversations on the chat zone and the lectures become more engaging and I could see the improvement in my learning.