Screening for clinical depression is completed with the Patient Health Questionnaire-2 (PHQ-2)Over the past 2 weeks, how often have you been bothered by any of the following problems?

Psychosocial flags enable us to work from a biopsychosocial model and give a framework for assessment and planning. Psychosocial factors determine outcomes such as activity levels and participation and work, but appear to be less relevant to the reporting of symptoms. These red flag symptoms would alert the clinician to immediately refer the patient back to the referring physician. Der Untersucher soll sein Augenmerk insbesondere bei Patienten … The cutoff score for screening purposes is 3. The first catalogue of red flags for back pain appeared in the literature in the early 1980s and since then numerous lists have been compiled. Useful questions (from Tackling MSDs, Kendall & Burton 2009) include: Carsten Oliver Schmidt , T. Kohlmann, M. Pfingsten, G. Lindena, U. Marnitz, K. Pfeifer, J. F. Chenot. The term ‘red flag’ was originally associated with back pain. The literature recommends an early intervention and stepped approach to common health problems. Some common examples include: Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Blue flags can include: New York, NY: Kluwer Academic/Plenum; 2005:387–404.Main CJ, Sullivan MJ, Watson PJ. Domholdt,E. Whether an informal visit or a more structured one for ergonomic assessment, a wealth of information can be gathered when you are familiar with the flags system and what to look out for. The Patient Health Questionnaire-2: validity of a two-item depression screener. 2007; 15(1): 42–49.Nicholas MK1, Linton SJ, Watson PJ, Main CJ; "Decade of the Flags" Working Group. If the individual scores >3, continue with the PHQ-9 for further assessment of depression. In the case of musculoskeletal disorders, physiotherapists are highly trained to identify or rule out red flags. Pain Management: Practical Applications of the Biopsychosocial Perspective in Clinical and Occupational Settings. Red flags were designed for use in acute low back pain, but the underlying concept can be applied more broadly in the search for serious underlying pathology in any pain presentation. Boissonnault,W.
If the methods above have confirmed the presence of flags, then the structured interview is the next step in getting more information about particular issues and flags. Dr Pipin Singh explores the red flag symptoms of delirium identifies possible causes and discusses ass… Early patient screening and intervention to address individual level Occupational Factors (“Blue Flags”) in Back Disability. Published online 12/12/08. Often company policies can take two forms: either there is no policy or inadequate policy surrounding sickness absence management and return to work, or there is rigid management of absence within a disciplinary policy system that does not allow sufficient flexibility to deal with genuine injury and illness rehabilitation needs. In most cases Physiopedia articles are a secondary source and so should not be used as references. So how do we go about assessing for psychosocial flags? Kroenke K, Spitzer RL, Williams JB. Wellington, New Zealand: Accident Rehabilitation and Compensation Insurance Corporation of New Zealand and the National Health Committee; 1997.Leerar,P. Med Care. Blue flags can be considered in terms of the employee and the workplace. If suspected, t… 1173185Main CJ, Phillips CJ, Watson PJ.

In: Schultz IZ, Gatchel RJ, eds.

Obstacles that can be classed as yellow flags include many aspects of thoughts, feelings and behaviours.
These flags are not a diagnosis or a symptom, but an indication that someone may not recover as expected, and may need additional support to return to work. J Occ Rehab. Secondary prevention in health-care and occupational settings in musculoskeletal conditions focusing on low back pain. Handbook of Complex Occupational Disability Claims: Early Risk Identification, Intervention and Prevention. The employee often has fears and misconceptions about work and health based on their own previous experiences or those of others in the company they work for, or stories from the neighbours. Risk identification and screening. It should be remembered, however, that questionnaires are just one part of the overall assessment process and should be used alongside other methods. Documentation of Red Flags by Physical Therapists for Patients with Low Back Pain.J Man Manip Ther. Of the way the employee behaves, interacts with others, and talks about their condition and work. Rheumatology and geriatric medicine.

Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article).If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement.Flags can be split into two distinct categories: clinical flags and psychosocial flags.

© Physiopedia 2020 | Physiopedia is a registered charity in the UK, no. LLC 2008.I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. Felipe Ribeiro Cabral Fagundes , Leonardo Oliveira Pena Costa, Fernanda Ferreira Fuhro, Ana Carolina Tacollini Manzoni, Naiane Teixeira Bastos de Oliveira, Cristina Maria Nunes Cabral. Red Flags-Red flags are clinical indicators of possible serious underlying pathology requiring further urgent medical intervention. Red Flags.

Felipe Ribeiro Cabral Fagundes , Leonardo Oliveira Pena Costa, Fernanda Ferreira Fuhro, Ana Carolina Tacollini Manzoni, Naiane Teixeira Bastos de Oliveira, Cristina Maria Nunes Cabral. The opening lecture of the day highlighted that red flags are a helpful concept, but can often have limited practical value. Unter dem Begriff "red flags" versteht man Warnzeichen, welche auf eine ernstzunehmende Erkrankung eines Patienten hindeuten, welche eine sofortige ärztliche Untersuchung erforderlich machen. Springer Science & Business Media. Roddey,T.