'I'm Not Going Back to That Place'
Last weekend I evaluated a woman who had been readmitted to the facility after yet another hospitalization. Before I could start taking a history, she told me she was never returning to that hospital. She was particularly upset with the therapy department. This isn't the first time I've heard something negative about that facility but it's the first time I've heard the therapy department specifically mentioned.
As she continued to talk, I realized two things. First, nothing was going to make her happy. Second, based on her complaints it could have been any therapy department I've worked in that was guilty. She complained they wanted her to get up after dialysis. They told her the bed wasn't her friend. She had to sit up in a chair for an hour at a time. No one believed her when she said she was nauseated.
Not having been there, I don't know what really happened. I doubt any of her therapists meant to upset her. Nor did they deliberately ignore what she said. The problem wasn't so much what they did as her perception of what they did or perhaps didn't do. She perceived that those therapists weren't listening to her.
I can see how she would have been tired after dialysis and not want to get up. Maybe at home she was used to sleeping whenever she wanted. She seemed like someone who was used to telling other what to do, not vice versa. Maybe there was also a personality conflict with one of the therapists. Doesn't matter. Her perception is the therapy department didn't help her. Instead they made her worse.
It's good to remember a well-meaning comment can be taken the wrong way. Just as encouragement to one person may sound like an order to someone else. I wish her family had been present for the evaluation. I would have liked to hear another version of the events.