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Parcours de soins pour les douleurs cervicales

Date de la dernière mise à jour : février 2024

Shared Decision-making (SDM)

Clinical Cornerstone:

  • Shared Decision Making (SDM) is a vital component of patient-centered care, especially in managing conditions like neck pain, where various treatment options exist. This collaborative process involves clinicians, patients, and their families working together, aligning healthcare decisions with the best available evidence, and considering the patient's individual values, preferences, and circumstances.

Steps in Shared Decision Making:

1. Introduce the Decision: Explain the need for a decision regarding neck pain management and emphasize the value of the patient's input.

2. Present the Options: Detail the available treatment options for neck pain, discussing the benefits, risks, and uncertainties of each.

3. Discuss Patient Values and Preferences: Explore what is most important to the patient, including their treatment goals, concerns, lifestyle factors, and cultural or personal beliefs that may influence their decision. Can use patient decision aids if available.

4. Deliberation: Facilitate a discussion where the patient can consider the pros and cons of each option, encouraging them to ask questions and express any concerns. Consider utilizing the “Teach-Back” method to appraise the patient’s level of understanding.

5. Decision: Reach a decision that reflects a consensus between the clinician and the patient, based on evidence and the patient's preferences. Obtain informed consent to proceed with the agreed upon plan.

6. Review and Re-evaluate: Plan for regular follow-ups to assess the effectiveness of the chosen management plan and adjust as necessary.

Conduct patient assessment

Red flags present

Red flags present

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Refer to appropriate emergency or healthcare provider

  • Structured patient education

  • Exercise (strength, range of motion)

  • Manual therapies (e.g., spinal manipulation or mobilization, massage)

  • Low-level laser therapy

  • Psychological / social support

  • Medicines

  • Referral

Major symptom/sign change

Goals not achieved


Adjust treatment and management plan or refer

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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.

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