Patients that won't cooperate

On a medical ward, I had a patient who was admitted to hospital for an URTI, who also had relatively poor mobility. English was this patient’s second language, and at first I thought that he may not be understanding what I was saying to him as he was not reciprocal in communication and was not co-operating with treatment (which was essentially just to go for a walk), so I began to think of ways to overcome this language barrier, such as coinciding treatment with visits from his family. However he then, to my surprise, verbalized in fairly god English that he did not want to walk and would like to return to bed. This attitude persisted, and several days later while trying to reason with him as to why mobilizing as important he said to me “who says I want to go home? I like it in here.” The medical team were keen for the pt to go home as he was medically stable, but allied health still had concerns regarding his ability to cope at home. A nurse overheard me trying my best to reason with the patient why he needed to get up, and came over and literally forced the patient to get up. Whilst I was becoming very frustrated with this patient, I did not feel comfortable doing this. Instead, at the next treatment session I took a directive approach; whilst still asking the patient if he wanted to participate, gave him little room to object. As a result, I managed to get the patient mobilizing and a few days later he went home. Whilst the patient did not have complete contrl over the situation, I feel that this approach was needed to be able to get a patient home who had no good reason for occupying a hospital bed.