MSTH210: On Campus Internship 1

CLINIC LOG FOR SAMANTHA COLALILLO

Date of Submission: November 21, 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

Patient
ID

Type/ Focus of
Treatment Plan

100914

Rehabilitation:
Hyperkyphosis
Upper back pain

No
patient

Practices/reviewed
MMT and SOTs

100552

No
patient

100996

Clinic Instructor: Melissa Mitchell

Procedures Completed (Assessment/ Treatment/
Modalities/ Home Care)

Comments

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

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.

Assessments: practiced MMTs and SOTs

SOTs Knee and ankle

MMTs Head and neck

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)

Practices/reviewed:
MMT and SOTs

Assessments: practiced MMTs, SOTs, and

consent

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

Case Study of
Anxiety

Assessments: Health history, pain assessment,

and postural assessment
Treatment: Upper back, shoulder, head and
neck
Homecare: No homecare for these study

MSTH210: On Campus Internship 1

09/26/14

13:30
to
14:15

10/03/14

12:00
to
13:00

10/03/14

13:30
to
14:30

10/10/14

12:00
to
13:00

10/10/14

10/17/14

13:30
to
14:30

12:00
to
13:00

101013

100996

No
patient

100996

100993

100996

Rehabilitation:
Upper back and
shoulder pain
bilaterally
Case Study of
Anxiety

Performed Mini
CEX
(Vital Assessment,
and intrusive)

Case Study of
Anxiety

Rehabilitation:
Trigger points in
rhomboids and
middle traps
bilaterally and facial
restriction in lower
traps and latissimus
Doris
Case Study of
Anxiety

Assessment: Health history, pain assessment,

and postural assessment, AROM and PROM

Assessments: Performed vitals, and case study

assessment tools
Treatment: Whole back, shoulder, head and
neck
Homecare: No homecare for these study
Assessment: Got consent for intrusive work
and vitals. Also performed vital assessment

Assessments: Performed vitals, and case study

assessment tools
Treatment: Whole back, shoulder, head and
neck
Homecare: No homecare for these study

Patient showed up 25 minutes

late so there was not time for
a treatment, wasnt enough
time to finish assessments.
Case study patient seeing if
massage therapy has an affect
on anxiety, and panic attacks.
Week 2 out of 8
I got to perform my CEXs
for my midterm grade. I just
have to come up with a little
speech to say that is short and
gets all the information to the
patient that is clear.
Case study patient seeing if
massage therapy has an affect
on anxiety, and panic attacks.
Week 3 out of 8

Assessments: PROM, MMTs

Treatment: Traps (upper, middle, lower),
Rhomboids, Latissimus Doris bilaterally
Homecare: strengthening (rhomboids, middle
traps, lower traps, and Latissimus Doris)
bilaterally and stretching upper Traps
bilaterally

It was the patients second

time coming in for treatment.
The first time they came they
did not get to finish the
assessments. Therefore I
completed them and created
the rest of the treatment plan.

Assessments: Performed vitals, and case study

assessment tools
Treatment: Whole back, shoulder, head and
neck
Homecare: No homecare for these study

Case study patient seeing if

massage therapy has an affect
on anxiety, and panic attacks.
Week 4 out of 8
Also my case study partner
came in and the present of

MSTH210: On Campus Internship 1

10/17/14

13:30
to
14:30

100939

10/24/14

12:00
to
13:00

100996

10/24/14

13:30
to
14:30

10/30/14

12:00
to
14:30

11/07/14

12:00
to
13:00

100391

Rehabilitation:
Myofascial and
trigger points in
gastracs and soleus
bilaterally
Case Study of
Anxiety

Rehabilitation:
Trigger points and
muscle tightness in
QLs bilaterally

Clerk

Desk Clerk

100996

Case Study of
Anxiety

Assessments: Pain assessment

Treatment: Myofascial and trigger points in
gastracs and soleus bilaterally
Homecare: Gastracs and Soleus stretches
twice a day
Assessments: Performed vitals, and case study
assessment tools
Treatment: Whole back, shoulder, head and
neck
Homecare: No homecare for these study
Assessments: Health history, pain assessment,
vital assessment, postural assessment, range of
motion assessment, manual muscle tests and
special orthopaedic test
Treatment: QL trigger points and muscle
tightness bilaterally
Homecare: QLs stretchs and Cats and Cows
twice a day

him gave my patient anxiety

and caused a panic attack
She has had this pain for her
whole life. Her Gastracs and
Soleus are weak and short.
Hurts for her you walk and
dorsi flex.
Case study patient seeing if
massage therapy has an affect
on anxiety, and panic attacks.
Week 5 out of 8
This patient came in last year
for the same pain condition. I
did a full reassessment so we
could see how she has been
over the months that she was
not being treated. Also so we
can see the improvement that
the treatment plan I created
helps.

Perform the duties of the clerk, payment,

documentation, phone calls

It was fun interaction with the

patients before and after
treatment. I was able to see
that their reactions after being
treated.

Assessments: Performed vitals, and case study

assessment tools
Treatment: Whole back, shoulder, head and
neck
Homecare: No homecare for these study

Week 6 out of 8
It has been two weeks since I
have seen my case study
patient. She noticed that her
sleeping
patterns
have
changed and felt more tired
and not relaxed.

MSTH210: On Campus Internship 1

11/07/14

13:30
to
14:30

11/14/14

12:00
to
13:00

11/14/14

13:30
to
14:30

101178

100996

101198

Wellness:
Whole back and right
shoulder

Case Study of
Anxiety

Rehabilitation:
Trigger points in
gastracs and soleus
bilaterally

Assessment: Health history, pain assessment,

Postural, AROM
Treatment: wellness, whole back and right
shoulder
Homecare: none
Assessments: Performed vitals, and case study
assessment tools
Treatment: Whole back, shoulder, head and
neck
Homecare: No homecare for these study

Assessment: Health history, pain assessment,

vitals, postural assessment, and ROM
Treatment: rehabilitation for trigger points in
gastracs and soleus bilaterally
Homecare: gastracs and soleus stretch twice a
day

She wanted a wellness

massage to her whole back
but also focusing more on the
right shoulder. Has pain from
carrying her bag or when
driving longer then an hour.
Week 7/8
Second last week until the
case study is done. She has
been able to sleep more hours
during the week but is
stressed about Christmas
shopping.
Was an initial patient and had
to do all assessments. She had

MSTH210: On Campus Internship 1

LEARNING LOG FOR SAMANTHA COLALILLO

Date of Submission: November 21, 2014
Date

10/30/14

Clinic Instructor: Melissa Mitchell

Description of Experience

Desk Clerk

Performance Indicator Achieved

Utilize effective electronic

communication.
1. Demonstrate working knowledge of
current technologist
3. Maintain security of electronic
communication
Perform basic information functions
electronically
1. Manage electronic data.
2. Create documents electronically.
3. Access information electronically.
Perform billing process
1. Demonstrate billing procedures.

11/07/14

Week 6 out of the 8 week study

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
Communicate in a manner that respect
diversity

MSTH210: On Campus Internship 1

1. Respond appropriately to recipients

individuality.
2. Employ approaches that respect
recipient diversity.
Utilize active listening skills
2. Demonstrate active listening.
3. Affirm key points.
4. Clarify contradictions.
11/07/14

Wellness

Utilize professional judgment

2. Apply continuous learning to clinical
decision-making.
3. Ensure patients safety, dignity and
autonomy in provision of care.
4. Apply principles of code of ethics and
standards of practice.
5. Manage time effectively.
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
Employ personal care and lifestyle
strategies that enhance professional
effectiveness
3. Integrate strategies into practice.
Employ critical thinking
2. Assess relevant evidence.

MSTH210: On Campus Internship 1

3. Incorporate the patients situation and

needs.
4. Adapt to operational constraints.
5. Determine a course of action.
6. Provide rational for decisions.
7. Accept responsibility for decisions
and actions.
2.1.g Perform postural assessment.
2.1kj Perform range of motion
assessment
Apply standard hygiene and infection
control precautions
3. Demonstrate standard hygiene
practices.
4. Apply standard precautions for
infection control.
Respect the patients physical privacy
1. Direct patient in degree of disrobing.
2. Create an environment of privacy and
safety.
3. Respond to patients individual
privacy needs.
11/14/14

Week 7 out of 8
This was the second last week of my case study. Over the last
week she has started drinking more tea and less coffee. Has
felt a difference, does not feel as anxious. Since the holiday
scene is upon us she has been stressed out about getting her
shopping done in time.

Utilize active listening skills

1. Demonstrate active listening.
2. Affirm key points
3. Clarify contradictions
Utilize medical terminology
1. Use medical terminology
appropriately.

MSTH210: On Campus Internship 1

2. Convey medical concepts using plain

language
3. Use common medical abbreviations in
written communications and clinical
records
Utilize professional judgment
1. Apply continuous learning to clinical
decision-making.
2. Ensure patients safety, dignity and
autonomy in provision of care.
3. Apply principles of code of ethics and
standards of practice.
4. Manage time effectively.
Display positive regard towards
patients.
1. Demonstrate respect for the patient
2. Establish rapport with the patient
3. Respond empathetically
11/14/14

It was her first time coming in for treatment. The pain that Evaluate strengths and areas for
she was feeling was a cramping, aching, annoying feeling in improvement as a therapist
her gastracs and soleus bilaterally. I had to do the full 1. Employ self-reflection.
assessment. She did not have any real condition for her self;
2. Identify and implement areas for
most of it was in her family history. She has asthma but an
improvement.
intrinsic asthma its only caused when she works out or goes for
a run. When I took her blood pressure it was high but she Employ critical thinking.
1. Assess relevant evidence.
explained that her blood pressure always goes high when she
2. Incorporate the patients situation and
takes her blood pressure but its never her real BP.
needs
3. Adapt to operational constraints
4. Determine a course of actions
5. Provide rational for decision
6. Apply responsibility for decisions and

MSTH210: On Campus Internship 1

actions
Perform appropriate special test
1. Identify the indications,
contraindications and precautions
for selecting a special assessment
2. Explain the purpose of the
selected assessment
3. Explain how the selected
assessment affects the involved
tissues
4. Communicate the assessment
procedure to the patient
5. Demonstrate the selected assessment.
Treat in a manner that reflects the
principles of massage therapy
1. Inform patient of approach to
treatment.
2. Apply the principles of massage
therapy to treatment.
Position patient for selected therapeutic
techniques
1. Select appropriate positioning.
2. Direct and position patient
3. Modify positions according to patient
response
Monitor and adapt to patient response
1. Monitor patient responses that
require adaptation, reassessment or
cessation of treatment
2. Respond as necessary

MSTH210: On Campus Internship 1

Three (3) Performance Indicators I have not achieved are

Perform rocking and shaking techniques.
Perform cold pack treatments.
Perform joint play assessment.

My plan for achieving these three performance indicators is

If a patient that comes into the clinic and one of these assessments or treatments need to be performed. I want to be able to
practice one of this assessments or treatment.
I am SATISFIED with my progress in this Internship so far
I am satisfied with my progress in internship so far. I feel like I have has a lot of opportunities to practice and treat
difference conditions.