Vestibular Course - Reflect on how your practice has changed in the last 2 weeks by https://padlet.com/melissakolski/3t2bv7k2hiiz0cbs If you have not been able to change your practice, please discuss how can we help you problem solve before Day 3 en-us 2021-02-19 18:23:31 UTC 2025-10-23 03:25:19 UTC hello@padlet.com Feeling overwhelmed https://padlet.com/melissakolski/3t2bv7k2hiiz0cbs/wish/1308567120 I am a new grad (May 2020) and I am loving all the information, I am just having trouble putting it all together. I had a patient last week come in to be evaluated for falls. He had significant head tilt to one side and with vergence testing he had one eye that did not move in at all. His driver's license photo was level head. He was incredibly short of breath because he didn't have his 2L of O2 along so I was already feeling cautious. Based on his history of falls it sound like he had orthostatic hypotension and when I took BP in sitting and standing he dropped by 30 points. I referred him back but I am supposed to see him again this week. I am not sure what the head tilt means - and what other tests does it lead me to? Also, is the lack of vergence implying an oculomotor problem or are there other things it could mean? I am learning so much I just feel like I am having trouble putting it all together. Thanks for any insight!]]> 2021-03-15 01:36:08 UTC https://padlet.com/melissakolski/3t2bv7k2hiiz0cbs/wish/1308567120 I am a PT in an acute care setting, and am brand new to vestibular assessment, with few other staff members around who can mentor me (which is why I'm taking this course). Since this course began, I have evaluated 2 patients who were admitted under "OBS" for dizziness. Both of them were given Antivert prior to my referral, and as the doctor was looking to d/c them same day, I did my evaluation not only with them under the influence of the vestibular suppressant, but also without equipment, as we have no Frensel goggles, etc. in our setting. I went ahead and did a full evaluation on both of these patients (it gave me good practice, if nothing else), but really saw nothing other than mild gaze evoked nystagmus to the right in one patient. I pretty much ruled out BPPV by history alone, but checked for it anyway and both patients were negative. My question is this--how do I document my findings when dealing with the above challenges(antivert + no equipment)? Do I simply state my findings, and that my evaluation is limited due to the above, and then refer to OPPT vestibular clinic for further assessment? I felt both patients were possibly dealing with vestibular neuritis based on their admitting history alone. I also recommended an ENT referral for one patient due to a long history w/ear infections, myringotomies, etc., but just wanting any advice from acute care practioners who have literally 30 min to make a diagnosis and send the patient on their way. Thank you in advance! https://padlet.com/melissakolski/3t2bv7k2hiiz0cbs/wish/1327756938

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