MSTH210: On Campus Internship 1

CLINIC LOG FOR SAMANTHA COLALILLO

Date of Submission: October 3, 2014
Date

Time

09/12/14

12:00
to
13:00

09/12/14

13:30
to
14:15

09/19/14

09/19/14

09/26/14

12:00
to
13:00

13:30
to
14:15
12:00
to
13:00

Clinic Instructor: Melissa Mitchell

Patient
ID

Type/ Focus of
Treatment Plan

Procedures Completed (Assessment/ Treatment/

Modalities/ Home Care)

100914

Rehabilitation:
Hyperkyphosis
Upper back pain

No
patient

Practices/reviewed
MMT and SOTs

Assessment: Postural, vitals, AROM, PROM

Treatment: (did not treat, came 20 minutes
late and wanted to get all assessments done
first)
Home care: Ts and Ys strengthening
exercise, and proper postural assessment
Assessments: practiced MMTs and SOTs

Wished the patient came on

time so I could have had
more time to finish the
assessments and have the
patient get some treatment
time.
SOTs Knee and ankle
MMTs Head and neck

100552

Rehabilitation:
IT tightness and
Trigger point in
Quads bilaterally

Assessment: Palpation to IT band and quads

bilaterally
Treatment: IT trigger point and tightness
(bilaterally), quad trigger points (bilaterally)
Home care: IT, quads, hamstring stretches
(bilaterally)

No
patient

Practices/reviewed:
MMT and SOTs

Assessments: practiced MMTs, SOTs, and

consent

100996

Case Study of
Anxiety

Was able to see leg twitching

every time I touched the
trigger points. Patient had
them all up the leg
(bilaterally), couldnt have
picked one to be more
specific all graded a 3. Not
one was more painful than the
another
MMTs Shoulder and arm
SOTs Shoulder, elbow and
wrist
Have a case study patient
treating anxiety for the next 8
weeks

Assessments: Health history, pain assessment,

and postural assessment
Treatment: Upper back, shoulder, head and
neck

Comments

MSTH210: On Campus Internship 1

Homecare: no homecare for the study

09/26/14

13:30
to
14:15

101013 Rehabilitation: Upper Assessment: Health history, pain assessment,

back and shoulder
and postural assessment, AROM and PROM
pain bilaterally

Patient showed up 25 minutes

late so there was not time for
a treatment, wasnt enough
time to finish assessments.

MSTH210: On Campus Internship 1

LEARNING LOG FOR SAMANTHA COLALILLO

Date of Submission: October 3, 2014
Date

09/12/14

Clinic Instructor: Melissa Mitchell

Description of Experience

Performance Indicator Achieved

During this time I had an initial patient, so I was able to do 1.2.j Utilize professional judgment
health history, pain assessment, vitals, postural assessment and
2. Apply continuous learning to clinical
active range of motion. The treatment was for hyperkyphosis,
decision-making.
upper back, shoulder, head and neck pain. The patient did not
3. Ensure patients safety, dignity and
show up for the time and was only there for 35 minutes. I did
autonomy in provision of care.
not have enough time to finish all the assessments; stop half way
4. Apply principles of code of ethics and
through passive range of motion. I wish there was more time to
standards of practice.
finish passive and restive range of motion, manual muscle
5. Manage time effectively.
testing and special orthopedic tests, so I could create a more
affective treatment plan for the patient. At the end of treatment I 1.3.b Maintain professional boundaries in
relationship with patient.
did give the patient some home care so they did at least get
2. Manage personal responses to patient
something out of this time. I suggested Ys and Ts
reactions.
strengthening exercise for rhomboids and middle traps and
5. Demonstrate respect for the personal
correct posture for the hyperkyphosis.
boundaries of patients.
1.3.e Maintain informed patient consent
regarding assessment and treatment.
1. Explain the importance of initial and
ongoing informed consent as principles of
patient-centered care.
2. Obtain informed consent prior to
performing assessment, treatment and
reassessment.

MSTH210: On Campus Internship 1

1.1.b Utilize effective oral communication

1. Employ clear, concise and professionspecific language.
2. Speak in a manner that corresponds to the
needs of the listener.
3. Employ appropriate pace, tone, and
projection of voice.
4. Employ effective questioning techniques.
2.1.g Perform postural assessment.
1. Identify the indications, contraindications
and precautions for performing postural
assessment.
2. Communicate the assessment procedure
to patient.
3. Describe the process for performing
postural assessment.
4. Demonstrate postural assessment base
upon patient history and presentation.
5. Differentiate between normal and
abnormal findings.

MSTH210: On Campus Internship 1

2.1kj Perform range of motion assessment

1. Identify the indications, contraindications
and precautions for performing range of
motion assessment.
2. Communicate the assessment procedure
to patient.
3. Describe the process for performing range
of motion assessment.
4. Demonstrate range of motion assessment
base upon patient history and presentation.
5. Differentiate between normal and
abnormal findings.
1.1.a Utilize effective written
communication
1. Document complete and accurate
information
3. Employ clear, concise and professionspecific language.
4. Write in a manner that corresponds to the
needs of the reader.
5. Employ appropriate formatting, grammar
and spelling.

MSTH210: On Campus Internship 1

09/12/14

09/19/14

During this time I did not have a patient. I used my time to 1.1.h Contribute to effective, collaborative
practices going over MMTs and SOTs. For MMTs I reviewed atmosphere in-group settings.
the head and neck muscles, the grade levels, the correct 2. Interact with other group members.
positions, and how much pressure to apply. SOTs I went over
knee and ankles purpose, positions for the therapist and patient,
what to look for to see if it is a positive or negative test.

The first time slot I got a patient that was a return. I did not have
the patient last week but they saw a different SMT during the
week. Therefore I was able to continue the treatment plan. I did
some more subjective assessments, was able to perform a
treatment and also at the end of treatment got them to do their
homecare. I perform effleurage, muscle stripper, also trigger
point release technique to the quads, and IT bilaterally.
Homecare was stretches for quads, IT band and hamstring
bilaterally. The patient is athletic by playing a sport and has tight
muscles therefore the homecare would be beneficial.

1.3.d Comply with confidentiality and

information privacy requirements.
2. Maintain the confidentiality of patient
information.
3.2.a.1 Perform effleurage techniques
1. Explain the purposes, effects and
outcomes of effleurage
2. Demonstrate effleurage techniques
3. Incorporate effleurage into a
comprehensive treatment process
4. Modify effleurage based on patient
history, presentation, and response
3.2.a.9 Perform muscle stripping
techniques
1. Explain the purposes, effects and
outcomes of muscle stripping
2. Demonstrate muscle-stripping techniques
3. Incorporate muscle stripping into a
comprehensive treatment process
4. Modify muscle stripping based on patient
history, presentation, and response
3.2.b.1 Perform trigger point release
techniques
1. Explain the purposes, effects and

MSTH210: On Campus Internship 1

outcomes of trigger point release techniques

2. Demonstrate trigger point release
techniques
3. Incorporate trigger point release
techniques into a comprehensive treatment
process
4. Modify trigger point release techniques
based on patient history, presentation, and
response

09/19/14

09/26/14

Didnt have a patient during this time, so I reviewed different

MMTs and SOTs from last week. MMTs was shoulder and
arm. SOTs was shoulder, elbow and wrist. First practiced
consent for treatment by making sure I got the purpose, benefits,
risk factors and what I would be doing.

1.2.q Evaluate strengths and areas for

improvement as a therapist
1. Employ self-reflection.
2. Identify and implement areas for
improvement.

Case study for anxiety

1.3.a Display positive regard toward
It was an initial meeting with the case study patient. During this
patient.
time I was able to do all my assessments that were needed. I
2. Establish and maintain a safe and
explained all there was about the case study, the purpose, the
comfortable environment.
treatment, how the next 8 weeks are going to go and also the
3. Ensure setting and equipment meet
process. I preformed the treatment plan that was set for this case
patient needs.
study. It was more of a wellness massage, it is to see if massage
4. Maintain equipment in proper working
therapy has an effect on patients with anxiety and panic attacks.
order.

MSTH210: On Campus Internship 1

2.1.a Obtain comprehensive case history

from patient.
1. Explain the importance of obtaining case
history.
3. Interview patient to obtain case history
and their desired treatment outcomes.
2.1.p Perform vital signs assessment
1. Identify the indications, contraindications
and precautions for performing vital signs
assessment.
2. Communicate the assessment procedure
to patient.
3. Describe the process for performing vital
signs assessment.
4. Demonstrate vital signs assessment base
upon patient history and presentation.
5. Differentiate between normal and
abnormal findings.
09/26/14

Initial patients so I had to do everything from the beginning. The

patient showed up late and it wasnt enough time to finish all
assessments to develop a treatment plan that could be most
effective for her. I was able to get through most assessments. I
had to stop at PROM of the right shoulder and did not have
enough time to finish the left one, or do RROM, MMTs and
SOTs. I explained to the patient that next time she comes in that
shell still have to do assessments (they were not all finished) in
order to create an effective treatment plan.

2.1.d Select and perform assessment

incorporating knowledge of patient history,
contraindications and precautions.
1. Identify assessment needs
2. Select appropriate assessment procedures.
3. Explain approach to assessment.
4. Perform assessment.
2.2.b Formulate individualized treatment
plan based upon assessment findings.
2. Describe the relationship between
treatment planning and outcomes.
3. Incorporate assessment findings into

MSTH210: On Campus Internship 1

treatment plan.
3.1.g Position patient for selected
therapeutic techniques
1. Select appropriate positioning
2. Direct and position patient.
3. Modify position according to patient
response.
1.1.i Utilize medical terminology.
1. Use medical terminology appropriately.
2. Convey medical concepts using plain
language.
3. Use common medical abbreviations in
written communication and clinical records.

Three (3) Performance Indicators I have not achieved are

3.2.e.10 Perform cold pack treatments
1.2.q Evaluate strengths and areas for improvement as a therapist
3.1.l Apply biomechanical and postural skills for therapist self-protection
My plan for achieving these three performance indicators is
Review my notes, wait to see if I get a patient that will need an cold pack treatment and take the opportunity to apply the
treatment, and as I am treating my patient can ask my instructor to make sure my postural skill and biomechanical are right.
I am SATISFIED with my progress in this Internship so far
I have had both the opportunity to assess an initial patient and also treated a returning patient. I got to do a little bit of both
major parts of a massage treatment. Got a few Performance Indicator Achieved

MSTH210: On Campus Internship 1

I am NOT SATISFIED with my progress in this Internship so far

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