Thursday, 2 August 2007
Paediatric experience.
Hi everyone, recently I've just started a placement in Singapore in paediatrics. My patients range from neonates to 16 yr olds with a wide variety of conditions such as CP, TEV, DDH, scoliosis, fragile-x, SB etc musculoskeletal issues. The health care system here is very different, each physio only has roughly 1/2hr to see each patient regardless if it's a neuro or ms or cardio problem, they have long working hours 8-5:30 everyday and after hours care. They cram in patients whenever they have the time, very much like a private practice except a whole lot bigger. What striked me the most was the fact that there are a huge population of disabled children in singapore, and a large percentage of these children all attend therapy with a maid ( common for every house hold) instead of there parents. So far in my third day i've only seen 1 child accompanied my her family, but the father refuses to come into the treatment room. I'm not sure whether the parents are traumatised because of there child's condition and that's why they don't want to attend or that they can not be bothered? The child needs a warm and supportive environment especially at this age, is the maid sufficient?
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1 comment:
It certainly sounds like an interesting placement. It would be difficult in that situation because there are different cultural issues that might have an affect on what is acceptable. If the iad is attending, them maybe that could be a good thing because the maid might be the one who ends up looking after the kids most of the time. If the parents did come along, they might not actually spend a lot of time with them, so their involvement might not be as useful than with someone who was the primary carer. However, its a tricky situation, and you can't really make assumptions, but give people the benefit of the doubt and just try to do what you cna with what you have. On a positive note, at least the kids are coming to physio.
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