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How do you treat a patient in a healthcare facility who wants to do everything by themselves and resist your help? Especially if they're older and don't believe in your skill. I might get in trouble if I just have another clinician treat them if I'm assigned to. #Spring25

I'm studying to be an Occupational Therapy Assistant, and I need to be better at finding solutions to helping people who don't want help.

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Destini’s Answer

Great question. I think you will have to try a variety of things and approaches with each difficult situation because what works for 1 may not work with another. 1 thing - try different times of the day. For example a patient may be "grumpy" with you but maybe they're just not a morning person and don't function well at 700 in the morning. Maybe their best time is after the soap operas have gone off and they've had lunch. Also, bring some equipment or ideas. For example "Ms. Brown I was thinking of ways that might help you with cooking. I know you want to get back to that. I would love to get up and go to the kitchen to show you some things - adapted cutting board, reacher, grippers, etc. And lastly gather suggestions from others who have been doing this a long time a d it doesn't just have to be OT. A PT, nurse may have good suggestions and tips for working with difficult patients. Sorry this is so long. Best of luck to you
Thank you comment icon Hello Ms. Hardy-Stover. It's all right if your answer is long. Thanks for the help. It's about understanding my client and building rapport. Jamar
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Rosemary’s Answer

Good evening,
Jamar, you can do this. Always remember you are the professional, and you will not be intimidated. You have been trained for difficult patients. Many elderly are sad, depressed, and they feel hopeless. Be creative and willing to take it to another level. Build a rapport with them to gain their confidence in you. Find out what makes them happy and their hobbies. Maybe they like playing cards, checkers, or chess. If so, be willing to challenge them in a game or two. Play their favorite music to uplift and energize their soul. Fuel them with a lifeline, that will encourage them to trust you and want your help. Make them want to need your help, and they will become attached. So attached, they will be looking for you on your days off.
Thank you comment icon Thank you for your help Ms. Banks. I'll look back at this to grow in my education. Jamar
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Amarja’s Answer

Sometimes people need guidance more than help, so offer them that. Always give them praise to boost their confidence and sense of independence. Sometimes, stepping back and providing guidance instead of direct help can be the best way to support them.
Thank you comment icon Thank you! Jamar
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