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Parcours de soins pour les lombalgies

Date de la dernière mise à jour : février 2024

Follow-up

 

Clinical Cornerstone: In every patient encounter, the essence of ongoing monitoring lies in its adaptive nature, continuously aligning and realigning the treatment plan with the patient’s evolving goals and feedback. This process is not just about tracking progress but ensuring the care trajectory consistently meets the patient’s needs and objectives. It facilitates a patient-centered, goal-oriented approach throughout the care journey, including the discharge and post-discharge phases, making the care pathway effective and personally meaningful.

  • Assess: Engage the patient in a conversation to assess their health status and case progression at each encounter.

  • Adjust the Treatment Plan: Regularly update the treatment plan based on patient feedback, outcome measures, and clinical judgment.

  • Additional Interventions or Referrals: Based on patient feedback and progress.

  • Align with Patient Goals: Regularly revisit patient's initial goals that were set during the first visit. Discuss progress towards these goals and address any barriers encountered. Adjust goals as necessary to reflect patient’s current needs and preferences.

Criteria for Discharge:

  • Establish clear criteria for discharge, which may include achieving specific milestones, reaching a plateau in progress, or fulfilling the patient's initial goals.

  • Discuss post-discharge plans, including self-management strategies, potential follow-ups, and strategies to prevent recurrence.

  • Monitor: the case progression with periodic reassessments and repeat outcome measures.

Conduct patient assessment

Red flags present

Red flags present

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Refer to appropriate emergency or healthcare provider

Non-specific LBP or LBP with radiculopathy:

  • Education

  • Self-care

  • Exercise

  • Manual therapy

  • Medicines

  • Psychological therapy

  • Social support

  • Mind-body interventions

  • Needling therapies, electrotherapies*

  • Mobility assistive devices

  • Multicomponent biopsychosocial care

  • Topical ceyenne pepper

Additionally for LBP with radiculopathy:

  • Medical/surgical consultations

Other specific LBP:

  • Refer to appropriate emergency or healthcare provider

Major symptom/sign change

Goals not achieved

Re-evaluate

Adjust treatment and management plan or refer

References or links to primary sources

Contact information for further inquiries or feedback

carolina.cancelliere@ontariotechu.ca

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