The Flag System: Difference between revisions

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==Introduction==
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'''Original Editor '''- Your name will be added here if you created the original content for this page.


This article will discuss the management of patients with yellow flags in physiotherapy practice.  '''Define yellow flags here'''.
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
<div class="researchbox">
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss>
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== References  ==


People with pain require:
References will automatically be added here, see [[Adding References|adding references tutorial]].


* a rationale for returning to activity
<references />
* an appropriate strategy to manage their symptoms
* a safe environment to engage in physical exercise to restore confidence in movement
* the opportunity and encouragement to return to normal physical activity


In addressing the factors above, the difference between treatment and rehabilitation becomes clearer but must still take into account the barriers to rehabilitation.  These are the non-physical or clinical factors that are important to determine recovery and failure to address them can lead to a suboptimal outcome, no matter how technically good you are as a clinician (Waddell & Watson, 2004).
== Introduction ==


This article will discuss the management of patients with yellow flags in physiotherapy practice. '''Define yellow flags here'''.


==Stepped care approach==
People with pain require:


Von Korff and Moore (2001) advocate a stepped care approach, evident in the following table:
*a rationale for returning to activity
*an appropriate strategy to manage their symptoms
*a safe environment to engage in physical exercise to restore confidence in movement
*the opportunity and encouragement to return to normal physical activity


<table style="border: 1px, grey, solid; padding: 5px; vertical-align: top; ">
In addressing the factors above, the difference between treatment and rehabilitation becomes clearer but must still take into account the barriers to rehabilitation. These are the non-physical or clinical factors that are important to determine recovery and failure to address them can lead to a suboptimal outcome, no matter how technically good you are as a clinician (Waddell &amp; Watson, 2004).


<tr>
== Stepped care approach ==
<td>1.</td>
<td>'''Most patients who are at the acute stage'''</td>
<td>Identify and address the common worries of patients with back pain using simple, symptomatic measures.  Provide information and advice to encourage the resumption of ordinary activities.</td>
</tr>


<tr>
Von Korff and Moore (2001) advocate a stepped care approach, evident in the following table:
<td>2.</td>
<td>The substantial minority of patients who do not resume ordinary activities by 3-6 weeks with simple advice.</td>
<td>Provide brief, structured interventions that help patients to identify obstacles to recovery, set functional goals and develop plans to achieve them.  Provide support for physical exercise and return to ordinary activities</td>
</tr>


<tr>
{| style="border: 1px, grey, solid; padding: 5px; vertical-align: top;"
<td>3.</td>
|-
<td>The small minority of patients who have persisting disability in work or family life and who require more intensive intervention.</td>
| 1.
<td>Address dysfunctional beliefs and behaviour. Provide a progressive exercise or graded activity programme. Enable and support patients to return to ordinary activities.</td>
| '''Most patients who are at the acute stage'''
</tr>
| Identify and address the common worries of patients with back pain using simple, symptomatic measures. Provide information and advice to encourage the resumption of ordinary activities.
|-
| 2.
| The substantial minority of patients who do not resume ordinary activities by 3-6 weeks with simple advice.
| Provide brief, structured interventions that help patients to identify obstacles to recovery, set functional goals and develop plans to achieve them. Provide support for physical exercise and return to ordinary activities
|-
| 3.
| The small minority of patients who have persisting disability in work or family life and who require more intensive intervention.
| Address dysfunctional beliefs and behaviour. Provide a progressive exercise or graded activity programme. Enable and support patients to return to ordinary activities.
|}


</table>
== Predictors of chronic disability ==


==Predictors of chronic disability==
A biopsychosocial assessment should seek to identify the following:


A biopsychosocial assessment should seek to identify the following:
*Bio (triage and identification of the pathology)
*Psycho (psychological distress, fear/avoidance beliefs, current coping methods and attribution)
*Social (work issues, family circumstances and benefits/economics)


* Bio (triage and identification of the pathology)
'''Key predictors''' include:  
* Psycho (psychological distress, fear/avoidance beliefs, current coping methods and attribution)
* Social (work issues, family circumstances and benefits/economics)
 
'''Key predictors''' include:


*
*
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[[Category:Open Physio]]
[[Category:Open_Physio]][[Category:Articles]][[Category:Biopsychosocial]]

Revision as of 06:26, 31 May 2011

Original Editor - Your name will be added here if you created the original content for this page.

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Recent Related Research (from Pubmed)[edit | edit source]

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

References will automatically be added here, see adding references tutorial.


Introduction[edit | edit source]

This article will discuss the management of patients with yellow flags in physiotherapy practice. Define yellow flags here.

People with pain require:

  • a rationale for returning to activity
  • an appropriate strategy to manage their symptoms
  • a safe environment to engage in physical exercise to restore confidence in movement
  • the opportunity and encouragement to return to normal physical activity

In addressing the factors above, the difference between treatment and rehabilitation becomes clearer but must still take into account the barriers to rehabilitation. These are the non-physical or clinical factors that are important to determine recovery and failure to address them can lead to a suboptimal outcome, no matter how technically good you are as a clinician (Waddell & Watson, 2004).

Stepped care approach[edit | edit source]

Von Korff and Moore (2001) advocate a stepped care approach, evident in the following table:

1. Most patients who are at the acute stage Identify and address the common worries of patients with back pain using simple, symptomatic measures. Provide information and advice to encourage the resumption of ordinary activities.
2. The substantial minority of patients who do not resume ordinary activities by 3-6 weeks with simple advice. Provide brief, structured interventions that help patients to identify obstacles to recovery, set functional goals and develop plans to achieve them. Provide support for physical exercise and return to ordinary activities
3. The small minority of patients who have persisting disability in work or family life and who require more intensive intervention. Address dysfunctional beliefs and behaviour. Provide a progressive exercise or graded activity programme. Enable and support patients to return to ordinary activities.

Predictors of chronic disability[edit | edit source]

A biopsychosocial assessment should seek to identify the following:

  • Bio (triage and identification of the pathology)
  • Psycho (psychological distress, fear/avoidance beliefs, current coping methods and attribution)
  • Social (work issues, family circumstances and benefits/economics)

Key predictors include:

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