Difficult patient

I am currently on my neuro prac and it has been such a great experience so far. I m treating one patient who has not been diagnosed with Parkinson's Disease but presents with all the common signs of Parkinson's incl bradykinesia, flexed posture etc. I see this patient every day, and every day all he says to me is that he is going home today regardless of what the doctors say. He is very reluctant to do any physio sessions as he claims why would he need physio if he is giong home today? Everyday I have managed to kindly encourage him to participate in physio but each day it is getting harder and harder and the sessions are tking longer to get through as half the time is spent trying to encourage him to participate.

Today I went to see him and I received the same responce "Im going home today so I dont need physio". So it took me about 20 min of explaining the importance of physio and how beneficial it is to stay mobile and active blah blah blah and eventually he concented to physio (I think he realised I wasnt going to leave until he did!). He stood and ambulated with a shuffling gait (even after lots of verbl cueing to take big steps) for about 5m then stopped said he had enough nd that his legs ached (which was a common occurance). After much encourging +++++++++ he managed to walk to the door of the physio gym which was 15m away (I was hoping to do some balance exercises with him in the PT gym) and that was the end on treatment. He decided tht he had had enough and was going bck to his room. So I walked with him back to his room nd left him SOOB in a high chair. All up the treatment session took 45min! I had prioritised him at the top of the PT list and 2 other patients who are so keen for PT and try their absolute hardest at every exercise missed out.

My friendly encouraging is not having much effect on this patient nd other patients are missing out on treatment because of time wasted "encouraging" this patient to get up! At this present moment I am unsure how I will approach this tomorrow. Hopefully with experience I will learn how to manage each difficult patient I come across.