top of page

Non-Traumatic Anterior Knee Pain Care Pathway

Date of last update: September, 2024

1. Record Keeping

Record keeping serves as a recall aid for the clinician of their interaction with the patient. It should concisely “tell the story” of the patient, and accurately reflect those interactions. Record-keeping requirements may be established by your jurisdiction’s standards of practice. These standards should be adhered to when maintaining your clinical records.

Subjective: Document the patient's reported symptoms, feelings, and feedback at each visit.

Objective: Record observable and measurable data such as physical examination findings and outcome measures.

Assessment: Provide a clinical assessment based on the subjective and objective data. Affirm or revise the diagnosis. Information about the patient's progress towards their goals could be recorded here.

Plan: Outline the treatment plan, any adjustments made, advice or other additional interventions or referrals. Any care or plan of care should reasonably be supported by the documented patient “story”. Timeline for follow-up and re-evaluation could be recorded here.

Back to care pathway

bottom of page