Hellebores
Definitions of the Elements of Patient/Client Management.
Examination: A comprehensive screening and specific testing process leading to diagnostic classification or, as appropriate, to a referral to another practitioner. Includes the following:
History: A systematic gathering of data related to the reason the patient/client is seeking services.
Systems review: A brief or limited examination of the anatomical and physiological status of the cardiovascular/pulmonary, integumentary, musculoskeletal, and neuromuscular systems; and the communication ability, affect, cognition, language, and learning style of the patient.
Tests and measures: Specific standardized methods and techniques used to gather data about the patient/client.
Evaluation: A dynamic process in which the physical therapist makes clinical judgments based on data gathered during the examination.
Diagnosis: The process of integrating and evaluating the data that is obtained during the examination to describe the patient/client's condition in terms that will guide the prognosis, the plan of care, and intervention strategies.
Prognosis: The determination of the predicted optimal level of improvement in function and the amount of time needed to reach that level.
Intervention: The purposeful interaction of the physical therapist with the patient/client, and, when appropriate, with other individuals involved in patient/client care, using various physical therapy procedures and techniques to produce changes in the condition.
Outcomes: The intended results of patient/client management, which the changes in impairments, functional limitations, and disabilities and the changes in health, wellness, and fitness needs that are expected as the result of implementing the plan of care. The expected outcomes in the plan should be measurable and time limited.
I have my book open in front of me, as I'm flipping through the patient management section of my textbook, and I'm trying to concentrate on studying the material, but it's hard. I feel exhausted, and my mind is blank. I can't seem to make sense of anything.
The book is thick and dense, and it makes my head spin with the amount of information I need to remember. I take deep breaths and try to focus my attention on the text, but I feel like my mind is drifting away, and the words are becoming fuzzy and meaningless.
Hah, fuck me. I'm bored.
I'm sitting at my desk, the text book still open in front of me, but my mind is elsewhere. I feel my attention getting pulled away, my eyes drifting off the page to somewhere else...
I catch myself, a moment of consciousness, and I remember that I'm supposed to be studying. But I find myself humming softly, not realizing that I am doing it. The song is a gentle, comforting tune, and it fills my mind with a peaceful and relaxed aura.
Hmm...
Mmh...
Mhm...
I stood up from my desk and open the window, feeling the cold, fresh air blow over my face. The chill sends tingles down my spine, but I feel peaceful and calm as I inhale deeply and exhale softly.
I started to hum again, the same gentle, comforting tune that was in my head just moments ago, letting the breeze blow through my hair and fill my lungs with a crisp, cool sensation.
I chuckled. I can tell how silly I am looking right now. Fuck it all. I don't feel at peace every day like this.
Feels as if it's the calm before the storm. As always.
My phone buzzed from the notification I received from the student's account register. I got my account updated, and it said 162 dollars was what's left needed to be paid.
The van I got yesterday from the messed up situation I got involved in, I sold it. Then I used the money to pay for my tuition. It lessened my debt and I finally got a damn breather.
It calmed my mad mother's ass down too. It gave me a real headache, and it stressed the shit out of me.
My phone buzzed again but this time, I heard the sound of a text message coming in, so I checked it. It's from a friend, Skylie.
'Skylie: Helle, if the girls go to the beach, will you come along?'
The beach?
Well, I love the beach and I never get enough of it. The sound of the waves, the smell of the ocean air, the feel of the sand on my feet - it's all so rejuvenating.
Of course, I can't wait to be out there again, feeling the sun on my skin, listening to the waves crash against the shore, and savoring the taste of freedom.
But hold the fuck up, It's winter...
I hesitate a bit, considering the fact that it is still winter. But I really want to go to the beach, and I know that the sun is still very powerful even in the middle of winter.
Ah, fuck it. Just this once.
I decided to go, despite the colder weather. I can always bundle up if I get cold, and I don't want to let a little weather stop me from enjoying one of my favorite places. I gathered my things for the beach picnic. I pack a small basket with snacks and drinks for the picnic.
I have gathered all my things, and I'm ready to go. I decide to walk to the nearest bus stop, packing my bag with everything I need for the beach picnic. The weather is crisp and cold, but I pull my winter jacket tight around me and walk confidently toward the bus stop. I'm excited about getting to the beach and enjoying the afternoon.
But I feel like starting to regret going out of my damn nest.
I sighed.
I gave my friend Skylie a quick text to let her know that I wouldn't be able to make it to the beach today after all. I apologize for the last-minute change of plans, but she asks why?
Well...
I didn't tell her why. I didn't tell Skylie that I had been picked up by tall, big, men with tattoos and clad in black suits.
I was waiting at the bus stop, my backpack on my shoulders and my hands tucked into my pockets, when a black car pulls up next to me and stops.
Three men in black suits get out, they're all tattooed with dark ink, their skin marred with deep, intricate lines of color. Their facial expressions look stern and ominous. I don't know who these men are or what they want, but I know that it can't be anything good.
I watched these men get closer and closer. They are towering over me with their imposing physique and hard stares, and I feel a sense of discomfort growing in my stomach.
Is this about yesterday? Fuck, they acted so soon.
I feel like I should say something. What the fuck should I say?
"Hello, my good gentlemen. Might I inquire as to your identity and your intentions? You see, I am an innocent lady who prefers not to be accosted by strangers, hence my inquiry." I said in a soft voice, playing innocent as the men got closer and closer.
I try to smile and appear as harmless as possible, hoping that maybe they will back off.
"We just have a few questions we would like to ask you, sweetheart," one of them says in a cold, hard voice.
Another one chimes in, "It'll only take a moment, dear. Just get in the car, and we can have a little chat."
They grab me and quickly pull me into their car, and suddenly we are speeding away with no time for me to react or process what's happening.
Little chat, my ass.
I kept up my innocent facade while being on high alert internally. I feel the adrenaline rushing through my veins, fight or flight response kicking in, and I think of a way to get away.
Should I make another mess like yesterday?
Hm...
One of the men leans in close and says, "Behave yourself, sweetheart, you'll lose not just your fingers if you struggle to escape. So be a good girl and do as we say, and we may just let you go at some point."
I could tell from their appearances that not one word from them was going to be just bullshit. I remain calm and think about what's the best route to take from here.
"The boss wants to talk to you," one of the men says sternly, his tone leaving no room for negotiation.
"We're just following orders. You have two choices, either you do what you're told, and you might make it out of this, or you don't, and we make this very messy." he added.
Well, there goes my mood. Instead of being scared and deciding to go all screw loose here, I remain calm. I'm pissed off, and I'm bored, so I'm going to play along as a helpless pitiful girl until I grab the neck of the motherfucker who's behind this.