No PT Rx indicated

This week, a 88y/o patient was referred to the clinic due to hip pain and a history of falls. Her initial referral was for her to attend the hydro sessions. She attended the clinic for an initial session, which included the subjective and parts of the objective Ax. I then booked her in for a hydrotherapy session the following week.
The next day, I found out that my patient’s xray of her hip showed an avulsion and severe degenerative OA. After much discussion with my supervisor, we decided to call the patient and ask if the patient’s pain was worse that am.
I called the patient and it turned out that the patient’s pain was indeed worse. I then had to tell her that at that point, hydrotherapy was not suitable for her. The reason being, that the disadvantages of getting her to the hydro pool outweighed the benefits of the hydro session. The patient used hospital transport to attend appointments at the hospital, she then needed use a step to get off the bus, then walk about 10-15m to the pool. After the session, she needed to repeat that process.
To prevent worsening of her hip pain, we did not advise her to attend the hydro session. Instead, she was to stick with her daily routine at home for now, and have plenty of rest.
The patient is currently being referred to an orthopaedic surgeon for a further review.
From this, I learnt that sometimes no physiotherapy treatment is actually the best PT treatment you could give a patient. It took a while for me to understand that, as I always try to help my patient as best as I can (more exercise, different ways of doing rehab, different types of pain relief that we learnt, etc). But for this patient, the best treatment was no physiotherapy for now.