In the above situation, it was apparent that the patient used the words Karma-phalam while interacting with the physiotherapist. The word Karma phalam is an ideological belief of Indians. The meaning of Karma-phalam is ‘fate or destiny from one’s previous action’. Here, the patient used this word in its negative aspect (fate). This can found in the line ‘this is my karma-phalam’. The karma-phalam basically encourage people to passively accept their problematic situation rather than taking an active role to solve the problem (Smiha, Noble and chathuvedhi 2013). In that sense it seems to be an opposing ideology of the philosophy behind the physiotherapy, …show more content…
From these quotes it is clear that regardless of age group (middle, young or older) both patients and therapists were comfortable with their similar age group or they creating a better relationship; that may be influence better treatment adherence. A possible balance of power that they experienced while interacting with the similar age group of patients/therapist might be the reason behind it. According to the contextual information in extract one, the patient possessed age related power might be created a clash with the expert’s (therapist’s) knowledge of power.
Two young male physiotherapists from the private sector explored their perspective about the old age patient’s compliance quoted below:
• ‘Old age patients usually have a feeling that nothing going to happen at this age by doing these exercise’ (PTA15)
• ‘People after 65 or near to 70 will think there is no use to do exercise at this end stage’