Clinicians using the FOTO system for individual patients expect positive change in function. What do you do if a status score indicates a negative change in function? During my first visit with patients I share my expectation of a positive sloping line. What do I do when the status indicates a negative sloping line?
Sometimes the rehabilitation journey feels like an old pasture fence. Want to know how I handle negative change?
The first question I ask myself: does this negative change in score surprise me?
If it doesn't surprise me, I don't worry too much because I was already anticipating a poorer score. This may be due to a variety of reasons:
If the negative change in score does surprise me, my red alert antlers begin buzzing.
Why does the score indicate a worsening when I had anticipated an improved score?
Stay tuned for how I clinically address the negative change in function.
Until next time,