3. Outcome

(With Small Wins)

• Pain is only an impairment and reduced pain is NOT the goal
• Reduced pain is simply the result of changing habits and small wins
• Our speech, treatment, and actions should reflect this

Paradigm Shift:

“What activity have you improved in recently?”

Focus on activity instead of pain.

Asking a guest about their level of pain, or if they’re “feeling better” focuses the guest’s attention to pain relief as a measure of their progress.

Asking instead about their real-world experience with active improvements in their day-to-day lives makes treatment activity-focused.

What are some small wins that show the patient is progressing?

• Habit of “Brushing your muscles” daily
• Using lumbar roll to improve posture
• Using proper body mechanics for lifting
• Getting out of bed with proper form
• Talking a short walk in the evening
• Being able to walk up and down stairs

These small wins should be recorded in “goals” section of patient note