Progression and escalation
Progressing as expected (up to 3 Rxs) before discharge or onward referral.
Escalation within Physiotherapy
Throughout the physiotherapy management if a patient is not responding to treatment as expected then consideration should be given to:
- Presence of serious pathology (red flags)
- Psychosocial factors (yellow, orange, blue, black flags)
- Potential for other pathology/structures/atypical presentations
- Assessment findings (subjective and objective)
- Diagnosis
- Pain control
- Supported self-management (communication and education)
- Appropriateness of treatment approach
Escalation within physiotherapy may include:
- Self reflection
- Peer review
- Discussion/reassessment with senior colleague and/or relevant Extended Scope Physiotherapy Practitioner (ESP Physio).