Case: Eva-May          

First Visit - Patient Counselling - Psychosocial evaluation

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Patient education Exercise Bed rest Work modification Psychosocial evaluation No counselling

May be an appropriate topic to discuss with Eva-May as she has 4 Pink Flags and is having personal problems which appear to be of great concern. She may also be concerned about the financial aspects of her absence from work and her daughter's social problems may also be stressful. Be alert for illness behaviour that may indicate possible poor prognosis. Reassure her that you have found no serious underlying conditions. Encourage her to return to normal activities and take responsibility for the management of her LBP.