I get where you're coming from, but have you tried to pick up a dog that has its leg stuck in a toothed metal snare. It's going to bite you like 90% of the time. Pain and change of environment puts people in a bad place. The first thing you have to do is acknowledge your understanding of these things to the patient. Health care is expensive and people feel entitled to what they perceive as "luxury services" for the price they are charged. Most people in acute care don't even know why they are receiving PT services. If the PT does their job right, they will explain things to the point of the patient participating willingly and consistently. PTs need to grow some balls and stop putting everyone with a pulse on the PT case load. The lady that came in for chronic GI bleed probably doesn't need PT services. If you are a PTA, you need to talk to your PT about giving the most codes possible to address your patients needs. I can't tell you how many people benefit from PNF stretching and neuro exercise/re-ed for muscle imbalance and posture deviation that hinders their ADLs.