In this blog (and linked article), physiotherapist Matt Low explains how he uses patient narratives, mind-maps and the vector model of causation to help his patients. The result is a person-centered approach that emphasises causal complexity, individual context and the idea that at least some of the causes of pain can be counteracted and thus controlled by the patient. Matt is a collaborator of CauseHealth and this is his second article describing his unique approach to chronic pain.
I was fortunate enough to have been invited by Physio First to contribute to their journal ‘In Touch’ and I chose to write about managing complexity with the different types of ‘evidence’ that we deal with in a healthcare setting.
This is an area of interest for me and I still grapple with many areas of clinical practice. These include balancing the normative and narrative examination, evaluating and weighting the evidence appropriately for the person seeking care in front of me and also reconciling and communicating the reasoning process within a person centred framework. Clearly, this is work in progress and I hope this reflective piece demonstrates a movement in this direction.
I hope this paper is informative and useful in that it shares some of my deliberations, thoughts and perspectives in clinical care.
Many thanks to Physio First http://www.physiofirst.org.uk/ for giving me the opportunity to share this.
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Causality, Complexity and Evidence in Health Sciences 