Family physio

I am currently on my international placement in the neuro ward of a private hospital in Malaysia. Treatment here is very different to in Australia because it is expected that the family take care of the patient as soon as they are medically stable. This means that pts are discharged from hospital straight away even though they have not had any physio and are still acute. After they are discharged the family will look after them and hopefully bring them back for outpt raheb. If the family decides not to come back for physio then the pt receives no treatment. Before discharge the physios are expected to teach the family the best way to transfer the pt and do as much physio as they can fit in, in the few wks the pts are in hospital. However teaching family that have no idea about correct manual handling or any physio techniques often takes up a lot of time and results in the patient having less actual treatment time. Having the pts at home also means that often the physios spend most of the treatment time undoing all the bad habits the pt has developed whilst at home. This normally includes poor posture and inparticular a very poor gait pattern and compensatory techniques, as family members often try to walk the pt before the are even close to being ready.
This has shown me how different the culture is here and how lucky we are that in Australia it is expected that we stay in hospital until we are able to be discharged from the multi- disciplinary team.