I am currently treating a teenage patient who suffered a traumatic brain injury about 5 months ago. She was diagnosed with ADHD pre-morbidly and had a poor track record at school, with 25 suspensions in the 2 or so years she has been at high school. Many of these related to assault of other students in which the police have been involved.
Not surprisingly, if you add a brain injury on top of a history of ADHD, it makes patient compliance and successful treatment outcomes a challenge! She has regained normal 3 joint movement in all limbs, ambulates without any aids, and can run. Her high level balance and trunk stability remain a problem. I try to make our treatment sessions as functional and fun as I can, involving kicking and catching balls as well as using a variety of tasks, although I find it hard to stay enthusiastic about treating this patient as she can be verbally abusive and very difficult to manage. Has anyone else experienced a patient like this?
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Ari, I have had verbally abused by patients before and I struggled for ideas to treat them. Some patients due to their injuries have social dificulties and the following does not apply to them.
I assume people will disagree with my opinion but please share yours. We provide a service and nobody has the right to abuse us. From my brief expereiance it upsets me to see so many qualified health care staff who think they have an obligation to treat patients at the expense of their self respect.
Don't treat them and i'm sure they'll learn manners soon enough.
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