Situation- An elderly patient booked in because they were experiencing low back pain that they had had for a few years on and off and had worsened over the last week.
Task: My task was to assess this patient and formulate a management program
Action: I conducted a full objective and subjective assessment and found that they were suffering from a mobility issue and was relatively straight forward. I explained this to the patient and outlined my treatment plan for them and soon realised they had a very passive approach to management. They strongly believed that ultrasound alone was what helped and requested it.
Result: I soon realised they had a very passive approach to treatment and that their condition in particular being a mobility issue would not soley be cured by ultrasound. I explained to the patient that the effects of ultrasound and even my treatment in this session were only temporary and that it was most important to continue with exercises at home to maintain the benefits.
Evaluation: I found it challenging to change the patients views on physiotherapy and their symptoms as they were well entrenched beliefs. I realised however that there was only so much I could say or do and that ultimately it was up to the patient to decide whether to take the advice on board.
Strategies: In future I will endeavour to translate my theoretical knowledge into patient friendly language to convey the role of physiotherapy and the importance of self management.
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