I had two patients with Parkinson's disease in this week in different days at my placement. Both of them were females and I and another student had to conduct subjective, objective, and treatment to these ladies.
I am sure you already have experienced how important the relationship is which built between your patient and you during the subjective and that would affect onto your treatment. In truth, I had been having difficulty conducting subjective in most of my placements, but these PD patients made me realized more so than any other patients.
I know I don’t use the phrases that most English speakers use. I have tried to learn and use them, but the words seemed not to come out my mouth easily. Plus many phrases are still new to me.
During subjective with first PD patient, I was asked what I meant by her many times. As the subjective went along, I could tell the patient got frustrated by my questions. Then another student took over from the middle of subjective. As you can guess, the subject part went well smoothly. When it came to the objective, the patient looked at another student all the time and I have got the impression that I was not there. Which was understandable, but I felt I was useless at the same time. Another student and the patient, of course, were having a good conversation in following sessions, but not happening to me. The same thing happened again with the second PD patient.
At this stage, I kind of reluctant to see these patients as I know what is coming. I keep trying to have normal conversation with them, but the answers are always going to the different direction. To listen to the conversation what the patient and another student have makes me to compare myself more. I just want to know how I can make the questions easy to understand in general. Does anyone have any idea or suggestions? I just need to have some strategies I could use for future patients.
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When English is not your mother tongue it already almost puts you on the back foot so to speak, especially in the elderly population who already struggle to understand and deal with the generations of our time. Firstly to be able to do a degree such as physio in another language is amazing so br proud of yourself and this will display confidence without even changing your approach. secondly, use hand gestures and show emotion when you talk and even if they struggle to understand you they know you are trying and that you care (im sure you do anyway!). Keep plugging away, it may be hard now but you are actually benefiting from the experience more than the other person who you are on prac with becaue you get to look at the situation form a 3rd person perspective from which you can observe what works, and what doesnt! keep up the good work, I admire you!
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