Helping People who think they don't want your help

During my recent placement in a rehab ward with clients with a TBI there was a client (who was not given to either student to treat) who exhibited significant frontal lobe behaviours that made treatment extremely challenging. Signficant receptive and expressive dysphasia made communication really difficult and he continuously yelled (all day not just during treatment) and was very unhappy to changes. During this time a new physio ( a graduate) was allocated to him and made me realise that in a very short space of time it could be us in this situation and how would we handle this client. After two days of unsuccessful treatment sessions one of the other physios suggested that for a number of days the physio should just take him for a walk (in his wheelchair ) in the grounds and try to establish some sort of relationship with this client. Often this client would come to physio and actually do nothing because no one could get him to settle. I think this client more than any other I have seen this year has indicated the importance of building a relationship based on trust with the client and the importance of incidental physio that you can build in to whatever you can get the client to do.