MSTH210: On Campus Internship 1

LEARNING LOG FOR NATALIE RINALDI

Date of Submission: Thursday October 2, 2014
Instructor: Andrew Clapperton
Date
Thursday Sept.
11, 2014

Description of Experience
This week was the first time I had the
opportunity of treating a patient within the
general public. I had a patient who didnt
really fill out their Health History form well
enough to realize what she wanted. After
going through the Health History I managed
to find out my patient suffers with carpal
tunnel syndrome. She developed it by
working in a factory always lifting boxes
daily. Her initial treatment was to focus on
her forearms and arms. After doing all my
assessments and treating her forearms and
arms after I thought the treatment went
well as my patient booked another
appointment. Afterwards creating the SOAP
note was difficult at first but I eventually got
the hang out of it. Next week I will treat and
assess her back as we didnt have time to
treat her back this week. I will also perform
an SOT of the wrist for her carpal tunnel
syndrome.

Performance Indicator Achieved

1.3.a 2. Demonstrate
respect for patient
1.3.a 4. Establish rapport
with the patient
1.3.a 5. Respond
empathically
1.3.b 2. Manage personal
responses to patient
reactions
1.3.b 5. Demonstrate
respect for the personal
boundaries of patients
1.3. c 1. Direct patient in
degree of disrobing
1.3. c 2. Create an
environment of privacy and
safety
1.3. c 3. Respond to patients
individual privacy needs
3.1.b 2. Establish and
maintain a safe and
comfortable environment
3.1.b 3. Ensure setting and
equipment meet patient
needs
3.1.b 4. Maintain
equipment in proper
working order
1.3.d 1. Maintain the
confidentiality of patient
information
3.1.c 3. Demonstrate
standard hygiene practices
3.1.c 4. Apply standard
precautions for infection
control
1.1.a 1. Document complete
and accurate information

MSTH210: On Campus Internship 1

Thursday Sept.
18, 2014

Thursday Sept.
25, 2014

This week I was granted the opportunity of

having two patients. My first patient was the
patient who I first treated last week. It was
exciting to know that she had rebooked
another appointment with me again.
Following up with her, she said the pain had
subsided from her wrist since last
treatment. Therefore I had reassessed her
wrist and reassessed her posture and
completed the Phalens SOT test. After I had
asked her some follow up questions about
her wrist then proceeded with to assess her
back as today she wanted a wellness
treatment. My second patient had come to
the clinic before last year and normally
comes in for wellness treatments. Starting
with the health history I found out her has a
rare eye condition, learning/physical
disability. I proceeded with his blood
pressure and postural assessment then
treated his lower back. This treatment was a
good experience for me to learn about what
this patient was all about and how he goes
on throughout his days with his disability.
Next week I will be treating his shoulders
finding out while palpating that they were
very tight due to Taekwondo.
This week I was able to treat my returning
patient. I followed up with her about her
wrist and she had a complaint about the
pain recurring. With that being said I
reassessed her wrist, and she had pain with
flexion. I did the wellness treatment she
asked for and then massaged her forearms.
At the end of the treatment I sent her with
home care exercises for her wrist

1.1.f 2. Demonstrate active

listening
1.1.b 2. Speak in a manner
that corresponds to the
needs of the listener
3.2.a.1. explain the
purposes, effects and
outcomes of effleurage
3.2.a.2. Demonstrate
effleurage techniques
3.2.a.3 incorporate
effleurage into
comprehensive treatment
process
3.2.a.4. modify effleurage
based on patient history,
presentation and response

1.3.e.1 explain the

importance of initial and
ongoing informed consent
as a principles of patientcentred care
1.3.e.2 Obtain informed
consent prior to performing
assessment, treatment and
reassessment
1.1.d.1 respond
appropriately to recipients
individuality
1.1.d.2 employ approaches
that respect diversity

MSTH210: On Campus Internship 1

2.2.c.2 select techniques

that are appropriate to the
patients conditions and
desired outcomes
2.2.c.3 Formulate a
treatment that address the
patients conditions and
desired outcomes

Three performance indicators I have not achieved are

Perform palpatory assessment

Perform range of motion assessment
Perform special appropriate special tests

My plan for achieving these three indicators is

I will need to review my notes weekly and go over these assessments with a partner in order to
achieve these performance indicators.
I am NOT SATISIFIED with my progress in this Internship so far
Right now I have lots of room for improvement. I still tend to get nervous a bit during the
communication process to the patient. I need to work more slowly rather than being worried about
getting them on the table with the allotted time spot. I also need to work more on my assessments.
I am SATISFIED with my progress in this Internship so far
Even if I am not satisfied with a few things about the Internship there are some ups to this as
well. This was our first encounter with a real patient rather than each other and even with the nerves, I
was proud to know that my patient has been returning with me for 3 weeks now. I take what feedback I
am given by my instructor and classmates into perspective as they are only trying to help me become
better at what I am doing.

MSTH210: On Campus Internship 1

CLINIC LOG FOR NATALIE RINALDI

Date of Submission: Thursday October 2, 2014
Instructor: Andrew Clapperton
Time

Patient
ID

Type/ Focus of
Treatment Plan

Date

Thursday Treatment
September at 12pm 11, 2014
1pm

Rehabilitation
Treatment
- Patient came for her
initial visit and wanting
a rehabilitation
treatment of her right
forearm as she has
carpal tunnel syndrome.

1st
treatment
12pm1pm
2nd
treatment
1:30pm2:30pm

Wellness Treatment
(1st)
- This patient rebooked
with me again, this time
wanting a wellness
treatment of her entire
back
Wellness Treatment
(2nd)
- This patient came in
wanting a wellness
treatment of his entire
back

Thursday
September
18, 2014

Procedures
Completed
(Assessment/
Treatment/
Modalities/ Home
Care)
-Health History, Pain
Assessment, Blood
Pressure, Postural
Assessment.
-30min Assessment
& 30min
rehabilitation
massage on both
arms and forearms
-Completed SOAP
note and created a
treatment plan for
the next treatment.

1st Treatment
- Reassessed her
wrist, perform SOT
(phalens test),
assessed her back
(thoracolumbar),
follow up questions
- 15min Assessments,
45min Wellness
massage for entire
back
- Completed SOAP
note & treatment for
next week
2nd Treatment
- Health History,
Blood Pressure,
Postural Assessment

Comments

-Today I had
the role of a
student
massage
therapist. I
was able t to
treat my first
patient. I had
one patient to
treat. I was
nervous at
first but
everything ran
smoothly
after.
- Today I had
the
opportunity to
treat two
patients. This
week ran
smoother
than last week
as I was
getting the
hang of
things. I was
happy to
know my
patient
rebooked with
me again this
week.

MSTH210: On Campus Internship 1

Thursday Treatment
September
12pm25, 2014
1pm

- 15min Assessment,
45min Wellness
massage treatment
for entire back
- Completed SOAP
note & treatment
plan for next week
Wellness/Rehabilitative - Followed up with
- returning patient,
last weeks treatment
wanting a wellness
- Reassessed her
massage in her
wrist (pain with
anterior/posterior full
flexion)
leg. Also complaint
- Assessed her
about her wrist (carpal
hip/ankle (no pain)
tunnel)
-15min Assessments,
45min Wellness
massage for entire
anterior/posterior
full leg, &
Rehabilitative
massage for
forearms
- Completed SOAP
note & treatment
plan for next week

Today I had
my returning
patient. She
had a
complaint
about her
recurring wrist
pain. I
reassessed
her wrist and
she had pain
with flexion. I
did a wellness
and treatment
&
rehabilitative
treatment.
Overall I felt
good about
this
treatment.