The SOAPIER model in podiatric musculoskeletal assessment and management - a three part series: Part 2

Cowley, Emma and Lepesis, Vasileios (2018) The SOAPIER model in podiatric musculoskeletal assessment and management - a three part series: Part 2. Podiatry Now, 21 (9), 8.

Record type: Article

Abstract

In the first part of this three-part series the SOAPIER (Subjective; Objective; Analysis; Plan; Intervention; Evaluation; Re-assessment) tool was introduced, and the subjective assessment highlighted as critical in enabling the identification of clinical and biopsychosocial flags that could affect care planning and success. Here we move on to consider another part of the subjective assessment as we focus on populating a patient’s ‘SIN factor’ for the primary complaint, i.e. ‘Severity, Irritability and Nature’ of the problem. This will inform how the objective assessment should be performed to fulfil a hypothetico-deductive approach, with sensitive and specific tests being selected and undertaken. As a result, truer positive/negative results are obtained to help the podiatrist arrive at a clinical impression or ‘working diagnosis’. This article explores the use of the SIN factor and discusses the components of pain models frequently applied in physiotherapy, where there may be pain typical of a particular source, or where several sources of pain are contributing to the patient’s primary complaint.

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