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physio-initial-assessment

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Structure a physiotherapy initial assessment so the subjective drives the objective and the plan follows from both — the history that localises the problem, the red and yellow flags screened deliberately, and goals set in the patient's own terms. Use when asked to structure a physio initial assessment, write an assessment template, document a first appointment, or improve subjective examination. Produces the subjective structure, the flag screen, the objective examination plan, the working hypothesis with competing explanations, and patient-centred goals. A documentation framework for a licensed clinician.

plugins/pm-physio/skills/physio-initial-assessment/SKILL.md

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# Physiotherapy Initial Assessment

A weak subjective produces an objective examination that tests everything and localises nothing. The assessment that works spends its time in the history — what the patient can no longer do, what changes the symptoms, and what they are afraid of — and then examines to confirm or refute a hypothesis rather than to fill in a form. This structures that sequence, and makes the flag screening deliberate rather than incidental.

## What This Skill Produces

- **A structured subjective** — history, behaviour of symptoms, aggravating and easing factors, and the 24-hour pattern
- **A deliberate flag screen** — red flags checked and recorded as checked, and yellow flags identified rather than noticed in passing
- **A targeted objective plan** — the tests that would confirm or refute the working hypothesis, rather than a standard battery
- **The working hypothesis, with competitors** — what you think it is, and what else would explain the same picture
- **Patient-centred goals** — in the patient's own functional terms, measurable, with a timeframe
- **The reassessment markers** — the specific findings that will tell you whether treatment is working

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