Media Project Reflection
I decided to create “Pick a Stick” because it incorporates energy conservation ideas, facilitates meaningful conversation about who and what is most important to the client, and mimics some of the client’s desired occupations—all while improving fine motor skills. Fine motor skills would be used in many of Jane's typical daily activities such as, documenting at work, inserting needles, bandaging wounds, tying her scrub pants, cooking a meal, pulling weeds, making pottery, and so many more. "Pick a Stick" helps the client plan, prioritize, and pace important tasks throughout the week and encourages social participation to help ward off feelings of depression and isolation. Jane reported having many close friends in her area, making that particular aspect of this intervention possible. The task can be performed in various settings (such as the hospital, an in-patient facility, or the client’s home), and is very inexpensive. It could also be performed either sitting at a table or standing, depending on the client's endurance. The task is somewhat feminine, and aligns culturally with what a young woman in the U.S. might find enjoyable.
I cannot depict a definitive ah-ha moment when choosing my intervention; however, simply learning more about the condition and deciding to keep things as simple as possible helped me the most. One very important thing I learned through this project is to conduct research and educate myself about a condition before attempting to treat a person with it. My first thought upon reading my case study was to strengthen the client’s hand and forearm muscles to improve distal weakness and fine motor skills. After doing my research, I found that the muscle fibers themselves are not affected by GBS (it is not a strength issue), but rather a communication issue caused by demyelination of peripheral nerves going to the muscles. Thus, resistance and strengthening can sometimes be dangerous, and is typically not beneficial. Rather, it is best to perform activities that strengthen the neural circuits that control the muscles affected. I will carry this lesson (Help yourself before you help others!) with me in future assignments and clinical experiences.
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