BDA Reflections Report ID
15
Date of Activity
22/03/2015
Date of Entry
22/03/2015 Reading up about placement on the net.
Description Before
Ive only recently found out what my placement will be. So I googled it.
During
I read a few articles on the web such as this one - http://www.nottinghamshirehealthcare.nhs.uk/aboutus/latest-news/health-secretary-opens-new-unit-atrampton-hospital/. I read that it was a four house new build LD residential unit placed withing Rampton Hospital. It has an activity centre for multi-gym and music therapy. It is a new build and Nottinghamshire Healthcare NHS Trusts most expensive capital project (£35m). I suppose I was a little nervous about going to Rampton and for some reason finding out I would be working with people with LD I felt less nerves aout being in danger for some reason, im not quite sure why that is. Maybe I percieve LD clients as less violent. However LD is a broad diagnosis so it can affect people lots of different ways.
After
Action Plans
ID
20
Email placemetn to arrange pre visit.
Date of Activity
Description
10/04/2015
Date of Entry
16/04/2015
Placement Visit to see my mentor Rachel and check my ID documents
Before
I had been to Rampton before so was aware of the high security enviroment I was going into. I was looking forward to meeting my mentor.
During
It was good to see more of the inside of Rampton. I saw some of the staff offices and meeting rooms. I also saw some of the activity rooms, workshops and kitchen, we also met some patients very briefly. We had a long chat with our mentor to find out abit more about what its like day to day there and abit more about the hospital. My mentor was very encouraging about me expressing my own ideas and getting involved. My mentor talked very much about patient centered care but also made it clear that their upmost priority was safety.
After
I really liked my mentor, she has 20 years experience of working at Rampton so will have lots of experience to learn from and she was very encouraging about my expressing ideas. One of the activities we saw was a model building workshop, I build and paint minis so this is something I have a personal interest in and would like to get involved in. I also mentioned the potential of D&D and warhammer so I would love to see if there is a chance I can use these activites theraputically.
Action Plans
29 June 2015
Read up on some issues around OT and forensic care. Think of questions for my mentor.
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ID
24
Date of Activity
11/05/2015
Date of Entry
15/05/2015 First week at Rampton (Induction).
Description Before
I was hoping to have some 1:1 time with my mentor. Look at my learning contract and set up objectives. I was looking forward to seeing the office and other team members. And learn more about the OT process at Rampton, what sort of activities they offered apart from the workshops we had already seen on our pre induction visit. I was eager to meet some patients, given the setting I thought it was a uniquely odd hurdle to cross. I wasn’t worried about reacting badly to them. I was reminded of an Ajahn Brahm video where he talks about visiting prisons and the importance of seeing the person as they are rather than the acts they may have taken in the past. I was curious as to how I would react and how comfortable I would be in that situation. I was slightly anxious about the early starts and long dive I would have to undertake to get to Rampton. I didn’t want to be too tired on placement or be late and appear unprofessional.
During
Day1) - Met the OT assessment team, tour round the hospital. We arrieved at the hospital and went straight into the Monday morning team meeting. I was good to see the whole team together and see the atmosphere in the team. It was a nice light hearted and jovial atmosphere. Althogh I felt slightly nervous as any new started would I felt I would be able to settle into the team well in time. I was keen to get involved with the lunch time sports if possible. We then had a tour of the hospital. We saw a ward (one that I would be working on), the gym and rec room, the horticulture and trade skills area. I was impressed at the amount of facilities there were available and the variety although they said there used to be more (before cuts). All the staff we met were friendly and seemed to have a good sense of humor. There was a very big focus on safety and risk as one would imagine. Day2) - Overview of mentors caseload and group visit. My mentor gave another student and I an overview of her patient caseload. It was good to see the Rio system and how to access the notes. My mentor didn’t go into too much detail about patients index offences but it was good to hear some. She reinforced the view that we treat them as patients and people who need care but with this client group you still need to keep their index offence and risk at the back of your mind for safety. In the afternoon we visited a craft group. I think I appeared relaxed and it was good to meet some patients properly. I didn’t want them to feel like they were in a goldlfish bowl. It did feel slightly arkward as we just popped in for a brief visit I think I would feel less arkward if I was involved with the group from the start. The craft groups looked like something I would enjoy. Day3) - MVA training I had had this training previously but it was good to go through it again. We learnt techiques for getting out of strangles, grabs and hair pull. We learnt some pressure point dirversions. They were good to learn but I hope I never have to use them. Day4) - Security Training day 1 We learnt about the three tyeps of security they use at Rampton (physical, procedural and relational). We got to see the command rooms which is the never centre of the hospital. We learnt about all the security measures they have in place such as microphones on the fence, all the cameras and the blick alrams. We also got our fobs so we could go through the process of going through the staff entrace gates and where to get our keys in the morning.
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The security trainers were very good and made the imprtance of good security clear. It help me feel confident the enviroment was very safe. Day5) - Security Training day 2 We covered some security policies, hostage taking, weapons and professioanl boundires. I think profesional boundries will be something I need to pracice as ive not worked in this enviroment before so there may be some challenges I will face in this regard - not allowing too much of my personal information or others information slip out in conversation and stopping my self getting too attached to clients. As an OT student I need to be very mindful of the equipment use and consider this when planning any activites.
After
Action Plans
29 June 2015
I enjoyed my first week and the big picture of Rampton and the Rampton OT process is beginning to form. I would like to see and experience what type of assessments they use. I would like to join a group from start to finish. I want to set up some joint working and perhaps shadow some staff from other areas of the hospital. Update learning contract weekly objectives. Set up supervision with mentor to discuss aims.
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ID
25
Date of Activity
18/05/2015
Date of Entry
24/05/2015 Second week of placement
Description Before
At this point I was getting a bit frustrated with the training, it was good and important but we had been there a week and not seen or done much yet. I wanted to have some 1:1 time with my mentor and meet some of her patients and start interacitng.
During
Day1) Key training and supervision We finished our key training and were let loose in the hospital on our own accord for the first time in a week, it was a little nervy but apart from that it felt exiting, as it felt like I was almost a propper member of staff and not just a visitor being escorted around. In the PM I had supervision with my mentor, we set some action plan points for the week (see AP2) but her main comment was that I was quiet. I get this a lot, because I am a quiet person naturally and am not a big loud personality. I understand her reasons for saying she wanted me to be more talkative to her so she knows what im thinking and feeling as she is assessing me. Day2) Train sets, CPA and crafts We met one of my mentors patients as he wanted to see a train set that had been set up in an activity area. I tried to talk to him as much as possible to introduce my self and so he gets to know me a little bit but he tough to engage with. After this we had a ward round meeting on one of the villa's. It was interesting to see this process and how the RC conducted the meeting, involving all the different professionals and the patient. Following from this we had a CPA review on the same villa for the patient who visited the train set. It was much like a ward round but a bit more indept and it involved a psychiatrist from a medium secure unit too and a member of the patients family. It was hard to see how tough it was for his brother. Another thing that shocked me was the medium secure psychiatrist was a little hard nosed and not very patient focused in her approach and didn’t want to take the patients feelings into account when it came to where he decided to move (to which medium secure unit). Day3) EBL day This was a whole day meeting for the OT's at Rampton. There were a few presentations and some organisational discussions. I tried to concentrate and follow all of the discussions but the ones which were about Rampton processes I found hard to follow! I was able to get involved with a test they were doing of the Rivermead memory test. I was able to role play the interviewer in the situation, my mentor commented that I did well in this. Day 4) Rest day I was told by my mentor to enjoy my day off :D I did set up my supervision materials for the next day and think about some questions for her. Day 5) Cooking, football, walking, pool and Rio notes. The day started out with a 1:1 cooking session. I got to see the tool check process and how rigorous it was but the risk of missing equipment was so high in Rampton that I saw the necessity. The patient came in to make an omlette, it was his 4th session (out of 4) before he went back on the waiting list, I felt this was a shame as it might be a while befroe he gets back into the kitchen so might loose some skills he had learnt but this was a resourcing issue. I felt I interacted will with the patient, keeping it casual, talking about films. I was able to have a go at a Rio recording too, I entered an objective observstional account of how the patient performed in the cooking session. I used my mentors guidance and my old skills from working at CNS and ILTN (recording patient
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phone contact notes on CareFirst). Week 2 supervision. We reviewed my week 2 goals and set my week 3 AP goals (see AP3). I played football at lunch with the team and some other staff members, this felt good and it was some team binding and fun to play football again (not played in about a year). My fitness levels showed though! In the afternoon we had a walk with a patient who was not engaging with OT much but had agreed to go for a walk. We couldn’t walk very much given the security at Rampton but could walk up and down a path for a while. The patient I found a bit scary, not because of his index offence but because of how he looked, I felt bad for feeling this way but couldn’t help it. I tried to engage with him or the general conversation as much as possible but it was a little tougher as there were me, him and 2 OT's there and the patient was mainly conversing with my mentor leaving me and the other OT to talk, which was ok as the patient got used to me just being there. The final session on Friday was the OT acitivty time on the ward, this can either be for board games but usually it is pool. I didn’t mess around once I got there and sat straight down on the seats between two patients. One of them turned and spoke to me straight away, he talked about his time at Rampton, his condition, therapies and was proud of his achievements. I also talked to other patients while sat down, some seemed less well than others. I also joined in and played a few games of pool which was fun and helped the patients get to know me and me to know the patients. I felt relaxed and comfortable around the patients and my mentor said that I did well after the pool session and I again had a chance to practice making a Rio entry as an observational account of one of the patients.
After Action Plans
29 June 2015
Feeling good about things and some positive feedback from mentor. Exitedabout the upcomming weeks and chance to design RPG/crafts group. Research evidence and flesh out idea for RPG and craft activity. See week three AP objectives
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ID
26
Date of Activity
26/05/2015
Date of Entry
26/05/2015 Start of the 3rd week
Description Before
Feeling good after a good week 2. Looking forward to starting again. I wanted to be well rested by didn’t have a good nights sleep for some reason. I had a dream about being late too.
During
After my morning routine ive adopted (yoga streches, meditation, shower) and lots of coffee I felt wide awake and wasn’t late. We completed a mock MOHOST assessment and discussed it. I attended the crafts group in the PM. The MOHOST process was methodical and logical I thought. It gave you a nice not too long or short framework to view a person from different angles. I only had limited information to go from and no case notes but I gave it a go to try out the process. Overall I liked it. The crafts group was good I like the group to work with. I sat and didn’t do the card making but helped out. I just chatted to the patients casually and at times imagined as if I was going to write a Rio about how they were in the group. I interacted a lot with a patient who was deaf, I thought it would be good during my time at rampton to try and learn some BSL. A little tired afterwards. A sunny drive home was nice.
After Action Plans
ID
27
Look into BSL training if available or learn from the TI's in the group. Craft idea for this group or another group?
Date of Activity
27/05/2015
Date of Entry
28/05/2015 Woodshop
Description Before
Slightly nervous about some new patients I hadnt met before. My grandad does woodwork and I thought of him.
During
Talked a lot to some patients. A TI talked to me and warned me about some patients, well hinted at their crimes and conditions. They were PD patients, who he said could be cold and calculating. I half felt he was trying to scare me being a new student in all but he was also giving me some good advice, I need to be aware of the dangers. Before I talked to the TI I talked to one of them who was making an awesome woodshop project. He was really nice and told me all about his projects. I felt he was being genuine but I will be mindful in future interactions.
After Action Plans
29 June 2015
One of the TI's taught me a good lesson about safety, not standing too near people on machines in case of accidents and being blamed! Learnt from experience.
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ID
28
Date of Activity
29/05/2015
Date of Entry
08/06/2015 Third week of placement
Description Before
Feeling good after a good week 2. Looking forward to starting again. I wanted to be well rested by didn’t have a good nights sleep for some reason. I had a dream about being late too.
During
Day1) BH Day2) MOHOST Go, Crafts Group *See reflection entry 26. Day3) Ward Round, Woodshop Experienced another ward round with Dr Ali and the Blake ward staff (nurse, SALT, OT). I had met some of the patients in the previous week playing pool. So I gained more insight into their history and their life on the ward. I talked to the SALT therapist and spoke about possibly attending a group and I arranged to visit the ward the following day. I felt empathy for the patients during the time they were in the meeting, I imagined how I would feel in their position at my age as some of them were of a similar age. One patient is really likeable and very open about his illness, it is an interesting feeling to like someone who has commited a crime such as his. *See reflection 27 - Woodshop Day4) Ward Half Day, Art Therapy, Film Club I spent half a day on the ward. I had an overview of ward procedures by the staff nurse. I felt relaxed spending time in the day room with patients around most of the time. One patient makes me feel uncomfortable, mainly its his apperance but his manner is not nice either. I feel bad for feeling that way. Most patients said hi and had a few chats but it was very quiet, lots of them were just asleep in their rooms. I also joined in an art therapy session which was good to see, the therapist was good, she just let them draw anything and asked them about how they were feeling or what they were drawing and generally being positve. It was nice to see the patients enjoying it and focusing on the task. Film club Day5) Supervision, Dominoes, Cards and Pool Supervision - see supervision notes. We played dominoes and cards as 1:1 with the patients. It was good to see how my mentor interacted with them and the staff, and the patients enjoy the games. One patient opened up and talked a lot about his care but one just wanted to play the game as if he were at the pub with mates. It was interesting to discuss these sessions with Rachel afterwards and see what information she gleened from the interations and what things she noticed, i.e. paranoid thoughts/behaviours and staring (reduced blinking). In the PM we played pool on the ward in the regular OT session. Rachel discussed how important it was to involve staff in this too as it helps build trust and a theraputic relationship between them and patients. It was good for me again to play and get to know some more of the aptients and them to get to know me.
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Afterwards we again discussed the types of things she was observing, such as who talked to who, their mood and who acutually came to the session.
After Action Plans
29 June 2015
Another good week, I enjoyed it. Felt I had more patient contact this week. See AP4.
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ID
29
Date of Activity
05/06/2015
Date of Entry
04/06/2015 Forth week of placement
Description Before
I had a very busy weekend and didn’t manage to get as much rest as I needed, I wanted to have Monday off as my study day but Helen B coming in meant I could not.
During
Day1) - Helen B visit, Social Gaming Group Helen came from Derby uni to do the half way visit. There were no issues to dicuss as everything is going as smothly as possoble and Im enjoying the placement. In the PM I joined the social gaming group. To my supprise there was little gaming and it wasn’t very social. The three staff played cards with one of the deaf patients for most of the session and I played chess with one patient 3 times but head destroyed me and I could tell he would keep going all session unless I said I had enough, I wanted to try and interact with other patients too. The other patients just sat on a row of chairs against the wall and read newspapers or sat quietly untill the end of the group. I tried to engage some of them by asking if they wanted a game but they didn’t want to play. I persisted and ended up talking to ne patient for a good 20-30 minutes and he seemed to like me as when he left he smiled and shook my hand, we said we would play a game of backgammon if I went along next week. I was shocked at the little ammount of gaming in this group and thought staff could do more to encourage gaming. The chap I spoke to said he turned up so it looked good in his notes and made it more likely to move on to a villa (ticking a box) rather than because he wanted to play. Day2) - SALT assessment unit group, OCAIRS I attended my first group at the assessment unit. The SALT group involved some quizes on world landmarks. I tried to observe the patients during the exercises and think what the SALT would be looking for. One patient was very flat in his voice tone and facil expression the patient was more communicative and expressed his ideas and opinions without prompting. In the PM I completed an OCAIRS interview with a patient although it was not finished. I completed a GIBBS reflection on this assessment. (See Gibbs reflection ID9). Day3) - PD activity group, LD recovery (keeping well) group I attended a PD group where the patients had time to work on hobby projects, play games and snooker. I didn’t play snooker but wanted to, I didn’t approach and as I think I was a little shy in that session and also didn’t want to take playing time away from any patients, even though other staff were playing too. I joined in with a game of jenga. I think I was quiet in this session, which I something I need to work on. But I think I was slightly nervous as it was my first real PD experience and people had said that you need to watch what you say to them, so maybe I was a bit stand off ish. In the PM I attended a LD keeping well group. Only one patient attended due to other being in seclusion or at other appointments. It was good to see how they graded the group tasks for the LD patients using plenty of pictures and simpler language and how creative it was. I felt comfortable enough to help ask the patient questions to draw out information for his handbook, the OT running the group commented that this was good. After the session we discussed the patient and collaboratively wrote his Rio entry. Day4) - Day off
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Day5) - Supervision, Womens assessment unit (cancelled), time in office. In the AM I had supervision with Rachel and football with some of the lads from the office. In the PM I was meant to attend a womens assessment unit group but it was cancelled in the end due to patient movement being stopped by a medical emergency. I discussed with some of the TI's how much the women enjoy the groups as it is a break from the frantic life on the ward and it was sad that something out of their control kept them from coming. Beforehand I read their Rio notes to check out their brief history and risks. I was disapointed not to meet them to see how they were in real life compared to the picture I had in my head after reading their notes and to see if I could be more confident in the group after my discussions with Rachel in supervision, I was planning to role play a more confident OT! Instead I did some emails and completed a reflection on Tuesday OCAIRS.
After
Action Plans
I had another good week which I enjoyed but there were some things which halted things I was doing. Such as patient movement being shut down on Friday before the womens group but I think I coped well with the disruptions and went with the flow. Rampton can be restrictive at times and these things happen with that levelof security. Complete evaluation of gaming group, possibly attend again to engage a patient who didn’t play any games and treated th group as a tick box exercise. Read Rios from SALT group by the therapist to see what she picked up.
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ID
30
Date of Activity
12/06/2015
Date of Entry
14/06/2015 Fifth week of placement
Description Before
Had had a good weekend at home with Lora. Slightly aprehensive about the half way report this week.
During
Day1) Admin, Social gaming group. Rachel and I popped into the social gaming group to play a patient at backgammon. As he had said he would give me a game last week. Rachel played him first then I did. Picking up a new game that I hadnt played before is always nice, but this time I had to pay particular attention to my opponent. I could notice some mistakes he was making with his stratagy and sometimes the game sequence. So I can see from this how it is a good way to assess a patient capabilities. The group as a whole was not very lively, some socialising going on but not much gaming. I plan to complete an evaluation of the group as practice.
Day2) Chess, Deaf Quiz Prep We popped onto the ward to try and complete my 1st OCAIRS assessment but the patient declined. On the oher hand a patient asked for a game of chess. He won and seemed to have fun which was good to see. I tried to win but lost quite easily really, I think I may have concentrated too much on the game again. I observed and noticed things from the game but was I less intense about winning the game I could have noticed more perhaps. In the PM I helped prepare for the Deaf Recovery Group OT Quiz. I wrote a separate reflection on this. *See Gibbs reflection 10. Day3) Vocational Ax Unit Group, Deaf Recovery Group OT Quiz. In the AM I attended the Vocational Ax Unit Group (1 patient). We watched TV and played pool. I had met the patient before, he wasn’t difficult to talk to he was just very flat and only responded rather than continuing further. I persisted with him a bit but didn’t want to push him too much so let him enjoy some quiet with the telly on. He was a bit more responsive when we played pool. However I was obscured from patient interation during pool by a health and fitness team member who wanted to tell me how crap OT was, not aimed at me though. I took it on the chin. In the PM I delivered the Deaf Recovery Group OT Quiz. *See Gibbs reflection 10.
Day4) Half Way Report, MOHOST mocks. I was pleased with my half way report, I was close with my self evaluations and developed a good action plan after discussing it with my mentor. In the PM I completed mock MOHOST assessments on two annonomysed CPA reports. I took my time and tried to consider each point in as much detail as I could, I was in no rush and thought I would make more out the exercise that way. My scoring was good (feedback from Rachel) - I was pleased as my patience paid off. Day5) Case Study, Supervision, Walk and Pool (with Rios) I started to work on my case study this morning, I found it relatively easy to navigate Rio but couldn’t access some reports which may cause some difficulty obtaining good information easily (such as CPA reports).
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In the PM we took a patient for a walk which is his only OT activity. I was a little tired from football in lucnh time and I found myself during the walk on the opposite side of the four of us to the patient and couldn’t hear much of what he was saying, If I were to do it again I would have changed my positioning to better hear the patient. Afterwards we joined the ward for the afternoon pool group. I was feeling better and more confident. I interated more with patients and played some pool. I was more activly concious that I would be writing a Rio on some patients and I tried to be more observant and mentally note things. I received good feedback from Rachel afterward which was nice and boosted my confidence a bit more. Making quick notes afterwards was helpful for when writing the Rios, I think I will always a notebook or somewhere to take notes.
After Action Plans
29 June 2015
I left feeling good and confident. It had been a good week overall and I had an action plan to build with my database! Build a half way > final report action plan. Be more confident in group settings.
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ID
31
Date of Activity
19/06/2015
Date of Entry
17/06/2015 Sixth week of placement.
Description Before
Feeling good, looking forward to the week.
During
Day1) FMMG See Gibbs Reflection No11. Day2) Ward Round, Case Study In the AM I fed back 3 patients at ward round. The atmosphere was quite relaxed and I had been to it before so I knew a little of what to expect and I had some time before hand to make some ntoes from Rio and talk to Rachel. One of the patients that I fed back on was in the room during that time, I was sat right next to him and was aware of how he would feel being in that room surrounded by people talking about you specifically. His feedback was good and he seemed to nod along at some of the points I read out. I think I maybe relied on my notebook too much and could have paid more attention to the room. I did make sure toclose my book or obsure it from patients views in order to try and protect confidentiality, just incase the could read my scribble! In the PM Rachel had a report to write so I worked on my casestudy. I made a series of spider diagrams to represent the OT process (Info, Plan, Implement, Evaluate). I used Rio, the paper folder in the Office and a CPA report. I found it a useful exercise and helped me reinforce what I know and what I need to find out. Day3) Study day Day4) Self Harm Tutorial, Ax Unit Recovery Group. Very useful tutorial. A key learning point was that each person does it for a purpose that is unique to them and that usually self harm is to feel/feel emotions or for a release/release of emotions. Some of the examples she gave were difficult to imagine. The Ax Unit group felt a little disorganised, although with the setting it is hard to know which patients are coming and how they will present so you also need to be flexible. The group was very symbolic and assessed their motivation, abilities and communication amoung other things. Im a visual person so making things to form meaning is up my street. Next week I will be running the group and will be using the Kawa River model. Day5) Supervision, Carps, footy, walk and pool. After supervision we visited the patient who I am completing ym case study on, he had recently changed medications and had said something which alerted Rachels attention and posed a risk. We visited carpentary to check up on him. He seemed ok however Rachel noted that the TI's had not checked the Rios in the morning and noticed the entry that alerted her. This could pose a risk. This example made me think of may case study. At lunch I played footy, It was a good game and I pulled off my signatre skill and scored a few goals. After I had cooled down I joined Rachel and a patient for his only OT activity a walk around outside. I positioned myself this week next to him so I could hear what he was saying better this week and could ask him more questions. Although Rachel led the converation I chipped in every now and then. I noted how Rachel altered the course of the converation at times when the patient shared more delusional or difficult topics but sometimes exlplored them.
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During pool I felt really tired! I got a coffee but it was towars the end, it did perk me up however. I didn’t talk to many patients 1:1 but played a few games of pool and chatted. I felt quite relaxed and ejoyed pool, one patient and I have a good friendly pool rivalry and he is currently up 3 to 2.
After Action Plans
Feeling like time is short, only two weeks left. It now feels like its gone fast. Rachel and I had a discussion about the placement being too short for a place like Rampton. The process is slow there and patients stay for a long time in some cases. So 8 weeks is not long enough to see the full picture. Make good use of valuable time left. Plan Recovery Group Book MH awareness tutorial.
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ID
32
Date of Activity
26/06/2015
Date of Entry
27/06/2015 Seventh week of placement
Description Before
Time is running out!
During
Day1) Womens unit See Gibbs reflection ID 12 Day2) Admin, SW visit, Crafts In the morning I worked on my MDT/Rampton OT analysis. Later on I visited the Blake ward Social Worker for an insight visit. Key points raised were that they collect a lot of intersting background, cultural and historical information. Also that communication is very important to team working especially when something vital crops up in a social history report. The SW plays a vital role in family connections which are very important to most patients. In the PM we visited the crafts group, to ask one of the patients to try my RPG idea. He accepted the offer and we arranged later on to play the following Monday. I also showed him some new warhammer painting techniques, it felt good to pass on some knowledge and skills. There was an incident with another patient who insinuated that I was the others BF, I should have been much more assertive and stood up to the comment. I feel nervous doing so as im 'just a student'.
Day3) Rec hall, Admin, assessment unit. In the morning we visited the Rec hall as Blake ward was decanted there for the day. I challened 00T and talked to a patient for a while and tried to get information about his goals and what he liked to do with his time. I also played table tennis with a few patients and staff members. It was fun to do and I tried to make observations about their physical health, eg ROM. In the PM I spent some time in the assessment unit and observed a patient making a wooden box.
Day4) LD Sensory, Recovery Group The sensory group used mindfulness techniques, I joined in and really enjoyed it. I was offered the chance to lead a part of the group the following week. It is a good opportunity leading something like this. The recovery group in the PM - See Kawa Reflection 1
Day5) Supervision, Box, Footy Supervision was really good again and it was good to talk to Rachel, she has given me a lot of support during my placement so far. I started to make a wooden box in the assessment unit with the help of Nigel. I am making a dice box for my D&D dice!
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I joined in again with the lunchtime football and sustained a heavy challenge injuring my shoulder.
After Action Plans
29 June 2015
Feeling sad that it is the last week although I am welcomming a break I have enjoyed the placement so far and will really miss the Assessment Team. Prepare and hand in my half way report, completed my RPG game intervention, present my casestudy and have an enjoyable last week.
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