1A. Collect Patient Information and form a hypothesis 2. Interpret and Analyse the Assessment Findings 3.

ent Findings 3. Develop a Physiotherapy Intervention Plan

1A.1 Collect patient information 2.1 Compare findings with ‘normal’ status of the patient 3.1 Develop a logical rationale for physiotherapy intervention
Obtained consent from the patient to conduct assessment  Identified normal status of the patient and compared based on the assessment findings
 Collected patient information and history the assessment findings against these  Identified significant features of the assessment findings
 Explored presenting signs and symptoms  Determined extent of pathology/disorder and discussed and determined implications for the intervention
 Obtained relevant measurable data (including with the patient to develop a course of action  Identified potential impact of patient lifestyle, culture,
supplementary information, for example radiological or 2.2 Compare findings with what is expected for the values and attitudes plus environment on a plan of
pathological reports or reports from other service condition, and include or exclude alternative diagnoses intervention
providers)  Defined clinical expectations of presenting condition  Developed rationale for intervention
 Identified goals, values and expectations of the patient including aetiology, signs, symptoms, clinical course; 3.2 Set realistic short and long term goals with the patient
1A.2 Form a preliminary hypothesis relationship of signs and symptoms to stage of disorder.  Provided appropriate education of the patient
 Analysed the information collected  Related symptoms to pathology/disorder concerning the assessment findings
 Identified potential influencing presentations and  Considered other features of the patient including  Determined patient expectations
hypothesised differential diagnoses patient environment, psychosocial and psychological  Acknowledged the goals of referring practitioner
 Identified assessment needs including priority elements when comparing presenting symptoms and  Where appropriate, discussed the lack of intervention
 Checked the patient’s needs against his/her scope of expected clinical findings  Established realistic goals in consultation with the
expertise  Compared actual and expected findings and considered patient
1B. Design and Conduct a Safe Assessment differential diagnoses  Implemented strategies for modifying the goals
2.3 Prioritise patient needs developed with the patient
1B.1 Design an assessment
 Identified problems and priorities in collaboration with 3.3 Select appropriate and effective interventions to address
 Prioritised and ordered assessment and included tests to the patient the patient problems that are identified
measure impairment and activity limitation  Identified presenting symptoms and interrelationships Selected intervention that reflected consideration of:
 Identified potential problems and contraindications to  Considered possible sources/mechanisms of presenting  Patient needs
assessment symptoms and compared with preliminary diagnosis  Indications, contraindications and risks associated
 Selected tests and assessment instruments appropriate 2.4 Re-evaluate as required to develop a justifiable and  Assessment findings from other providers
to the patient’s presentation, and according to the sustainable hypothesis  Up to date, best evidence and followed best practice
reliability, validity, accuracy and availability of the tests  Outlined in order of probability the differential 3.4 Plan for possible contingencies that may affect the
1B.2 Conduct an assessment diagnoses intervention plan
 Physical examination of appropriate depth and breadth  Refined diagnoses on appropriate tests performed  Identified factors about the patient that may affect their
(eg. relevant observational, manual and analytical  Reinforced and negated clinic diagnostic hypotheses motivation or ability to participate in the intervention
testing, appropriate sequence for procedures,  Reached justifiable conclusions and correlated with  Took appropriate precautionary action
modifications according to patient response, completed additional information to reach justifiable conclusions  Developed a contingency plan
in a timely manner) on Physiotherapy assessment findings  Gave appropriate warnings to the patient
 Modified assessment in recognition of factors such as  Incorporated current scientific argument and clinical  Evaluated the environment to determine impediments
patient’s age, occupation, pain, co-morbidities, reasoning into the decision making process to intervention
communication ability and the assessment environment 2.5 Identify areas that are outside their own skills and 3.5 Prioritise the intervention plan in collaboration with the
 Used tests and assessment instruments correctly expertise and discuss appropriate referral patient
 Progressively interpreted findings as guide the nature  Identified conditions not amendable to physiotherapy or  Established priorities
and extent of the assessment are beyond own skills and knowledge  Set realistic timeframes
 Compared assessment findings against the preliminary  Made appropriate referrals to other practitioners 3.6 Determine plan of evaluation that uses valid and reliable
hypothesis including physiotherapists, based on knowledge of outcome measures
1B.3 Safely assess presenting condition and management options  Specified relevant evaluation procedures
 Identified and assessed risks  Selected suitable functional outcomes
 Made modifications to address risks for the patient and
self
4 Implement Safe and Effective Physiotherapy 4.4 Where indicated, manage adverse events 5 Evaluate the Effectiveness and Efficiency of Physiotherapy
Intervention(s)  Identified potential adverse events, relevant precautions Intervention(s)
4.1 Obtain informed consent for the intervention were taken 5.1 Monitor the outcomes of intervention
 Considered strategies for managing the therapist’s  Measured changes safely, accurately and appropriately
 Identified appropriate consent giver
personal safety (used specific and relevant outcomes)
 Ensured consent giver had sufficient understanding of
 Appropriately recognised, managed and reported 5.2 Evaluate the outcomes of the intervention
the interventions including risks and benefits, realistic
adverse event  Determined the effectiveness and efficiency of
expectations
4.5 Provide strategies for patient self management intervention
 Obtained consent
 Gave the patient clear instructions and where necessary,  Determined relative contribution of change to function,
4.2 Prepare equipment and the treatment area
demonstrated to the patient to ensure they understood health status etc
 Checked that appropriate equipment was selected and
the intervention  Identified factors limiting or confounding effectiveness
that it was safe and ready for operation
 In terms of defined goals, gave regular feedback on 5.3 Determined modifications to the intervention
 Prepared the treatment area to maximise effectiveness,
performance and progress Modifications to the intervention:
efficiency, safety and privacy of the patient
 Developed a realistic self management program  were based on outcomes of intervention
4.3 Implement safe and effective physiotherapy
 Used effective motivation strategies to encourage active  reflected changes in patient status, and
interventions: participation by the patient  were made in consultation with the patient
For the patient: 4.6 When indicated, implement health promotion activities
 Interventions were safe and effective  Advocated self management of health and well being  Referral was made to other professionals as indicated by
 Identified and managed risks to the patient (includes early identification of disease, risk avoidance, outcomes
 Applied appropriate precautions principles of health care, health promotion and
 Used appropriate mechanical equipment to assist in ergonomics)
patient transfer and handling  Where appropriate, made the patient aware of links to
 Implemented infection control community networks
 Minimised distress to the patient; including
6 Communicate Effectively
understanding the effect of pain relief or other
medications relevant to patient care during and after 6.1 Communicate effectively with the patient:
intervention, aspects of intervention that may impact on  Established a rapport with the patient
co morbidities  Adapted verbal and non verbal communication to the
 Intervention was consistent with agreed program needs and profile of the patient
 Used strategies to motivate the patient to participate:  Communicated In a manner and environment that
including communication throughout the intervention, ensured confidentiality, privacy and sensitivity
gave accurate instructions and feedback related to  Discussed and agreed the goals, nature, purpose and
performance expected outcomes of the physiotherapy intervention
 Monitored the patient throughout the intervention and  Employed appropriate strategies to address
appropriate modifications were made for patient communication difficulties, eg. use of written
comfort and the patient’s condition communication, other technology or other persons
For the physiotherapist: 6.2 Demonstrate effective English language ability
 Identified and managed risks to self  Demonstrated the ability to use the English language
 Positioned self for safety and comfort effectively when communicating with the patient (and
 Exhibited effective psychomotor skills any person acting as a consent giver or interpreter) and
the assessors.