A Patient Diagnosed with a Left Anterior Cerebral Artery Stroke

A patient diagnosed with a left anterior cerebral artery stroke is 8 months post-onset and presents with decreased right ankle stability in the sagittal plane that is adversely affecting his gait and balance.After a thorough physical therapy examination,you think an AFO is the optimal approach to provide stability at this point.After sharing this with the patient,he is against bracing for cosmetic reasons and due to a belief that an AFO equates to "giving up".What is the best initial course of action?

A) Inform the patient that an AFO is the only course of action at this point in time and that you cannot treat him if he will not comply
B) Provide patient education regarding prognosis and the rationale for the AFO but offer alternative interventions to trial initially
C) Tell the patient that an AFO does not mean he is giving up and that he should not let vanity stand in his way
D) Suggest to the patient that he be examined by another physical therapist to seek out a second opinion