Communication

Hi all!!!
I was previously on my neuro prac at SCGH in G66. For my final Ax I had a R hemi pt who was aphasic and a pusher. These two qualities combined made it quite difficult to be in control of the session. I tend to have a "teaching approach" to many patients. An aim to educate the patient (purpose of a given exercise/benefits of correcting posture etc) to encourage ownership of their treatment and if possible work towards treating themselves independently. So the difficulty in this senario was in correcting the paitents movement; gait, STS when she had no idea what I was trying to help her achieve and why. She was pushing a lot and refusing my manual guidance.
Has anyone got some tricks up their sleeve for such a situation? I know reaching or dual tasking with the pushing arm or fixing the pushing leg in a good position is very important, but anything else?
Ta