Not All Patients Work on the Weekend
This morning while I was walking a patient, I overheard another patient walking behind us. She was telling the CNA taking her to the dining room that she recognized me from the weekend. She was upset with me because I came to take her to therapy and she refused. Her daughter was coming later that day and she didn't want to get up.
I don't know what was funnier. She was appalled that I'd even suggest therapy on the weekend. She was also shocked that I didn't immediately understand that her daughter coming later was more important than therapy could ever be. I didn't say anything to her but wanted to. It amazes me how some people arrange their priorities.
This was a SNF. Patients are admitted there specifically for therapy. That implies they are expected to participate in therapy. I guess no one explains that to patients before they're admitted. The same thing used to happen when I worked in inpatient rehab. Patients were routinely shocked when we came to get them for therapy on Saturdays.
These are the same patients who refuse because a television show is on or they want to take a nap. I've been standing patients in the parallel bars only to have them let go of everything to answer a ringing cell phone. They're then shocked that I want to continue therapy. I had one woman who wouldn't leave her room without her cell phone. Later I'd hear her complaining that she was trying to talk on the phone when I wanted her to try to walk.
Research with animals is showing hundreds and hundreds of repetitions are needed for motor recovery. It's a given we aren't able to do enough with our patients. We don't get enough visits. We don't have enough time in the day. Entire courses are devoted to getting more out of our patients in the limited time we have with them.
I long ago realized there's nothing I can do to motivate these people. They'll do what they want. Sometimes they aren't able to go home because they didn't make enough progress. I've yet to hear one of them admit to any responsibility for that happening. So this morning I had a good chuckle to myself. I don't know if she did therapy today since she wasn't on my schedule. I'm sure whoever did have her heard how ridiculous therapy on the weekends was.