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Clinical Score

Applying a “Clinical Pain Score” to Your Business

Since 1910 the physical examination has been the mainstay of industrial physicians in determining an employee’s fitness for work.  With the advancement of technology and imaging techniques, clinicians could start to view anatomy and pathology as never before. And there may have been temptation to focus on the “hard” evidence of abnormality provided from imaging techniques with less emphasis being focused on the classic clinical signs.

However the advent of improved imaging techniques actually served to emphasis the importance of the physical examination because not all radiographic abnormalities are associated with symptoms, emphasising the need to further refine the quality of information derived from the physical examination.

Consider the accounts and financials reports coming from your business like the radiographs….

…..whilst they provide information we know can’t base our diagnosis and treatment plan on them alone as they are not reliable diagnostic tools on their own!  They just from part of the story.

In clinical practice we have available and may use pain scoring tools to objectively measure patients pain behaviours and help with classification.

So let’s keep this simple?  Remember Likert scales?  Whether you use them currently or not I am sure you know what it is.  Likert scales are a tool which enables clients to score their pain numerically according to how much they agree with a statement.

And you can use it as simple starting place to assessing your business health and you quickly identify

  • where you want to be
  • where you are now
  • where your greatest pain lies
  • what you some of the steps are you need to take to move towards your goal

If we consider the skeleton of a business there are 7 departments or organs which make up the anatomy and form the structure from which everything hangs and evolves.

Take each of the 6 coloured departments in turn and define on the outside of the circle what perfection looks like…where you would like to be.  Now score each on a scale on 0-10 where you feel you currently are.

What are the steps or actions that need to take place to start moving towards number 10?

What or who do you need to help you complete these tasks and when will they be done by?

It can feel very overwhelming looking at this so just start with your greatest pain point, which is usually that which has the lowest score and see if you can identify what you need to do just to nudge it forwards 1 point.

Do exactly the same for white space which is for you, for your reason why and your purpose…. where are you at… what needs to happen to nudge it forwards?

At the end of this task you will have some objectives and tasks you and your team can complete to being your business rehabilitation programme 🙂

References: A New Approach to the Low-Back Physical Examination. Behavioural Assessment of Mechanical Signs. Kevin F. Spratt, PhD. SPINE, 15(2), 96:102, 1990

Kate Markland

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