Reflective Log
1. Think of a recent therapy session or event.
- I booked ENT appointment for a patient with locked in syndrome who’s only communication method was speech.
- Ambulance crew called to say he needed to be ready 2 hours before they picked him up, which was an hour before his appointment.
- The patient told the crew and his wife he didn’t want to go because of pain from sitting but they took him anyway.
-the patient refused to have FEES done and was upset at his family and wife for bringing him.
- I apologised and explained to the patient that the ambulance crew had needed to come early. He was very agitated but this calmed him.
3. What did this session make you feel?
- I felt guilty and upset that I had not researched hospital transport further.
-I thought that I had prepared well since I had spoken to the lead LST in the ENT clinic to handover communication guidelines and I had talked to the aptient extensively about the procedure. This made me feel disappointed since my plans did not work out.
-I felt that I had broken the trust I had developed with my patient.
4. What would you want to change, and why?
- I would request the ENT appointment information so that I could attend the session with the patient
- I would explain the full procedures for the hospital appointment to the patient i.e. when he would get out, waiting times etc.
- I would consult OT/PT regarding how long the patient could sit out for.
- I would consider alternative forms of transport e.g. family members/ dial-a-ride…
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