Clinical reasoning algorithm Rehabilitation after shoulder stabilization surgery

Honelako gehiago

Chapter 18 - Change Leadership

by Vishal Malhotra

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by Ash Martin

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by aima qamar

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by Dresden Sutherland

Clinical reasoning algorithm Rehabilitation after shoulder stabilization surgery

What is your business proposal about?

Give it a name. Type it in.

Physiotherapy

Alternative

What other options could solve the problem? Add an alternative.

Phase 2 Week 12 - 16

Phase 1 Week 8-12

Secondary Outcome Measures Performance based outcome measures

STRENGTH - Easy force muscle strength dynometer - Biodex - Theraband

RC Muscles - External rotators - Internal Rotators

ROM - Easy angle digital goniometer

GHJ - Internal rotation - External rotation - Total arc = NORM FOR DIFFERENT SURGERIES / SPORT

Primary Outcome Measures Patient reported outcome measures

VAS during provocative test

SIRSI

WOSI

6. Delivery and next actions

Describe the further actions for a commercial and a non-commercial proposal.

What are the next steps?

Non-commercial

Add details of next actions for a non-commercial proposal.

Commercial

Add delivery details for a commercial proposal.

7. Glossary of terms

Do you need a glossary for any specific technical terms you are using?

Term

Add a term.

Description

Add the description for it.

8. Appendices

Include any detailed data in appendices rather than break up the flow of the proposal.

Identify the contents of an appendix for your proposal.

Appendix

Add an appendix.

Surgery

Follow up time and and important criteria

Sensitive indicators / feedback for the surgeon

Recommended time to performance

Related information

Related information about the options that have been identified might be needed.

Add resource(s)

Resource

Complications that will influence progress

Procedure

Laterjet / Bankart

Identify a problem that requires action to be taken, which your solution will address. Add a problem.

Diagnosis

Pathophysiology

Identify a change or a trend in the current situation, that requires action to be taken. Add a change.

evidence

Add any supporting information or evidence of changes.

Who is the role player

Describe the current position that your client is in.

This creates some common ground, which is a good platform for discussing your solution.

Coach

Biokineticist

Physiotherapist

Orthopedic surgeon

Patient / parents / Family

Propose:

Clinical reasoning algorithm to guide clinical decision making throughout the rehabilitation process

Multidisciplinary approach starting before surgery to return to performance using a evidence based medicine platform

Objective

Defining clear objectives is the key to building a good proposal.

What are your objectives?

This section should not be included in the proposal.

Evidence based approach to patient management

Who is the audience for this proposal?

Who will read it and act upon it?

All role players = same thinking

What action(s) are you aiming for?


What do you want the client to do, as a result of this proposal?

SAME GOAL AND KNOW WHAT THE GOAL IS

Return to previous levels of daily activity Return to participation Return to sport Return to Performance With a reduced risk of re-injury

Patient - best possible outcome after surgery