Week six has come to a close, which means Kristin and I only have 2 more weeks in the clinic before we start Part 3 of our journey.
This week I did a lot more hands on with patients than the previous week. But it was a mix of observing, helping, and then working independently, so I was able to learn in different ways.
The patient I am treating independently goes to occupational therapy following her morning treatment session with us. So I am allowed to follow and observe her there. At first I was just watching, but then no one was really telling her what to do or even watching her so my instructor told me to come up with exercises for her to do to work on the deficits I found in PT! Didn’t know I would become an OT on this journey too! I have her drawing, building block towers, and using a tiny peg board (fine motor skills). I work with coordination and proprioception of the UE but also endurance. It’s different from the US because a therapist would normally be 1v1 with a patient working or at least working with a group of patients. But sometimes I am the only person in the room, and I am supposed to be with PT!
PT’s here are able to use the hoyer lift and don’t have to get the nurse to do it for them. I’ve never actually seen one used fully before, and the one they have is so easy to use! One of my patients has tetanus and has been bedridden for quite some time due to the infection. She is on an NG tube and isn’t able to go down to the gym for treatment; so we visit her room twice a day of which she shares with 2 other roommates. I was worried that Italians did not take tetanus shots as seriously as we do, but they do. She just happened to be someone who didn’t get one. Definitely a new diagnosis for me.
Friday, Saturday, and Sunday here there is a course going on Bobath NDT (Neuro-Developtment Treatment). A lot of the therapists are involved and are using some of my patients as participants. Italian therapists use a lot of Bobath concepts here, even though there isn’t a lot of evidence supporting it. We touch upon it briefly at LVC, but don’t harp on it because of the lack of evidence.
They have a break room where there are tons of goodies from patients or that the staff brings in. For instance, my patient is being discharged today, so he ordered a huge box of pastries for everyone. Not only do they have caffé and biscotti/pastries in the break room but they also have wine! Some of the therapists drink wine during lunch.
Apparently Italians don’t use hand sanitizers too much. It is not located in the clinic (to use after treating each patient) and it is actually really expensive for a tiny bottle in stores. So instead, therapists wear rubber gloves when treating, or they just be sure to wash their hands after each patient. They also don’t utilize spray sanitizer for the plinths like the US does after every patient. Here, they have the paper that they roll over the beds like you see in the doctors offices. Only if the bed is really dirty do they use the spray (I saw it for the first time today).