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Low Back Pain Care Pathway

Date of last update: November, 2024

1. Record Keeping

  • Purpose: Documentation accurately reflects patient interactions and progress over time.

  • Structure:

  • Subjective: Document patient-reported health-related information, symptoms/concerns, and treatment responses.

  • Objective: Record measurable findings (physical exam results, diagnostic tests, observed changes).

  • Assessment: Provide clinical interpretation, diagnostic confirmation or revision, note progression.

  • Plan: Detail treatment strategy, modifications, advice/self-management recommendations, referrals, and follow-up plans.

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