What the therapist predicted: very little
What the survivor achieved: a lot
Let me tell you about a stroke survivor I worked with a year or so ago. I’ll call him “Sam.”
There it was. The best that Sam was expected to do was to be able to roll around in his bed. He wouldn’t be able to stand. And walking was beyond belief.
The day Sam was to have his first treatment I went to the nurses station to read his chart before I met him. Nursing facilities often have a cluster of patients in wheelchairs right around the nurses station. It’s where all the action is.
As I began to read Sam’s chart I asked one of the nurses to point Sam out to me. She pointed to a gent in a wheelchair. “That couldn’t be him”- I thought. If he could not get around the bed, how did nurses get him in a wheelchair? The nurse: “That’s him. He came in yesterday.”
This was the guy who’s long-term goals were “bed mobility.”
P.S: There may be several reasons for the physical therapist lowballing expectations. Maybe Sam was exhausted by the experience of being transferred from hospital to skilled nursing. Maybe his meds had changed. Maybe he was admitted so late that by the time the therapist got there he was asleep and the therapist had to wake him and he was very tired.
Some clinicians are so concerned with deficits that they miss potential.