2021.10.20 17:08 Cecchino_smirato entra nella rivoluzione
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2021.10.20 17:08 Ok_Nefariousness_764 Award? Reward?
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2021.10.20 17:08 AltAccountCamouflage My friend speaks to me very loudly during class (while the teacher is talking), resulting in me getting yelled at as well as her, I don’t know how to gently tell her to stop, what do?
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2021.10.20 17:08 FatemehCarla MY VERY FIRST BUBBLE TEA!
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2021.10.20 17:08 TemporalRecon177 DarkPools explained
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2021.10.20 17:08 BCSbot College Station woman charged with aggravated assault with a deadly weapon
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2021.10.20 17:08 Big-Wrap36457 Wolf spider failing at keeping the flies away! I'm hoping it's the same one from my previous encounter
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2021.10.20 17:08 CurrentPresident Drinking games!
2021.10.20 17:08 Pitiful-Aspect What are you going to have for dinner today?
2021.10.20 17:08 Xtream510 DAY 69, SHOULD I HARVEST?
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2021.10.20 17:08 HappyAku800 Are quest rewards weapons/rings, etc... 's stats and perks preset?
2021.10.20 17:08 applecake45 Struggling with Clinicals
Hello, Im not sure if this is the right subreddit but since the PT student subreddit doesn't have much members figured I'd try over here.
I'm a 4th year Physical therapy student and I'm set to graduate in less than a year, where i live our degree is 4 years (bachelors), slightly costly but not as much as DPT schools in the states for example. Due to covid we lost a huge chunk of our clinical practice and practical Lab skills as everything became online and we got no compensation or make up. To top it off, once we were allowed to go for clinical practice it was either fully cancelled (happened to me for an entire semester and became online) or the hospital sites wouldn't allow us to touch or interact with patients, so we just shadow them/observe from the side which defeats the purpose of physiotherapy.
It is only now as a senior that I got to practice basics such as range of motion and stretches on a patient, something I should have well learnt by now. I cant even palpate simple structures on the body like the PSIS without struggling. I've always been a very shy and anxious person who sucks at social interactions, add the lack of communication practice with patients due to covid and I am now a clueless, skill-less senior. we don't even know how to use hospital beds or a stethoscope since covid happened during our cardi-resp rotation.
For the longest time I struggled with anxiety, depression and self-esteem issues, so a small bad incident would affect my sensitive self and ruin the whole day causing me to be disoriented and anxious to my stomach/physical symptoms. I'm currently doing an OBGYN rotation in which we enter Patient rooms as pairs without a preceptor and start taking history, attempt to do assessment and hopefully give treatment advice. I've been finding it hard to interact with patients in a efficient way like how doctors walk in all bright and confident. I have a really bad memory and can't retain all the information I get from them. Also, the student partner I'm with is more introverted than I am and has a weaker english level so she pauses at times and looks at me to translate a word or two of hers for the patient so you can imagine the awkward few seconds and it doesn't seem as professional because we look lost and uncoordinated.
I feel bad about saying this about my partner and feeling that way as she is a sweet person but I find our work dynamic to not be so efficient and I can't change partners now. I do most of the talking and sometimes when i pause a few seconds to think I wish she would try to continue with the patient so both of us get to do work equally. But a few times she'd say 'Oh i think we are done with questions' when theres still a lot left to do or even assessment to try. I think its also the nervousness as well so I'm not blaming her or being mad at her because I tend to have my hesitant moments too. I feel bad because it may look like I'm not giving her a chance to speak but I know if i don't continue we'll leave missing some stuff.
Today I felt like our luck wasn't as great since the main doctor was doing his rounds and we couldn't see several patients or had the session interrupted (we only get to do stuff for 2 hours), we don't have a preceptor and don't really get much information about the ward like the doctor timings etc. its really just your luck to knock on patient doors and try your best. I feel awful about my weak social and communication skills with patients, after each day I become more discouraged as I finish because I should've done better and been more confident (this was my 4th day and its been hectic just being thrown into a rotation with not much information before hand, i've been trying my best to learn all the history taking questions but end up having awkward pauses when explaining treatment/exercises to the patient as i forget the questions or steps from being nervous). I know I should be taking this as a chance to work on it but it's starting to have a counter effect, even the smallest things have started to stress me out like how we were about to enter a patients room but the first we heard is that they don't want to see anymore students. (we have 1 batch visit in the early morning and then our batch comes mid morning) so i can understand their frustration too. makes me realize not everything will always go smoothly, several of the patients were cooperative with the history taking but were not up for doing assessment (again understandable as they are tired and already have a lot going on). I'm terrified of my upcoming clinical exam next week when I'm such a useless mess.
I know this may not make sense and may look like I'm complaining of small pointless stuff but its a build up of those things at this point. I hate covid for taking up almost 2 years of my PT school proper experience (where i live things were extremely strict and are still are plus i couldn't take a year off either) Ive become demotivated in my studies and can't even process the theory part anymore. I just wish we had better if any clinical experiences with preceptors or atleast being allowed to ahnds on practice on patients but again due to covid we aren't allowed to touch them in most hospital sites. I had one lovely pediatric rotation where I got to assess and treat patients so that was great but only for a few days.
I should probably start working on myself instead of blaming everything else and becoming depressed but im starting to wonder if this is the right path for me? I cant afford therapy right now and it has bad stigma to it where i live too. so how will i even survive in the real world when im barely managing through clinicals, ironically ive been getting great marks for ages and it makes wonder if im only book/fake smart. its too late to back out now and my family has lots of expectations for me, im scared to be a disappointment.
any advice would help, thank you for reading.
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