Checking Patient Understanding

When a patient appears to understand all explanations yet fails to co-operate with their treatment, what might be happening and how might the situation be remedied for treatment to progress?

 Or

‘How to not hit your head against a brick wall when you feel you’ve exhausted every avenue’

I recently had a very peculiar situation with a  patient who really seemed to display very good understanding of treatment and what was being expected of her (she never had any questions and nodded along in all the right places) and yet repeatedly failed to comply with any of the techniques that I introduced.

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