Cognitive-Behavioral and Self-Management Strategies for the Clinician

Abstract

Most clinicians realize that many factors have a large effect on long-term outcome of patients. Patient factors such as age, sex, socioeconomic level, level of education, social support systems, as well as patient’s psychological makeup may drive the long-term outcome more than an injury or musculoskeletal condition, or the intervention by the clinician. We have attempted to identify many of these factors and address some of the information and literature to be able to help clinicians understand the impact these “other factors” have on patient outcomes. In other words, we have stated that it is “not just the x-rays.” In total patient care to address issues that also drive patient outcomes, it is important to take a multiprolonged approach in addition to taking care of yourself to help take care of your patient’s. You need to: (1) prevent and deal with pain; (2) prevent and deal with narcotic abuse; (3) Empower and employ the patient and families; (4) talk about psychiatric and cognitive deficits and problems; (5) refer for appropriate help; and (6) address work and life issues in every patient, every time.