LO:1&2&3 - Principles of Assessment

• What do I need to consider before the patient even comes? - ideas

  prepped room

  Is the patient actually safe to have treatment?

  My appearance,

  risk assessed room

  info for me & them: names, problem, location

  background history

  equipment needed for consultation
• What is the definition of consent and capacity?

  Capacity

  = Is the ability to use information to make a decision and understand the decision

  Consent

  = Is the ability to agree to something as long as they have capacity and are informed in my case
• what does informed, implied and best interest in terms of consent mean?


  Consent types:

  1. Informed capacity - When a patient is informed and understands what is going to happen and why and gives consent for whatever to happen
  2. Implied consent = When a patient gives consent via action but not always verbal (eg, showing up, getting ready for you, ect)
  3. In best interest = When the medical proxy and the professionals make a decision on the patient’s care based on their best interest
• what is needed before giving informed or implied consent?

  To give informed consent:

  • MUST Be aware of risks (hurts, reveal certain body part)
  • MUST Be aware of benefits (help confirm xyc. ect)
  • Ensure communicate information and explanation effectively so they definitely understand (show and tell, verbal, written, images, translator)

  To give implied consent:

  • ONLY for not-invasive treatments
  • OR if the patient is unconscious or emergency-life-or-death situation
• How do we know a patient has capacity? (4)


  1. Can they retain the information I tell them?

  2. Can they use that information to make decisions?

  3. Can they understand the information properly? (use it to consider the pros and cons)

  4. Can they communicate their own decision in any way?
• What are the main parts of subjective interview? (8)

  1. History of current condition
  2. Their condition right now?
  3. ‘Special’ Specific questions - based on individual answers and circumstances (cancer, shoulder And any red flags?)
  4. Have they had any previous investigations (blood tests, mris, x-rays + when + what for)
  5. Past medical history (The: THRE ADOC)
  6. Any drug history (drugs or medication)
  7. What is their social history (housing situation, mobility, support)
  8. What are their goals and expectations?
• What are the main parts of a physical exam? (object assessment)

  Objective assessment: what can I physically assess?

  1. Observing
  2. Functional movement
  3. Physiological movement
  4. Focused tests
  5. Palpation
• What are the abbreviations for each part of the subjective assessments?(6)

  • History of current condition / HCP
  • Their condition right now? / PC (present)
  • Investigations / IX
  • Past medical history / PMH
  • Drug history / DH
  • Social history / SH
• THRE ADOC meanings?

  T

  H

  R

  E

  Asthma

  Diabetes

  Osteo...

  Cancer
• What do SMART goals include? (10)


  1. Some short, medium and long term
  2. Goals for physio and outside life
  3. Check if they are the following: (if not, then adapt to it or build on it to make it so)

  
• Q) What changes might I have to make to communicate effectively with a person who has autism or learning disabilities? (ideas)

  • [ ] Check their hospital passport (check
  • [ ] Ask them questions and get them to use a tablet (non-verbal)
  • [ ] Have their ‘carer’ in the room as emotional support and to help us communicate in a way that suits them best (guidance for us)
  • [ ] Use pictures or models for them to point too
  • [ ] Use a scale to measure emotions, ‘good or bad’, pain-level, ect
  • [ ] Use the ASK, LISTEN, DO method the whole time
  • [ ] Set extra time with them so they’re not rushed
• What method helps deal with autistic or learning disability patients?

  1. ACT, LISTEN, DO methodhttps://whiteboard.office.com/me/whiteboards/p/c3BvOmh0dHBzOi8vbmV3bWFuYWN1ay1teS5zaGFyZXBvaW50LmNvbS9wZXJzb25hbC9jb2R5MDAxX25ld21hbl9hY191aw==/b!JYXHQAI3W0q8Lk2GIAYd6JxltGUEiFpHrTG3zGOae10lhpm4iC32RplxrZdjNCm6/012VSL2TJTT2U6DRUVFNAKBCCEOBPCWILE?source=applauncher&auth_upn=[e-mail]