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What is the most appropriate response by a physical therapist assistant when a patient refuses active exercise?

  1. Respect the patient's decision

  2. Explain the risks of not exercising

  3. Explain to the patient why active exercise is a critical component of the plan of care

  4. Adjust the plan of care to exclude exercise

The correct answer is: Explain to the patient why active exercise is a critical component of the plan of care

In situations where a patient refuses active exercise, providing a clear explanation of why active exercise is a critical component of their plan of care is essential for several reasons. Firstly, it ensures the patient understands the benefits and necessity of exercise in their treatment regimen, which can help motivate them to reconsider their refusal. Educating the patient can also foster a collaborative relationship, where they feel involved in their own care and decision-making process. Active exercise often plays a vital role in rehabilitation, helping to improve strength, mobility, and overall function. By articulating these benefits, the physical therapist assistant can address any misconceptions or fears the patient may have about exercise, facilitating a more informed decision. While respecting the patient’s decision is important, it is equally crucial to provide adequate information about the implications of not exercising, as well as addressing their concerns. Adjusting the plan of care to completely exclude exercise may not lead to optimal outcomes and can compromise the effectiveness of the treatment being provided. Therefore, explaining the rationale behind active exercise aligns with best practices in patient care and promotes a better understanding of health management.