CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Concussion Care Pathway
Date of last update: May, 2024
Report of Findings (ROF)
Clinical Cornerstone:
- The ROF aims to educate the patient about their condition, set a common understanding of expectations, and build trust. It's essential to communicate effectively, using language that the patient can comprehend, and to create an environment where the patient feels comfortable asking questions and participating in their care. Depending on the patient, it may be necessary to involve family or caregivers at this stage.
1. Review of Patient's History: Summarize main complaints, concerns, and relevant history.
2. Clinical Examination Findings: Discuss key results that shaped your understanding or planning.
3. Diagnostic Results: If applicable, summarize imaging or test results in plain language.
4. Diagnosis: State the diagnosis and explain contributing factors through a biopsychosocial approach. This should include reviewing any yellow flags identified. It may include summarizing the following sections of their History Assessment as well: Narrative (how the issue affects their daily living, PSFS), Social History (support system), Social determinants of health (occupational or domestic stressors), Lifestyle (exercise, nutrition/smoking, stress) . It may also include summarizing relevant outcome questionnaires (e.g. SCOAT-6, HIT-6).
5. Prognosis: Outline the expected course, discuss negative prognostic factors, and provide an anticipated recovery time.
6. Treatment Recommendations: Engage in shared decision-making for the management plan treatment goals and expected outcomes. Discuss benefits and risks of treatment, discuss alternate treatment options (e.g., medication, CBT, self-management only, treatment with other providers/disciplines), explain any proposed interventions (e.g., manual therapy, exercises, modalities) and how they fit with the agreed treatment goals and expected outcomes.
7. Patient's Role in Recovery: Engage in conversation emphasizing the importance of patient involvement and self-management; suggest home exercises, lifestyle modifications, behaviour changes, and any other self-care measures; emphasize adherence to recommendations.
8. Address Concerns and Questions: Encourage patient queries and provide clear answers.
Conclusion: Summarize the ROF and emphasize collaborative care.
Documentation: Record all findings, discussions, and recommendations in the patient's record.
Conduct patient assessment
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Red flags or Orange flags present
Red flags or Orange flags present
Refer to appropriate emergency or healthcare provider
No
Yes
Acute mTBI
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Structured patient education
-
Self Care
-
Return to work / school
-
Return to driving
-
Return to sport / activity
Persistent mTBI
-
Monitoring and Reassessment
-
Tailored clinical management of symptoms:
- Headache
- Neck Pain
- Sleep Disturbance
- Fatigue
- Emotional / Behavioural
- Cognitive Disorders
- Vestibular Disorders
Treatment and management details
Report of findings, Shared decision-making, Initial management, Persistent systems
Differential Diagnosis
Diagnosis
Follow-up
(Align with patient goals, Criteria for discharge)
Major symptom/sign change
Goals not achieved
Discharge
No
Yes
Re-evaluate
Adjust treatment and management plan or refer
References or links to primary sources
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Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. CDC Heads Up [Internet]. CDC February 2022. Available from: https://www.cdc.gov/headsup/index.html.
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David L. MacIntosh Sports Medicine Clinic, University of Toronto. Post-Concussion Return to Activity Guidelines. EMPWR Our Toolkit [Internet]. EMPWR Foundation 2019. Available from: https://empwr.ca/our-toolkit.
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Ontario Psychological Association. OPA Guidelines for Best Practices in the Assessment of Concussions and Related Symptoms [Internet]. OPA July 2016. Available from: https://www.psych.on.ca/getmedia/b7ada02e-76ca-4a5c-891a-bc610c81a213/OPAConcussionGuidelinesFINAL2018.pdf.
Contact information for further inquiries or feedback
carolina.cancelliere@ontariotechu.ca
Disclaimer:
These care pathways are intended to provide information to practitioners who provide care to people with musculoskeletal conditions. The care pathways on this website are 'living' documents, reflecting the state of clinical practice and research evidence to our best knowledge at the time of development. As knowledge and healthcare practices evolve, these pathways may be updated to ensure they remain current and evidence driven. These pathways are not intended to replace advice from a qualified healthcare provider.