Onglet 1
ASSIE BOUEL
Rufine Miranda
-Tek25-10912
WElCOMING CONVERSATION BETWEEN A PATIENT AND A PHYSIOTHERAPIST
MODLING ( demonstrate the model)
meeting between a patient and physiotherapist
Physiotherapist: Good morning /Good [Link] to the clinic. My name is Mm ASSIE BOUEL rufine
Miranda i am your physiotherapist.
And you are?
Patient : Good morning, my name is John
Physiotherapist : nice to meet toi,John. What brings you here today?
Patient : I have pain in my lower back.
Physiotherapist : I see since when have you had the pain?
Patient : for three days.
Physiotherapist : On a scale from 0 to 10, how string is the pain?
Patient : About 7 .
Physiotherapist : Did it start after an accident, a fall, or a heavy activité?
Patient : Yes, after lifting something heavy.
Physiotherapist : Thank you for the information
.I will examine you now and then explain the treatment
2- WELCOME SPEECH
Good morning
My name is ASSIE BOUEL, I am your physiotherapist today. Please make yourself comfortable.
This is à safe respectifs and confidential space where we will Word together for your recovery.
Before we begin,I would like to reassure you that everything you share with me will remain
confidential ,and we will move forward at your pace . My role is to help you reduce pain ,improve your
mobility ,and regain your independence.
First I will ask you a few questions to better understand your condition,then I will carry out a shart
assessment . After that,we will decide together on the best treatment plan for you.
Please feel free to tell me if anything feels uncomfortable,painful or worrying.
Your feedback is very important to me.
So, could you please tell me what brings you here today?
3- WElCOMING AND HISTORY TAKING
IN PHYSIOTHERAPY
1-MODELING (teacher demonstrate)
Physiotherapist : Good morning/ Good afternoon
Welcome to the physiotherapist unit.
My name is ASSIE BOUEL, I am the physiotherapist on duty today.
Please have a Seat.
Patient : Good [Link] you
Physiotherapist : Before we start,I would like to reassure you that everything you tell me will remain
confidential.
Do you have your medical card or the referral letter from the doctorat?
Patient : Yes here it is
Physiotherapist : Thank you very much. Si,could you please tell me what brings you here today ?
Patient :I have had pain in my lower back for some time.
Physiotherapist : I see. How long exactly have you had this pain?
Patient : About ane month
Physiotherapist : Is the pain constant,or does it appear mainly when you are working,walking for a
long time ,or carrying a heavy load ?
Patient : mainly when I lorry heavy loads at work.
Physiotherapist : On a scale from 0 to 10, where 0 means no pain and 10 means the worst pain.
Possible, how would you rate you pain ?
Patient : About 8
Physiotherapist : Have you already consulted another health facility for this problem?
Patient : Yes , I went to the health centre and they sent me here.
Physiotherapist : very Good ,are you currently taking ay medication ?
Patient : Yes, painkillers.
Physiotherapist : Does this pain prevent you from working normally or doing your daily activities at
home?
Patient : Yes, i find it difficult to stand for a long time
Physiotherapist : Thank you very much for this information. It will help us to take good care of you .
2- GUIDED PRACTICE (
Question
-Do you have a referral letter from the doctor?
-What kind of work do you do?
-Does your pain get worse when you carry heavy loads ?
-Are you currently taking any treatment?
-Does this problem affect your daily life or politeness ,and clarity .
Onglet 2
4- DIAGNOSTIC CONVERSATION
IN PHYSIOTHERAPY
1- dialogue physiotherapist (pt) and patient (p)
Physiotherapist : Good morning/ Good afternoon .
Now that we have talked about your pain, I will perform a short assessment to better
understand your problem . Is that okay ?
Patient : Yes that's fine .
Physiotherapist : very well first , I will observe your posture . Please stand near the
examination table.
Patient : Like this?
Physiotherapist : yes, perfect.I notice that your pelvis is slightly tilted forward . Does this
position cause you pain ?
Patient : Yes, it pulls à little in my lower back.
Physiotherapist : Thank you. Now, bend forward slowly and tell me if you feel any pain.
Patient : Yes it pulls à lot here
Physiotherapist : very Good. Next, I will test the mobility of you spine .turn slowly to the right
…then to the left
Patient : To the left, it hurts more.
Physiotherapist : Okay, I note that .Now I will gently palpate the painful area.
Please tell me if it is tender
Patient : Yes, it is tender here
Physiotherapist : Thank you, I can feel significant tension in your lower back muscles. This
explains part of your pain.
Patient : I understand.
Physiotherapist : In summary ; you have limited mobility and muscle tightness in your lower
back. We will word on mobility and muscle relaxation while considering your daily activities
and physical work.
Patient : very well , Thank you.
5- PHYSIOTHERAPY TREATMENT
CONVERSATION
1- MODELING
a- model dialogue : physiotherapist (pt) patient ( p)
Physiotherapist : Good morning / Good afternoon
Now that we have finished your assessment,we will start your treatment is that okay ?
Patient : Yes, that's fine.
Physiotherapist : very well. We will begin with gentle mobilization exercices for your lower
back. If at any time you feel strong pain. Stop immediately and let me khon.
Patient :Okay
Physiotherapist : I will show you the first exercice .lie on your back ,bend your knees
slightly,and slowly bring them toward tout chest . Move slowly and breathe deeply.
Patient : Like this ?
Physiotherapist : Yes , perfect. Very Good we will do 5 répétition.
( After répétition)
Physiotherapist : Now we will do a small strengthening exercices for your lower back
[Link] on your stomach, arms along your body , and gently lift your chest off the floor.
Do not puch too hard ,go slowly
Patient : It pulls a little
Physiotherapist : that is normal. But if the pain become strong,stop. Very Good. Now ,rest
Physiotherapist :finally, we will stretch your lower back and leg muscles. I will guide you
corefully to avoid injury
Patient : Akay, Thank you
Physiotherapist : excellent. We will repeat this treatment 2 to 3 time per week. And I will
show you some simple exercices to do at homeb. You Can also note If any movement
causes pain so we can adjust your program.
Patient : very well, Thank you very much
6- PHYSIOTHERAPY FOLLOW-UP
CONVERSATION-LOWER BACK PAIN
1- STATED OBJECTIVE TO THE PATIENT
Today , our objective is to assess the progress of your lower back pain,correct your exercice
if necessary, and teach you how to prevent the pain from returning.
1-a- welcome and goal reminder
Physiotherapist : Good morning sir, welcome .
How are you today ?
Patient : Good morning, I'm abit better, Thank you
Physiotherapist : very Good. Today de are doing the follow-up of your lower back pain to see
if the treatment is working and if we need to adjust it. Is that okay ?
2-z ÉVALUATION OF PROGRESS
Physiotherapist : since the last session, has the pain decreased, increased or stayed the
same?
Patient : it has decreased a little.
But i still feel pain when i bend forward.
Physiotherapist : On a scale from 0 to 10,how would you rate your pain today ?
Patient :maybe 4 out of 10. Before it was 7
Physiotherapist : that is Good improvement .Did you do the exercises at home as instructed?
Patient : Yes, almost every day.
3- EXERCICES CHECK
Physiotherapist : please show me how you do the back stretching exercice.
(The patient demonstrate the exercises)
Physiotherapist :very Good,but keep your back a bit straighter ans breathe slowly. That
helps avoid overloading the muscles.
4- EXPLANATION + DEMONSTRATION
Physiotherapist :I will remind you why these exercices are important ; they relax the lower
back muscles,they improve blood circulation,and they prevent stiffness from coming back
Now watch me carefully . I will show you the correct movement step by step
( The therpist demonstrate slowly)
Physiotherapist :you see ? First you breathe in,then you bend forward gently, hold for 10
seconds and then come back up slowly.
5- PREVENTION AND ADVICE
Physiotherapist : Avoid carrying heavy loads like market bags or water containers by
bending your back without bending your kness.
When you lift someting bend your kness, keep your back straight, and hold the object close
to your body.
Patient : Okey, I will be careful, especially at the market.
6-CKECKING UNDERSTANDING
Physiotherapist :Can you tell me why it is important to do the exercise every day?
Patient :To relax the muscle, prevent the pain from coming back,and strengthen m'y back.
Physiotherapist :very Good,you understood well.
7- CONCLUSION
Physiotherapist : we will continue the same program for one more week.
If the pain increases or if you feel tingling in your legs , come back earlier.
Patient : Thank you very much.
Physiotherapist : you're [Link] you at the next session.
8- PHYSIOTHERAPY SUPPORT
SESSION LOWER BACK PAIN
1- OBJECTIF FOR THE PATIENT (to be announced by the strudent)
Today,our gaol is to support you,
Hlep you continue your treatment,and show to stay motivated to improve your condition.
1-a- WELCOMING PATIENT
Physiotherapist : Good morning, welcome.
How are you feeling today ?
Patient : I feel a bit discouraged; recovery is show.
Physiotherapist:I [Link] this way is normal. You have already made a lot of
effort ,and that is very Good.
2- REASSURANCE AND NORMALIZATION
Physiotherapist : Recevery in physiotherapy can take time, especially if you muscles are
very tense or [Link] not mean the treatment isn't working.
Patient : okay, that reassure me
3- HIGHLIGHTING PTOGRESS
Physiotherapist : Let's look at your progress [Link] time. Your pain was 7/10, today it
is 4/10. You are also moving more easily.
4-MOTIVATION + EXPLANATION
Physiotherapist :it is important to continue because ;
-each exercise strengthens you muscles
-reduces pain gradually
-moves you closer to independence.
Every small improvement counts.
5- PRACTICAL STARLEGIES FOR SUPPORT
Physiotherapist :To help you stay consistent;
-Do your exercices at the same time every day
-Pair then a daily habit( After prayer, After reading the news , After meals)
-trach your progression in a small notebook
Patient : Yes, I can try that
6- CHECKING PATIENT UNDERSTANDING
Physiotherapist :can you tell me why it is important to continue even if recovery is slow?
Patient : Because Zach exercises, strengthens my muscles and helps me health gradually
Physiotherapist : Exactly
7- ENCOURAGING CONCLUSION
Physiotherapist : you are on the right [Link] going ; you are not alone. We are
progressing together. See you next week
Patient : Thank you very much,I feel more motivation now
Physiotherapist : My pleasur ,keep up the courage.