Tag Archives: insurance

SOAP and vinyle gloves

If someone was envious about our first two weeks, there is need for it anymore. My first week was quite busy. Usualy I was walking home after training day about 5.15-5.40 PM. After dinner I went to library to write some small assignements to one of my clinical instructors (yesterday I was there a bit less than 2 hours) who wanted to have them printed. I’ll be home around 7-8 PM and then I’ll go trough my notes if there is still something my teacher has asked me to find out. Some food, shower and to bed. It hasn’t even crossed my mind to go wander around the city or plan some travelling. Today I feel that I have started to adapt to the enviroment. I’m not that tired or hungry after hospital hours.

kyltti2

One of our departments.

I think that my favourite part at the moment is the bedside therapy. Maybe because it is a bit familiar to me beforehand. Still there is lots of differences. Here we use vinyle gloves every time when we see a patient and we wash hands after every patient too. It feels that it is more important here to wash hands after seeing the patient than before seeing them. Therapist is not the only one who is taking care of the exercises, because there is always a family member or a caregiver, so it is their responsibility to see that the exercise is done. That means that progress is faster. Because of the caregiver we can also stop the therapy when patient is able to ambulate intependently (even though walking might not be that good). There will always be someone to take care of them. Therapist will write initial notes and daily notes of patients. I think the daily note aka SOAP is much better than our writing down things. This is because in soap there is always progression and a plan.

In the clinic I have been a bit of confused. Everything seems so different. Thay use much modalitys here. First there is electricity or something similar combinet to heat packs to save time. Then maybe some manual therapy and short exercise teachng and then some more modalitys like ultra or traction. To understand why, you need to know a bit about the politics behind the health enviroment here. There is a common healt insurance that is really cheap and everybody can afford it. This insurance pays for some health care things you need to have, for example physical therapy. So the insurance pays the hospital to treat patients but the amount of money is not that much. Hospital wants to have enought money to pay all the salaries so they insist that terapists see many patients a day. It can be as much as 40 patients in one day. Because of this demand therapist may use only modalitys to treat some patients and then they take those who seem motivated enough to make some exercises. It is recognised that this is not as effective as manual therapy or exercise would be but there is just not enough time.

terapiatila

A therapy room. All the therapist will be here at the same time.

After first week I feel that studying in Finland is really lazy. Not that we don’t have much to study about, but we are not expected to know that much even after the courses. I feel that teachers hope that we will mainly learn in the practice periods. Still, when I was in my first practice period, I wasn’t expected to know much. I wasn’t even expected to find uot that much new stuff. Here, if I don’t know something teacher askes me to find out for next day. One time when I didn’t remember one abbreviation that teacher had told me the day before, she looked me a bit funny and said: “but I told you that yesterday.” More demandin enviroment suits me well. I’m a lazy person and if I feel that I can survive without making much effort I wont make any. Here I feel that if I want to do well, I need to make some effort and it feels great. Usually interns here are fourth year students so they do have more knowledge, but I think it is nice to be expected to know something. Learning is facinating when the enviroment is good. Even though my teachers seem to be quite strict and demanding they are also really nice and they give good feedback.

Any other things in my life at the moment? Nope. Haven’t had time..

kirjat

Study study study!

Almost ready to go!

I have been feeling unreal about this trip to Taiwan. There has been so much school work to do that I have had no time even to think about leaving Finland. I’m happy that we have a weeks holiday! That usually means more time to prepare for exams etc.. Now I had to get a grip and do something useful about upcoming trip too.

So today I took some painkillers (I’m recovering from a wisdom tooth suddenly disappearing from my mouth with some help of a doctor) and headed to town. I have had permanent travel insuranse that covers trips up to 45 days, but it is not enough now. To increase my insured days to almost 4 months I have to pay 160 e. This is sad day for my wallet, but I think my mom will be happy now.  I also did some other things my mom would be proud. This includes making notification of traveling to Finland’s Ministery of Foreing Affairs. Now I can rest asured that if there is an earthquake and my house falls, somebody comes to find me. Maybe.

Adding to these brave things I went to shopping. Disapointingly I didn’t find what I was looking for. I was trying to find a nice adapter, one that you can use everywhere you go. Gigantti only had different kinds of adapters. Well, maybe I will find it somewhere else. Still, my bravery didn’t fail me! I continued my adventure on the wonderful world of internet. I know I have said this before, but thank god we have so many helpfull staff at school to push us through all the paperwork and things related to that. We have this list of things you should do before the trip and when I checked it today I had done it all! What a relief!

9 days…