Flag System

Question 1

What is the purpose of the use of the flags framework?

Answer 1

• System used to assess various factors that may impact a patient’s recovery & qu’iode clinical decision-making
• Classify potential barriers to rehab and recovery
• Based on biopsychosical factors

Question 2

What are the benefits of a direct access to a physical therapist?

Answer 2

• Improve health status
• Increase patient satisfaction
• Impove professionnalisation
• Decrease cost services

Question 3

What are red flags? + E.g

Answer 3

• Highest warning level
• Indicate a pathology needing further medical examination
• Indicate a possible serious health problems -> investigation
  E.g : Infections, fractures, malignancy, compression of SC or Cauda equina

Question 4

How should red flags be communicate?

Answer 4

• Rationale -> Avoid wrong diagionisis/false alarm/worry
• Clear and open
• Body language
• Ensure sufficient time for patient to consider their answers
• Provide reason for the questions

Question 5

What is the use of the IFOMT Framework?

Answer 5

1. Determine your level of concern (from Low to High)
2. Decide on your clinical action (based on 1)
3. Consider the pathway for emergency referral

Question 6

Is an isolated red flags enough to be informative?

Answer 6

NO -> should be a combinations of red flags
Need subjective patients history, physical examination as well to determine the LoC

Question 7

What does yellow flags means?

Answer 7

• Lower warning than red
• Identification of the existence of Risk of chronic inaction
• Have consequences for your own therapy design (e.g. add intervention)
• Does not change in the course of therapy

Question 8

What are the categories covered by yellow flags?

Answer 8

• Perceptions
• Behaviour
• Cognitions
• Emotions
• Beliefs