This section of the website focuses on how a rehabilitation team should analyse a patient’s situation holistically. It is set out in as a series analyses, each concentrated a separate domain within the biopsychosocial model of illness. If you wish to have a graphic of the model open in a new tab, then click here.
This series of pages illustrates some important general points, which will become obvious as you work through the pages. In this example, we are focusing the questioning on a patient’s disabilities:
- when considering any one domain(the patient’s disabilities here), then one needs to work through all the other domains to consider a series of questions.
- is what I observe in this domain (disability) consistent with what I know about the patient in each other domain (e.g. their disease diagnosis)? If not, is the discrepancy explained by factor in another domain? If not, further investigation is required to get a full understanding.
- what factors in this other domain being considered (e.g. the physical context) are adversely affecting disability, making it worse and, most importantly, can these factors be changed to reduce their adverse effect (e.g. widening doorways to allow wheelchair access to the toilet)?
- is the domain being looked at (disability) the cause of or contributing to the situation in another domain? For example a severe (in the patient’s eyes) disability might be causing depression (which in turn will may worsen disability, an example of complexity).
- items in each domain can be influenced by, and may influence items in another domain.
The areas explored are the our clinical, patient-centred domains of the model: