Neuro prac

I'm at Shents now doing my neuro placement on the head trauma ward. It was quite intimidating the first week because there is so many things wrong with the patients and most are so young. In class we have stressed the importance of finding the impairments and retraining the functional movement. It's easier said than done. There's so much that needs to be done for these patients I don't even know what to do. In strokes there is somewhat of a pattern of recovery but in head traumas, you just don't know how much recovery they will get. Even if movement is regained their cognive abilities may be their limitations. On top of that most patients are barely communicative, using thumbs up or thumbs down sign. It has been a frustrating week as I haven't had a chance to do much of an assessment on my patients and have not even read their notes until the end of the week. Hopefully I'll be a little more settled in next week.