For my final post I wanted to talk about a particularly difficult patient I encountered on one of my patients. Unofrtunately for me he, he really didnt like doing anything I asked him to, and decided he would do his own thing instead. There was nothing I could say that would make him listen to me. He would constantly question everything and no amount of convincing would work. Luckily for me I only needed to treat him for 3 days as it was the last day of my placement.
This situation got me thinking about the difficult patients we need to deal with and ways to approach these treatment sessions. It is often hard not to get angry and show your frustration, however, im sure we've all learnt that getting angry at them definately wont get us anywhere.
These difficult patients force us to consider new options to make treatment sessions effective and to encourage compliance from our patients. I have found that continually reinforcing the reason why we want them to do the things we ask and giving the patient some power in what they are doing can improve compliance.
In the future I think its important that we have a number of options available to try if we come across a patient who is somewhat difficult to deal with, and have the ability to brainstorm new ideas if necessary without letting frustration and anger get in the way.
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I had the same problem during my last prac when I was doing execise classes with children. You would plan the class in advance, picking execises to work on specific areas that you noticed needed work on from the last class. But then you would try to do one of the exercises and find that the children were either, not interested, too hyper or the execrise was too hard and they couldn't do it. So you always had to have alternatives to make it either easier, fun or simply more active to keep the kids attention. With such short attention spands I had to constantly change exercises and later come back to it just to make sure they stayed compliant. It was then also important to tell the parents, when prescribing a HEP to only do each execise for a couple of minutes and then come back to it later.
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