Patient progress

Just a quick update on a patient I have mentioned previously with a L TACS who has aphasia as well as R sided neglect, anosognosiaand is a pusher. She has recently become very agitated and frustrated every time we see her she shouts "NO" and "Dont" which has progressed to repeating " Dont do these things to me". It is difficult so know what is frustrating her but we think it is because she is starting to relise her deficits. It still does not help as and there goes consent out the window before we even ask the question. We have taken a more relaxed approach and just allowed her to do whatever she wants. When she is ready to transfer we act as a guide and safety net. When she stands from sitting we are the support where needed and prevent falls. She seems OK with these techniques but it is difficult to get her to perform the reaching and alignment task to help her pushing. She has however progressed so that she can transfer with assit of 1 so that her family can help and this allows her to go on day out with them which should help her mood and rehab. This just shows that in some cases in order to allow rehab we just have to make do with what we can from the patient and that just because the patient is aphasic does not mean that we can just do whatever we think we need to but need to still achieve the goals the patient wants to.
Best of Luck everyone with the PCR.