Sunday, 12 August 2007
Motivation
Hi all! Im currently treating a 62yo lady who suffered a L MCA stroke in nov 06 and is attending outpt rehab to improve mobility. She is motivated to attend the physio twice weekly and participates in all activities well, but is very reluctant to commence a home exercise program. She says its because she is afraid of falling while doing exercises, but with further questioning (and suggestions of exercises done in bed or sitting in a chair) she seems reluctant to even attempt one. She seems to be quite strong in her viewpoint that she will work hard "with me" and that will make her better. I feel that she is relying on me as her cure, and that its entirely my responsibility to fix her. I would like to find ways to help her realise she has to take ownership of her rehab and whilst im there to guide and assist her, ultimately she must take the responsibility. If anyone has suggestions of how to help patients realise they need to take control of their rehab i'd love to hear them, as i feel without daily maintenance stretches/exercises done at home my ability to progress this lady will be limited. Thanks!
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Try a session where you get the pt to decide what she would like to do. Take away any hands on treatment and just try functional exercises. Main thing is to get them to take responsibility for their recovery. If she doesn't take control then she will see that nothing will get down equalling no improvement.
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