HI there
This is just a query about patients and exercise in general.
As physios, it is our job that patienta are able to manage their problems on a long term basis ie placing a big emphasis on self management. Most of the time, patients are diligent with the home exercises we give them and are actually able to adhere to them for the duration of their treatment. There are some, though, who refuse to take an active management towards their rehab. Looking back , these were some of the reasons why patients did not want to do their exercises
too boring
no time
i just want a quick fix
As much as we try to vary the exercises make SMARTER goals and incorporate the exercises into their daily activities, these sometimes don't work.
At what point do we draw the line to say that patients are ultimately responsible for their recovery rate and if they do not adhere to their exercises and work with us towards their goal, then we should slow/stop treatment, even though it is our duty of care to ensure that patients get better under our care?
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Hi Mel, yeah that is a toughy. Everyone experiences these pt's... I think that if you can edu the pt well on the cause of their prob, what they must do to self manage and the consequences if they do not do their HEP thats our duty of care. If the pt understands that they can only get long term gains through their own efforts and know what theses efforts are then their care is in their hands. I guess I would say to such a pt that if they are not an active participant in the treatment they will not benefit from physio and enco them to contemplate this before making their next appointment??.....
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