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Assessment (Clinical Reasoning (Health Disorder (Activities (Environment…

- - - - Body functions and structures
      - Participation
      - Environment Factors
      - Personal Factors
- - - - Develop a management strategy, including DC planning
      - To identify flags for referral (organs, cancer)
  - - - Severe; irritable; progressively worsening; pathology includes RA, OA, recent severe trauma; indications of more severe pathology; behaviour of symptoms unknown
    - - If condition is not irritable, not severe, and the nature, Hx and progression of the disorder do not dictate the need for caution full O/A can be performed without risk of aggravation.
  - - - History of condition should aim to identify status of disorder; stability of disorder; if patients problems appears psychosocial factors; likely prognosis and appropriateness of physiotherapy
      - Screening questions are asked about specific body areas, questions help to rule out causes for symptoms
- - - - Impairments in body function or structure; activity and participation capability and restriction; psychosocial; contributing factors to the development and maintenance of the problem
      - Hypothesis relating to management of the health condition
        
        Precautions and contraindications to physical examination and treatment; Mx/Rx selection and progression; prognosis
        
        Reasoning Errors
        
        Over focus on patho-anatomical patterns
        
        Over focus on symptom provocation for Dx and Mx with insufficient attention to intrinsic and extrinsic contributing factors
        
        Under focus on pain mechanisms and psychosocial factors
        
        Over emphasis on findings for 'favourite' hypothesis
        
        Misinterpreting or ignoring non-contributory information as confirmed previous hypothesis
        
        Lack of thoroughness of examination
        
        Lack of thoroughness of re-assessment
        
        Risk of pattern recognition