Hello Renrenspeakers,

Happy December! It is already the end of the month and close to the end of the year, I can’t believe it! How is everyone’s December going thus far? As for me, it is going well! I just completed my second level II fieldwork at an inpatient rehabilitation facility here in Arizona, which also marks the end of another semester of grad school. I have ONE more semester to go and then I graduate – finally! I know that I initially updated yall on my fieldwork experience after my first week, but I have not been consistent (sorry). Therefore, I have SO much to delve into that I am going to sum up as concisely as I can.

The past 12 weeks have been such a learning curve in which I was challenged physically and mentally every day. Overall, my experience was a very pleasant one. I met so many individuals across the lifespan with various conditions, personalities, diagnoses, and life histories. Some highlights of my time being there include a patient’s wife who said she wanted to adopt me LOL, me being mistaken for a 19 year old several times, breaking through to more difficult patients behavior-wise, and overall affirmations from patients regarding my care. At this site, I learned so much about the importance of collaboration among all health professionals – OTs, COTAs, PTs, SLPs, nurses, case managers, rehab doctors, and RTs. Everyone was so willing to assist me regardless of their discipline, and I often felt like I was a part of the therapy team, as staff members asked about my clinical impressions to further confirm their treatment ideas or documentation. Quick side note – shoutout to my clinical instructor for teaching me all that I need to know and for being such a sweet soul! Though I often felt like I did not know what the heck I was doing, reflecting on how treatment sessions went afterward and witnessing patients beam about their newfound independence to don their own socks, reach down to pick an item off the floor without losing their balance or stability, or even receiving a green band were all wins that the patient and I were able to celebrate. The more knowledge and experience I gained each week, the more I was able to step out of my comfort zone and try novel ideas. If they failed (which def happened), I managed to be okay with it because I ended up learning way more from those not-so-fun experiences than if everything was perfect all of the time. Though thank God they were few, I did have some instances when a patient was maybe not the easiest to work with. It would be easy to think that it was a reflection of me, but these not so pleasant instances helped me to view the patient holistically and be more sympathetic to their current condition, life circumstances, coping mechanisms, and support systems that they may or may not have in place.

Every patient, though may have had similar diagnoses, presented very differently. It was very nice to know that over time, I was able to separate the diagnosis from the patient and view the patient as a whole. I guess that is where our famous OT theoretical frameworks come in handy. Several patients taught me the KISS acronym which also helped me regroup when it came to treatment ideas. KISS – keep it simple, stupid. Sometimes, I felt like if was not doing something super creative and innovative, my sessions were not effective. However, I had to remind myself that starting from the basics is okay! Working on what the patient NEEDS in that immediate circumstance rather than fluffing it up with distractors can sometimes be the most powerful form of therapy that will lead the patient to increased independence and function. I loved seeing the progression of care from evaluation to discharge, and observing the resilience, motivation, and improvement my patients developed during their stay. OT is truly a collaborative effort, and it is very cool to be a part of a process that feels rewarding and benefits the patient’s overall well-being.

The intense, fast-paced nature of this setting overall made me feel very accomplished, as I was initially very intimidated by the sharp learning curve. There is still a plethora of things that I need to learn and am excited to build my skills in. The beauty of this profession is that I am a life-long learner. With more experience, I learn more about the essence of people, the barriers they experience, and the tools to advocate for their care. I am blessed to have met so many people from all walks of life, and I learned so much from each patient I encountered. This setting definitely confirmed that I would like to begin my OT career in a setting similar to this one to continue building my clinical skills and reasoning in a medically-complex, challenging, and fast-paced environment.

Thanks all for tuning into the blog today! And shout out to all those who have supported me and listened to my rants, thoughts, and reflections on my clinical rotations throughout these three months. Stay tuned for more content coming your way!

Peace and love,

Irene