Archive for the 'Fieldwork' Category

The Finale

Friday, February 29th, 2008

Now, I can safely say that my academic years in NYP has ended. Today marks the last day of my final clinical placement in an acute hospital in Singapore. I was having bittersweet feelings as I felt quite sad to leave that wonderful place, but happy at the same time as it has ended. I guess it’s [...]

Week 6

Saturday, February 23rd, 2008

This is supposedly my last week of clinical placement and I should have been enjoying myself from now on. Argh! One more week. Just one more week. 5 days and that’s it.
Anyway, let me sum up the 6th week of clinical placement. More autonomy, more responsibility. All on me now. Most of the time I [...]

EVD in Process

Sunday, February 17th, 2008

This is a continuation of reflections on Week 5 of my clinical placement in an acute hospital.
For the first time, I saw how external ventricular drainage (EVD) was carried out. No, not the drilling of hole on the skull. However, it just a sight on a client in the drainage process itself by the bedside. What [...]

Initial Assessment: Haemorrhage in Temporal Lobe

Sunday, February 17th, 2008

Specific areas to look out for:

Long term and short term memory
Receptive or expressive aphasia
Hearing loss?
Object perception and recognition

Initial Assessment: Basal Ganglia Bleed

Sunday, February 17th, 2008

What to look out for:

Strength and AROM of UL and LL (others: neglect, subluxation, tone of muscles, sensation)
Strength of truncal muscles (extensors and flexors) -> static and dynamic sitting balance
If substantis nigra of basal ganglia is affected, we may infer that dopamine level changed too. Hence, we also look out for muscle rigidity, tremor, a [...]