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Raising the Bar in Rehab

Delayed Goals

Published December 16, 2010 4:05 PM by

We all have plans. I know in my organized planner, I have daily, weekly and monthly tasks I expect to complete and allot myself the time needed to complete them. It will take me 20 minutes to go to the bank tomorrow. I will finish reading my John Grisham novel by the end of next week. The Christmas presents will be wrapped by the eve of December 24th.

But sometimes, life happens. Things get pushed back. Deadlines come and go with no action. Other, more important things get in the way. Sure, I had the ability to go to the bank and I am physically capable of wrapping presents... but other priorities came up.

So what happens when we know our patients have the capability to reach the reach their goals, but other things get in the way? What if they have an unforeseen setback, or other personal things get in the way of their rehabilitation? On paper it looks as though the patient failed to make expected progress.

I am starting to appreciate this gray area of my job more and more. Things are not as black and white as they seem. There are plenty of things to consider and many things to look past.

What do you think? Have you ever had an experience with a patient that did not go as planned?


Lisa - By far, my biggest dissappointment is knowing the patient is not trying their best, or not doing their HEP, and then saying "PT isn't working".

"Are you doing your exercises?"


"Show me how you're doing them"

That's when they look at you like deer in the headlights. As much as I want to help them, I also want to wring their necks. Just keep doing your best. That's all you, or the Man upstairs, judges youon. Good luck - AL

Al DiMicco December 17, 2010 11:32 PM

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