Application of the HOAC II: an episode of care for a patient with low back pain.
OBJECTIVE
The HOAC II is a patient management algorithm designed, in part, to provide a conceptual framework for patient management for any type of patient seen by physical therapists. This case report illustrates how the HOAC II can be used in clinical practice.


METHODS
The patient was a 47-year-old woman with low back pain. The report describes the patient's examination, evaluation, diagnosis, prognosis, intervention, and outcomes within the context of the HOAC II.


RESULTS
The patient had measurable improvements in impairments, functional limitation, and disability following an intervention designed to resolve her impairments and functional limitations.


CONCLUSIONS
This case report illustrates how the HOAC II can be used to assist in the management of a patient from admission to discharge. The report also demonstrates how use of a disablement model can add clarity to patient care.
Riddle
Daniel L
DL
Department of Physical Therapy, Medical College of Virginia Campus, Virginia Commonwealth University, Richmond, USA.
Rothstein
Jules M
JM
Echternach
John L
JL
D000203:Activities of Daily Living; D000465:Algorithms; D003661:Decision Support Techniques; D005260:Female; D006040:Goals; D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D010347:Patient Care Planning; D010358:Patient Participation; D010808:Physical Examination / Q000379:methods; D026761:Physical Therapy Specialty / Q000379:methods*; D020127:Recovery of Function; D016896:Treatment Outcome