Monday, 6 August 2007

Mood Swings

I have this pt who goes from happy go lucky and willing to do what ever you ask, to swearing, stubborn and non co-operative. The nurse's have told me he is like that with everyone and just to ignore it, but, i find it hard to ignore because i am unwilling to get him up and walking on oxygen if he is going to become abusive halfway down the corridor. He is too unpredictable to be considered safe to walk on oxygen and it wouldn't be safe for me because you have to be close to him when walking. On the other hand this is pretty much the only treatment i can do for him so if i don't do it he gets no physio intervention at all, which he badly needs. What i would like to hear from you guys is would you walk him or not?

1 comment:

Lil Johns said...

Hey Dickie,
tough situation! Sounds like u might have days where it would be ok to walk him tho. If u know its what's best for him then it would be good to try. Maybe you can explain to him the potential dangers of what could happen while he's on oxygen so he is more consistent with his behaviour and maybe you could set some chairs up along the way and if he flies of the handle at least you could ask him to sit and have a rest while he's not in the best mood? Once he's walked somewhere he has to walk back so you have the upper hand then and can tell him he can't walk back until he calms down? I dunno if it'll work but you could try? Also maybe get another physio to come with you so your not alone if a sticky situation arises