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56 | more exercise / increasing activity | therapist | Yeah, yeah. | other | n/a |
56 | more exercise / increasing activity | client | -if something does happen? | n/a | neutral |
56 | more exercise / increasing activity | therapist | Yeah, yeah. I know what's worked for a lot of the-the folks that I've worked with is there's like- it's called a lifeline and they can wear it around their neck and it's hooked up and- so that if you need help, you can push the button. | therapist_input | n/a |
56 | more exercise / increasing activity | client | I think I saw something like that on TV. | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | Is it- does it really work? | n/a | neutral |
56 | more exercise / increasing activity | therapist | It does really work. | therapist_input | n/a |
56 | more exercise / increasing activity | client | 'Cause you know that they sell so much stuff on TV, it's like you could- [crosstalk] | n/a | neutral |
56 | more exercise / increasing activity | therapist | Right. Right. | other | n/a |
56 | more exercise / increasing activity | client | It's crazy, it's crazy. | n/a | neutral |
56 | more exercise / increasing activity | therapist | No, it is something that there's a couple of different of, uh, you know, a couple of different products out there, but it-it does- it can really help, uh, and-and it kind of gives- might give you this sense of security that you have at your fingertips. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Yeah. I guess so, feeling a little scared- | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | -you know, about that happening and- | n/a | neutral |
56 | more exercise / increasing activity | therapist | Yeah. | other | n/a |
56 | more exercise / increasing activity | client | So, yeah, it's probably a signal to-to make some-some changes. | n/a | change |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | Like I don't wanna go back to the hospital, right? I really don't. Do I have to? | n/a | change |
56 | more exercise / increasing activity | therapist | We- we're gonna work with you to help you stay home as long as you possibly can and be safe. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Yeah. | n/a | neutral |
56 | more exercise / increasing activity | therapist | So what do you think that will take, um, because you're the one that really knows how you're feeling about in the house and how you're feeling about your safety. What do you think? The lifeline is a possibility, that's something you can consider. | question | n/a |
56 | more exercise / increasing activity | client | That I will definitely- I definitely wanna do that. | n/a | change |
56 | more exercise / increasing activity | therapist | Mm. | other | n/a |
56 | more exercise / increasing activity | client | I definitely wanna do that. | n/a | change |
56 | more exercise / increasing activity | therapist | Mm-hmm. What else do you think it would take for you to feel safe? | question | n/a |
56 | more exercise / increasing activity | client | Well, I- maybe they-they-- When I first came home, they had somebody come and show me some things in-in the house, but maybe a refresher of that, and they told me that I should exercise and-and, um, I guess I could-- Maybe support, maybe I'm looking for-for maybe a buddy or something, some way that I could be reminded. I'm feeling a little, you know, I was moving along and things were feeling more positive, it's sort of like two steps forward and- | n/a | change |
56 | more exercise / increasing activity | therapist | Yeah, yeah. | other | n/a |
56 | more exercise / increasing activity | client | -one step back, but now it's to step forward and three steps back. [laughs] | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | So, um, is there, yeah, like a support somehow? My daughter is very good and she calls me, but you know, she-she lives in Seattle, she lives- | n/a | change |
56 | more exercise / increasing activity | therapist | Yeah. | other | n/a |
56 | more exercise / increasing activity | client | -far away. | n/a | neutral |
56 | more exercise / increasing activity | therapist | Yeah. | other | n/a |
56 | more exercise / increasing activity | client | So- and I don't wanna impose on my neighbors or my friends. | n/a | neutral |
56 | more exercise / increasing activity | therapist | So you'd like to have a little bit more support- | reflection | n/a |
56 | more exercise / increasing activity | client | Mm-hmm. | n/a | neutral |
56 | more exercise / increasing activity | therapist | -and a little bit more connection maybe that- | reflection | n/a |
56 | more exercise / increasing activity | client | Yeah. | n/a | neutral |
56 | more exercise / increasing activity | therapist | -that-that, um, that has to happen. Would you like some suggestions about that? | question | n/a |
56 | more exercise / increasing activity | client | Yeah. | n/a | neutral |
56 | more exercise / increasing activity | therapist | Um, so one of the things that- that we also have here, we-we have- we can get some case- what they call case management services and that might be someone who comes in and checks with you at home and helps you figure out some of the things that might need to be done like you were talking about, give you a little refresher on safety at home- | therapist_input | n/a |
56 | more exercise / increasing activity | client | Right. | n/a | neutral |
56 | more exercise / increasing activity | therapist | -and, uh, and-and also might help you organize and connect up with other services that might be out there or do things, um, like that. I don't know. What it- how does that sound to you? | question | n/a |
56 | more exercise / increasing activity | client | Yeah, that would be good. Do you think I should try to go back to the Tai Chi? | n/a | change |
56 | more exercise / increasing activity | therapist | Yes. I was going to say the other thing that I would say- that I would consider because the senior center, and I know you were really active in the senior center before- | therapist_input | n/a |
56 | more exercise / increasing activity | client | Yes, great place. | n/a | neutral |
56 | more exercise / increasing activity | therapist | -and I'm wondering if you feel like there's support there. They have a lot of activities going on at the senior center that- and I- and I don't know what was in the Tai Chi included that might be- not only serve the purpose of the exercise but really help with some of that support. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Yeah. I guess I've kind of gone to the extreme. I tend to do that. [chuckles] Yeah. So, keep moving? | n/a | change |
56 | more exercise / increasing activity | therapist | Yeah. It sounds so crazy, doesn't it? Like the- it- when it feels like inside, what you're- what I'm hearing from you is that it feels like inside like moving is unsafe. | reflection | n/a |
56 | more exercise / increasing activity | client | Yeah. | n/a | neutral |
56 | more exercise / increasing activity | therapist | And-and yet, we know we can't make perfect safety, but we know that the more you move and the more active that you stay, the less likely it is that you're going to fall and the more safe you're going to be. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Really? | n/a | neutral |
56 | more exercise / increasing activity | therapist | Yes. | other | n/a |
56 | more exercise / increasing activity | client | Oh, okay. | n/a | neutral |
56 | more exercise / increasing activity | therapist | Can't prevent all of it- | therapist_input | n/a |
56 | more exercise / increasing activity | client | Uh-huh. | n/a | neutral |
56 | more exercise / increasing activity | therapist | -but we can make it less likely. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Okay. Okay. Okay. I-I'm willing to start again, so to speak. | n/a | change |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | Yeah. It's scary. | n/a | sustain |
56 | more exercise / increasing activity | therapist | Yeah. Takes a lot. Takes a lot. And you're the only one that'll- that can know what it is you're willing to work through that fear for. | other | n/a |
56 | more exercise / increasing activity | client | Well, I'm willing to work through my fears and difficulties to be in my little house with my little dog and my little garden. I've been there for- since my husband and I got married, and that's where we lived, and I don't want to give it up yet. | n/a | change |
56 | more exercise / increasing activity | therapist | Mm-hmm. And that's a strong enough motivator for you and gives you enough purpose that you're willing to like kind of push through that fear that even though it's there and that, that sense of- | reflection | n/a |
56 | more exercise / increasing activity | client | Yeah. | n/a | neutral |
56 | more exercise / increasing activity | therapist | -concern about being safe. | reflection | n/a |
56 | more exercise / increasing activity | client | Yeah. I- | n/a | neutral |
56 | more exercise / increasing activity | therapist | Yeah. | other | n/a |
56 | more exercise / increasing activity | client | -I-I am. And I feel like I have some help. | n/a | change |
56 | more exercise / increasing activity | therapist | Yeah. Yeah. Well, we can definitely talk about it when you come in again like- | therapist_input | n/a |
56 | more exercise / increasing activity | client | Okay. | n/a | neutral |
56 | more exercise / increasing activity | therapist | -again, and-and- | other | n/a |
56 | more exercise / increasing activity | client | So, am I being a baby? | n/a | neutral |
56 | more exercise / increasing activity | therapist | Not at all. | other | n/a |
56 | more exercise / increasing activity | client | Okay. | n/a | neutral |
56 | more exercise / increasing activity | therapist | Not being a baby. This is a pretty normal- this is- | other | n/a |
56 | more exercise / increasing activity | client | Really? | n/a | neutral |
56 | more exercise / increasing activity | therapist | -very normal. Absolutely. It's an absolutely normal thing to feel that, and especially when you've suffered something that you have and suffered to it, the stroke and the trying to get rehabbed and trying to find a way to get back home and going through the wobblies, this is perfectly normal. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Really? | n/a | neutral |
56 | more exercise / increasing activity | therapist | Yes. And actually, you-you have really demonstrated to me anyway, a lot of strength and courage because you have continued to persevere and work through this and not everybody does. And you have found a way to get home and you seem really committed to staying home. So you-you've got a lot of strength there that you're working with. | reflection | n/a |
56 | more exercise / increasing activity | client | Thank you. Thank you. | n/a | neutral |
56 | more exercise / increasing activity | therapist | And we can work together to make sure that-- And-and Dr. Fields too, I know, is very interested in that. We can work together to do what we can to keep you there. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Well, and she- she's not going to throw me back into the hospital? | n/a | neutral |
56 | more exercise / increasing activity | therapist | Not yet. | therapist_input | n/a |
56 | more exercise / increasing activity | client | Not yet? [laughs] Okay. Yeah. I was sort of- I-I was sort of hesitant to tell you- | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | -about- | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | -this, but, um, uh, I'm sort of glad I did. I'm very glad I did. | n/a | neutral |
56 | more exercise / increasing activity | therapist | I'm really glad you did too. I really appreciate it because that's the only way that we can work together- | other | n/a |
56 | more exercise / increasing activity | client | Yeah. | n/a | neutral |
56 | more exercise / increasing activity | therapist | - to help you feel safer. And I hope you're going away home today feeling safer. | other | n/a |
56 | more exercise / increasing activity | client | Yeah. So the-the caseworker is gonna be able to come and refresh- | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | -me? | n/a | neutral |
56 | more exercise / increasing activity | therapist | We'll get you hooked up. | therapist_input | n/a |
56 | more exercise / increasing activity | client | And-and that's-- Yeah. | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | I mean, that alone, to know that I have communication that I w- that was my biggest fear that something- | n/a | neutral |
56 | more exercise / increasing activity | therapist | Mm-hmm. | other | n/a |
56 | more exercise / increasing activity | client | -would happen and I wouldn't have any- | n/a | neutral |