1 day @ HA, AHNH

寬頻壞壞地...
同食緊藥的柏金遜病人一樣
有on-off effect


(係時候教下大家我平日會用的terms @ user-friendly version)

第一日實習@大埔那打素 (AHNH)
見了3個門診病人(out-patient)和1個病房病人(in-patient)

做左d乜:
1. 聲線評估(voice ax)for一個做過甲狀線切除手術(hemithyroidgectomy)的病人
2. 吞嚥評估(swallowing ax)for一個初期柏金遜症(Parksonism)病人
3. 口肌評估(OME)+聲線評估for一個間中有吞嚥問題的病人
4. 語言能力評估+口肌評估for一個急性中風(acute CVA)兼有失語症(aphasia, global果隻, 中文唔知係乜)的病人

學左:
1. 唔好死跟protocol
2. 要綜合所有findings同觀察
3. 快+準
4. 要搵到break-down level

進步空間ssss:
1. increasing steps(IS)同decreasing steps(DS)的hierarchy要清楚d (呢句真係轉唔到中文喎..)
2. 對病人的指令和解釋要再簡單d
3. 對protocol要再熟d
4. 咁就可以靈活d

睇多d書:
1. Anatomy & Physiology (A&P)簡單黎講即係bio書
2. 氣管造口術 tracheostomy =.=


super is not harsh at all...
although she looks serious, and gives little positive reinforcement
still a lot want to learn... and 9 weeks to go...

add oil, speechians 2010!!