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Post Mind Map: Assessment, Observations - Coggle Diagram
Post Mind Map: Assessment
Clinical reasoning
Reflection
Jones Model of Clinical Reflection
Problem solving
Unfolds with time
Evidence based care
Therapist experiences
Diagnosis
Is it a physiotherapy problem or do I need to refer on?
Prognosis
Interventions/Treatment options
Types
Diagnostic reasoning
Narrative reasoning
Reasoning about procedure
Interactive reasoning
Collaborative reasoning
Reasoning about teaching
Predictive reasoning
Ethical reasoning
Documentation
Legal requirement
Monitor progress
Communicate with all relevant referers and treating clinicians
History taking: age, what do they do for work, hobbies, sport
Objective assessment
Functional movement testing
Gait assessment
Work related tasks
Movement under load
Movement with speed
Sustained movements
Repeated movements
Range of motion
Active/passive
Quality of movement
Pain throughout movements
End feels of movement
Palpation
Special tests
Manual muscle tests
Proprioception
Objective measures
Re-assessment
Monitor effectiveness of treaments
Measurements of pain
Verbal pain rating scale
Survey of Pain Attitudes
Tampa Scale of Kinesiophobia
Multidimensional Pain Inventory
Brief Pain Inventory
Guided by patients severity, irritability, mobility, pathology, co-morbidities
Subjective assessment
Systematic
Timely
Ensures all areas of assessment are covered
Medical history
Co-morbidities
Past medical conditions
Previous scans and testing
Medications
Pain medications
Previous treatments for presenting condition
Pain
Location of pain
Types of pain
Pins and needles, numbness, burning
Duration of symptoms
Getting worse/better
Chronic pain
Classification systems
American Pain Society Pain Taxonomy
Fear Avoidance Model
Fear avoidance behaviours associated with more pain
CNS changes
Biopsychosocial Model Of Pain
Education regarding pain important
Recognising central sensitisation
Primary hyperalgesia/peripheral sensitisation
Secondary hyperalgesia
Patients response to certain stimuli
Patient characteristics
Self efficacy
Task persistence
Mannerisms
Tone of voice
Body language
Identify "flags"
Red flags
Ensure "not to miss"
Cervical artery diessection
Cauda equina
Malignancies
Infection
Spinal fractures
Unexplained weight loss, previous malignancies, night pain
VBI testing
Yellow flags
Biopsychosocial model of pain
Pain beliefs
Anxiety/depression
Fear avoidance behaviours
Catastrophizing
Identify when to refer on
Screening questions
Upper cervical spine
Parasthesisa arms/legs
Migraines
Earache
Tinnitus
Dizzyness
Visual disturbance
Thoracic spine
Breathing/cough
Lumbar spine
Cough/sneeze
Cauda equina
Black flags
Work related
Casual verse permanent
Rate of pay
Sickness policies
Union involvement
Blue flags
Stress
Body chart
Patient profile
Purpose of subjective assessment
Develop hypothesis
Develop patient rapport
Effect of condition on patient
Active listening
Understand nature of condition
Patient capabilities/restrictions
Precautions/Contraindications
Mechanism of injury
Trauma
Spontaneous
Onset of syptoms
Observations
Posture
Dynamic/Static
Asymmetries
Swelling
Discolouration