One of the MOST IMPORTANT questions to ask your patientsNov 28, 2017
MAT strategies to out-perform your patient’s expectations!
The clinical interview is one of the most important processes to get right with your patients. It opens the door for you to build rapport with your patient and the all-important first impression to provide them with confidence that you are the person to help them (and hopefully empower them).
It has been commonly found that the interpersonal aspects of physiotherapy and healthcare are some of the most important determinants of patient outcomes and their evaluation of the QUALITY of care. (Hush, 2011)
Set your self up for success in the clinic and consider these strategies with your patients in your next interview/examination!
What is the number one question you need to start asking right now?
It is of course, what are your short-term and long-term goals and why are these important to you now?
It's important to have a collaborative discussion of these goals and formalize realistic expectations and SMART goals to set up time frames for achieving each goal.
- A patient-centered approach has been shown to be beneficial for treatment outcomes and satisfaction. (O’Keefe, 2016)
- One study examined the effects of utilizing active patient involvement in the establishment of physiotherapy goals in a rehab with patients with rheumatoid arthritis. An active involvement in goal setting of patients has demonstrated:
- Higher success and achievement of range of motion, strength, and balance.
- Higher ratings of physiotherapy care. (Arnetz, 2004)
At MAT, you know we love objective measures. We love the idea of using outcome measures such as the Patient Specific Functional Scale to identify the key activities and tasks that are important to your patients and have them rate how they feel their current ability to perform these are. These fall nicely into the Functional Performance Testing spectrum outlined by Reiman and Manske (2009).
What do you need to bring to the table for GOAL SETTING?
During your preliminary case-history and examination, it's important you gather as many objective measures as you can so that you can set baselines and track the progression of the key factors that your patient requires to achieve their individual needs, wants and goals over time.
Ensure that the objective measures you are choosing are relevant to the patient goals, as you don’t need to bombard them with hundreds of tests on their first appointment. If you need help with this our MAT LIVE and MAT ONLINE courses will be able to help.
The reason 3500 other therapists + trainers around the world are using our MAT (Movement Assessment Tool) currently is because it can help you to conduct objective based tests with your patients to establish areas for improvement based off the latest research and track progress towards meaningful goals and help to increase patient motivation and adherence to their management plan and exercises so that they actually reach their goals.
At MAT we are all about performing reliable, objective measurement so that you can help clearly communicate how the interventions that you are going to provide will help your patients to achieve their goals.
Arnetz JE, Almin I, Bergstrom K, Franzén Y,Nilssin H. Active patient involvement in the establishment of physical therapy goals: effects on treatment outcome and quality of care. Adv Physiother 2004; 6: 50–69.
Julia M. Hush, Kirsten Cameron, Martin Mackey; Patient Satisfaction With Musculoskeletal Physical Therapy Care: A Systematic Review, Physical Therapy, Volume 91, Issue 1, 1 January 2011, Pages 25–36, https://doi.org/10.2522/ptj.20100061
Mary O'Keeffe, Paul Cullinane, John Hurley, Irene Leahy, Samantha Bunzli, Peter B. O'Sullivan, Kieran O'Sullivan; What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis, Physical Therapy, Volume 96, Issue 5, 1 May 2016, Pages 609–622, https://doi.org/10.2522/ptj.20150240
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