This patient has a left side affected stroke and memory loss. I was feeling confident since we had been in to do this patient the previous day and had been with her many other times in group classes. We knocked on her door and called and her name before entering. We heard a response so we opened the door. We then stuck ur head in the door and told her we had come to take her for a walk liek we had said yesterday. We then got a response that "Do we mind she was trying to go to the toilet". We replied with that was fine we will be back later and left the room.
When we went back later the patient refused to go for a walk, because she beleived that people were trying to force her off the toilet to go for a walk. We left her then, as she wasnt going to go for a walk or do exercises.
I am unsure how to improve that situation, since we had done the right thing by knocking and waiting for an answer before we entered. Maybe next time if we open teh door after knocking and see noone in the room we could immediately say that we see the patient is busy and that we will come back, rather than explain what we were coming for in the first place.
I was feeling confident to begin with, but this incident allowed me to see how patients personalities change for day to day and that you cant presume that patients will always be the same compliant person you have seen the day before.
Next time we see this patient we wil ensure that we are friendly and understanding of this patient.
I was happy with the way today went, I beleive as the placement is progressing teh confidence and trust I have with patients is building
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