LabDx

9/22/99

 

Treatment

• Prognosis—the possible outcome w/ or w/o treatment
• Prevention—risk factors reduced

§         1°--prevention of risk factors ever taking over (keep it from establishing) (these are reversible risk factors)

§         2°--risk factors become established, manage these factors

§         3°--risk factors have been around so long that pathophysiology has set in—rehab is a form of this

§         Pt compliance (adherence)

·        Understand the problem

·        Have to see that adherence will help the problem

·        Understand that not following will make the problem worse

§         Education for the doctor and pt

• Rehabilitation

§         Like after a heart attack—change diet, exercise, etc.

§         Goals of Treatment

§         Functional improvement

§         Clock for treatment

·        Have no response after so long

·        Go through the circle again and modify the treatment

·        Try to get more information

·        4 wks out w/no change may lead to advanced imaging

§         Chronic instability

·        Go up and down cycling

§         Consultation routes

·        Chiropractic

·        Allopathic/hospitalization

·        pyschological