Tried and true tips for success with a patient that is "difficult" to engage in a plan of care.  From the initial conversation that will create a sense of partnership to the final minutes of your session, you can find a way to turn your most oppositional patient into one that is looking forward to you coming back the second time.  

Engaging a patient in their plan of care can be more challenging than you would think when they are used to a substandard baseline or if they are accustomed to relying on a caregiver.  I have entered many settings where my initial thought is, "There isn't much I can do here."  A change in perspective and engagement empowers the patient and gives a clear direction to the therapist. 

• handling objections to therapy
• listening to prior experiences with therapy
• getting their "story" on recent medical events
• asking just the right questions to find their trouble areas
• developing an effective plan of care for the patient you encounter, not just the one on paper
• ideas for simple HEP for the patient resistive to exercise/activity

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