Self-Reflection and Patient’s feedback:

After reviewing my video and receiving peer feedbacks, although feedback from patient and peers were given positively, there are ground of improvement and goals for rapport building in future.

On the positive aspects, the handling is stable and provided sufficient support to the patient. Case 3 is challenging for handling as the injured limb of the patient did not allow any level of weight baring, my decision after observing his condition and listening to the concerns, is to move myself closer to the patient and use more of my body to support him, which would ease his anxiety on risk of falling, and reassure he is not doing this alone; hand sanitising was performed before entering station and in front of patient to reduce possible anxiety in hygiene.

Martin the patient is the most anxious of the 4 case allocations, as his partner at home depend on him, and it had been reported anxiety increasing along with breathing difficulties. I focus in the positive aspects in the communication, giving encouragement on facts such as reduced pain level, the frame would grant him freedom out of the bed, and referring him to a social worker at end of session. Reply form patient he feels relaxed, the physical support accompanied with words of encouragement and frequent check of his condition, builds trust in therapeutic alliance, and he was able to rely on me while contributing to exercise.

Improvement includes handling and risk management, the method I decide on a patient with no weight baring, is to lift him up with my own strength. Although it worked with patient satisfaction, it consumes moderate amount of my energy, using this method frequently may increase risk of accidents, for example if I was not strong enough to lift him up completely, we may both fall. The risk would be managed by having the frame closer to the patient at the beginning, allowing him to hold gently, and lift him up with support from the frame.

I also realize from the interaction, mental and social aspects was not fully covered, resulting the patient feels I am in a hurry. More encouragement and listening in conversation on mental aspect, addressing anxiety and social concerns would be able to deliver the feeling of caring and build rapport further, also may discover other solvable concerns that would further reduce anxiety.

Patient’s feedback:

The patient feedback he was surprised on the support providable by manual handling. He was not very confident to stand with one leg in the beginning, however by support on right body landmarks makes the process comfortable and manageable to his condition. The conversation is smooth and not robotic, although it would be noticeable that I am in a bit of hurry; I was able to listen to his concerns and manage areas that the patient (and my peer acting the patient) would feel anxious. The overall experience is positive and rewarding, he feels comfortable acting the patient in the case, and believe the real patient would feel the same.

Goals:

1) Handling with neatly considered risk management.

2) More interaction in mental and social aspects of patient care.

3) Allow more interaction from patient aspect, listen to concerns and not rushing in tasks.