The TP Room
I recently worked with a patient who had some visual, balance and cognitive difficulties. When it was time for therapy he would comply with all requests and work very hard to achieve any goal that we had set. I smiled a lot during the session because of the way words or phrases would come out during our discussions. He would say, "I like TP, I think it is good for me." (Of course he meant to say PT).
I didn't correct him a lot during our sessions because I thought that may be more of a distraction than actually helping with what we were working on. And this got me to thinking about correcting patients during our therapy sessions. How much should we do?
There was one patient I worked with who could not grasp the concept of pushing up from a chair. The front wheel walker was easier to pull from to come to a complete upright position. When the front wheel walker was withdrawn, the patient sat there unsure of what to do or how to go about standing up. So I decided to go with the "safe and unsafe" routine.
If a technique is safe and the patient does not pose a risk for self-harm, i.e., falls, I will do very little correction. On the other hand, if the technique is unsafe I review with the patient at every opportunity. For example, patients who cannot verbally recall posterior hip precautions but are able to follow them with ADLs - are they safe?
The patient who likes the TP room did not need me to correct the term because that was not what we were focused on at that time. Offering a correction may have distracted him more, making him feel self conscious and unwilling to participate. And besides, TP is good for us.