Specialist deel 4

De master:

• informeert de omgeving op een professionele manier over

• • de uit te voeren handelingen en interventies
  • de conclusies en prognose en onderbouwd deze
  • herstelbevorderende en herstelbelemmerende factoren

• schakelt in goed overleg andere professionals in indien dit voor het behalen van de gestelde doelen wenselijk is
• stemt zorgvuldig de behandelplannen af met andere behandelaars en betrokkenen
• toetst of datgene wat hij gezegd heeft begrepen is door de omgeving en ernaar handelt

• de preventie is Evidence Based, doelgericht en methodisch en sluit aan bij richtlijnen
• in de preventie is het risicoprofiel van de cliënt opgenomen
• de preventie kent een goede balans tussen belasting en belastbaarheid
• de preventie heeft een goede plaats in de zorgketen
• de intentie van de preventie is gedragsverandering

Learning objectives

• Carries out tasks on the basis of specialized knowledge: pathologies, symptoms, medical treatments and medical/physiotherapeutic evaluations
• Reports in conformity with DTF (Dutch abbreviation for Direct Accessibility to Physiotherapy)
• Recognizes clinical flags
• Acts adequately on the basis of signs and symptoms
• Uses relevant measuring instruments that correspond with the medical (ICD10) and physiotherapeutic context (ICF).
• Comes to a professionally sound conclusion
• Informs and advises the patient and, if necessary, other parties involved (such as partners, family) effectively with regard to the conclusions of the screening and most effective steps to be taken.
• Informs other disciplines on time and asks other disciplines for advice adequately.

The master:

Evaluation

• Uses specialized and evidence-based knowledge for the interpretation of the information.
• Performs specialized additional evaluations.
• Uses relevant measuring instruments in conformity with the medical (ICD10) and physiotherapeutic context (ICF).
• If desirable: uses technology to analyse movement problems.
• Outlines load capacity / trainability
• Outlines general and specific contra-indications regarding an intervention
• Analyses, interprets and acts in conformity with additional (medical) information from the evaluation
• Asks the doctor/other parties involved for extra information if the tests do not provide a sufficient picture or are incomplete

Interpretation and conclusion

• Determines the patient profile
• Determines whether the health problem can be influenced by specific interventions
• Formulates the objectives (SMART) in consultation with the patient in the terminology used in the ICF
• Discusses short and long term consequences for the client’s health and (sports) career (informed consent)
• Formulates a treatment plan and discusses it and its consequences with the client and, if necessary, other parties involved and adjusts it if necessary (informed consent)
• Communicates his/her findings adequately with the patient and, if desired, also with other disciplines and other parties involved.

Reporting

• Organises the information from the evaluation in accordance with the guideline on reporting.
• Uses sound tests to objectify his/her interventions

The master:

• Carries out the specialized interventions methodically in correspondence with the treatment objectives agreed by means of efficient technical skills.
• Works independently and responsibly using specialized and evidence-based knowledge.
• Informs the client of the conclusions from the evaluation in a comprehensible way as well as of the recovery or rehabilitation to be expected.
• Evaluates the result of the specialized intervention with regard to effectiveness and efficiency and adjusts the intervention on the basis of these in consultation with the client
• Records the information from the treatment in conformity with the KNGF guideline on reporting and communicates this with the other professionals involved.

Specific addition for the sports physiotherapist:

• Is able to motivate small groups and have participants cooperate adequately so that a rehabilitation objective is realized.
• Recognizes and treats acute problems adequately. Examples of acute problems include: loss of consciousness, threatened and obstructed airways, threatened circulation and injuries to the posture and movement system.
• Is emotionally stable in acute situations, makes adequate choices and applies the principles of wound treatment.

The master:

• Informs the environment in a professional way with regard to:

• The actions and interventions to be carried out;
• The conclusions and prognosis and motivates these;
• Factors that stimulate and impede recovery;

• Calls in the help from other professionals in good consultation with the patient if this is desirable for realising the objectives formulated;
• Carefully attunes the treatment plans with other treating specialist and parties involved;
• Checks whether the environment understood what he/she said and acts in accordance with that.