Yellow flags | Right Decisions

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

ATTITUDES

Belief that a pain is potentially harmful or disabling
Belief that pain must be abolished before attempting to return to work
Expectation of increased pain with activity or work, lack of ability to predict capability
Catastrophic thinking, fearing the worst misinterpreting bodily symptoms
Belief that pain is uncontrollable
Passive Attitude to rehabilitation

BEHAVIOURS

Use of extended rest of disproportionate down time
Rescued activity level and withdrawal from AOL
Poor compliance with physical exercise, activity ,cycling
Avoidance of normal activity/substitution of lifestyle away from productive activity
Report of high intensity of pain or NAS 10/10
Poor quality of sleep since onset
High intake of alcohol or other substances since onset of pain
Smoking

COMPENSATION ISSUES

Lack of incentive to return to work
Disputes over access to benefits
History of claims due to other injuries
History of back pain with previous sickness benefits
Participation in a medico-legal claim

DISABILITY

Health Professionals sanctioning disability
Conflicting diagnosis – confusion
Unfamiliar medical language - catastrophising
Dramatisation of a problem by professional-dependency on treatment
Continued receipt of passive treatment
Expectation of quick and easy cure
Lack of satisfaction with previous Rx for back pain
Advice to change or withdraw from job.

EMOTIONS

Fear of increased pain with increased activity
Depression, loss of enjoyment
Irritability
Anxiety and heightened awareness of bodily sensations
Feeling under stress and unable to maintain sense of control
Presence of social anxiety/disinterested in social activity
Feelings of uselessness

FAMILY

Over protective spouse/partner, encouraging belief behaviours
Solicitous behaviour from spouse
Socially punitive responses by spouse
Extent to which family members support return to work
Lack of someone to talk to

WORK

History of manual work
Repetitive boring work
Previous work history, frequent job changes, stress, poor relationship with peers, boss etc
Belief that work is harmful/dangerous
Unhappy current work situation
Low educational background, socio-economical status
Heavy bio-mechanical demands of work
Lack of availability for graded return to work
Negative experience of workplace management of back pain
Absence of interest by employer

Last reviewed: 05/07/2024

Next review date: 05/07/2026

Reviewer name(s): Deena Dean.