After making sure that Chris would not be disturbed today by the nurses he was real animated when I got there and insisted he had been woken up multiple times. When I went to talk to Kristen about it she said that none of the nurses or aide's had been in so when she asked him who it was, it turned out to be someone from physical therapy. Despite telling me that he was going to go when he got back, for some reason he decided that because they were an hour late picking him up that threw off his schedule so he told them (or so he thought) that he was not going to go therapy that day. He did work with them on a schedule and a plan, but he did not communicate to him that he wanted to rest.
He also indicated to me that he was angry again that he was not getting enough sleep and when I asked him about it, he said that HE woke up at 3 and asked for a breathing treatment (but it was really 12). I told him flat out that he had NO bags under his eyes and looked far too well rested to have been sleep deprived so he needed to be aware that this is one of the side effects of the radiation and that it's fatigue not sleep deprivation. He accepted that and after a kind, gentle lecture from me about what he must do before he can come home, he said he would go to therapy the rest of the week. I let him know in no uncertain terms that if they feel he is uncooperative and is not making progress he could not stay there and until he can get up the stairs to the house he cannot come home.
The bottom line is that this is not completely unexpected and now that there are some things going on I will work on how it has to be addressed. When someone is stubborn it's not easy, but he's smart enough to reason with so we'll continue working on it as a compromise.
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