Chiropractors are responsible for the diagnosis, treatment and prevention of disorders related to the neuromusculoskeletal system and the effects of these disorders on general health. They are independent primary health care professionals.
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Geriatrics is a medical specialty mentioned in the EU Directive 2005/36/EC.
- Human physiology
The science that studies the human organs and its interactions and mechanisms.
Neurology is a medical specialty mentioned in the EU Directive 2005/36/EC.
- Manage healthcare staff
The managerial tasks and responsibilities required in a health care setting.
- Musculoskeletal anatomy
The human musculoskeletal system, comprising of the skeleton, muscles, cartilage, tendons, joints and other connective tissue that supports and binds tissues and organs together. The human musculoskeletal system's primary functions, such as supporting the body, allowing motion, and protecting vital organs.
The branch of medicine that deals with the incidence, distribution and control of diseases. The disease aetiology, transmission, outbreak investigation, and comparisons of treatment effects.
- Radiation effects on human body
The way specific body parts are more specifically affected by exposure to different types of radiation sources.
- Orthopaedic conditions
The physiology, pathophysiology, pathology, and natural history of common orthopaedic conditions and injuries.
- Rehabilitation of all organ systems
The principles of physical medicine and rehabilitation of all organ systems as related to physiotherapy.
- Medical informatics
The processes and tools used for the analysis and dissemination of medical data through computerized systems.
The human behaviour and performance with individual differences in ability, personality, interests, learning, and motivation.
The group behaviour and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
- Obstetrics and gynaecology
Obstetrics and gynaecology is a medical specialty mentioned in the EU Directive 2005/36/EC.
Orthopaedics is a medical specialty mentioned in the EU Directive 2005/36/EC.
- General medicine
General medicine is a medical specialty mentioned in the EU Directive 2005/36/EC.
Endocrinology is a medical specialty mentioned in the EU Directive 2005/36/EC.
The manners in which the peripheral and central nervous system responds to tumours, infections or inflammation as well as to immune mediated mechanisms.
Microbiology-Bacteriology is a medical specialty mentioned in the EU Directive 2005/36/EC.
The study of movement and its causes.
The different parts of the nervous system.
- Somatic integrated modalities
The indications, contraindications and modifications of physiotherapeutic modalities and other manual and therapeutic modalities based on various conditions and situations.
The study of human movement, performance and function, the sciences of biomechanics, anatomy, physiology and neuroscience.
The methods and procedures used to help an ill or injured person restore lost skills and regain self-sufficiency and control.
- Human anatomy
The dynamic relationship of human structure and function and the muscosceletal, cardiovascular, respiratory, digestive, endocrine, urinary, reproductive, integumentary and nervous systems; normal and altered anatomy and physiology throughout the human lifespan.
Paediatrics is a medical specialty mentioned in the EU Directive 2005/36/EC.
The medical specialty which is concerned with the study of the nervous system functionalities.
- Biological chemistry
Biological chemistry is a medical specialty mentioned in the EU Directive 2005/36/EC.
The use of mechanical means to understand the function and structure of biological organisms.
- Radiation physics in healthcare
The radiation physics related to conventional radiology, CT, MRI, ultrasound, diagnostic nuclear medicine and their principles such as areas of application, indications, contraindications, limitations and radiation hazards.
- Orthopaedic treatment alternatives
The appropriate available non-operative and operative treatment alternatives for common orthopaedic conditions and injuries, the benefits and limitations of each type of treatment as well as any potential side effects or complications of the treatment.
- Exercise physiology
The effect of exercise on pathology and how the exercise can mitigate or reverse disease progression.
- Evidence-based approach in general practice
The general principles, methods and concepts of scientific research and the fundamentals of statistics in medical care. The scientific background of pathology and theories about the forming of hypotheses and problem-solving.
- First aid
The emergency treatment given to a sick or injured person in the case of circulatory and/or respiratory failure, unconsciousness, wounds, bleeding, shock or poisoning.
- Operate medical imaging equipment
Produce high quality medical images using technologically advanced medical imaging equipment such as CT (computed tomography), MRI (magnetic resonance imaging), mobile X-ray machines, ultrasound (US), nuclear medicine with Positron Emission Tomography (PET) and Single Photon Emission Computed Tomography (SPECT).
- Conduct neurological examination
Obtain a thorough understanding of the neurodevelopmental history of the patient, making a partial neurological assessment by observation in the case of uncooperative patients.
- Collect healthcare user's general data
Collect qualitative and quantitative data related to the healthcare user's anagraphic data and provide support on filling out the present and past history questionnaire and record the measures/tests performed by the practitioner.
- Triage clients
Contribute to the triage process to assign clients to the most appropriate management pathway for their condition, in collaboration with other healthcare practitioners.
- Undertake clinical chiropractic research
Undertake research activities such as research papers, critical reviews, case studies, editorials, expert commentaries and book reviews in order to improve the evidence base for chiropractic and assist chiropractors in the management of their patients.
- Advise on pregnancy
Counsel patients on normal changes occurring in pregnancy, providing advice on nutrition, drug effects and other lifestyle changes.
- Write reports on neurological tests
Provide a written report to the referring doctor for every test taken, interpreting results.
- Apply massage therapy
Apply massage therapy to relieve patient's pain by using various specialised techniques.
- Assist patients with rehabilitation
Assist to develop and restore patient`s body systems, their neuromuscular, musculoskeletal, cardiovascular and respiratory systems, helping them in the rehabilitation process.
- Create solutions to problems
Solve problems which arise in planning, prioritising, organising, directing/facilitating action and evaluating performance. Use systematic processes of collecting, analysing, and synthesising information to evaluate current practice and generate new understandings about practice.
- Follow clinical guidelines
Follow agreed protocols and guidelines in support of healthcare practice which are provided by healthcare institutions, professional associations, or authorities and also scientific organisations.
- Adhere to health well-being and safety
Comply with and apply the main points of health well-being and safety policy and procedures, in accordance with employer's policies. Report health and safety risks that have been identified and follow the appropriate procedures if an accident or injury should occur.
- Deal with emergency care situations
Assess the signs and be well-prepared for a situation that poses an immediate threat to a person's health, security, property or environment.
- Empathise with the healthcare user
Understand the background of clients` and patients’ symptoms, difficulties and behaviour. Be empathetic about their issues; showing respect and reinforcing their autonomy, self-esteem and independence. Demonstrate a concern for their welfare and handle according to the personal boundaries, sensitivities, cultural differences and preferences of the client and patient in mind.
- Apply caseload management
Manage a number of patients within a given amount of time, striving to provide optimum health services.
- Advise on rehabilitation exercises
Educate and advise on rehabilitation exercises to aid long-term recovery, teaching the appropriate techniques to ensure health is maintained.
- Analyse X-ray imagery
Analyse X-ray imagery in order to locate the sources of patients` difficulties and interpret the findings.
- Cover a variety of health conditions
Deal with a wide range of health conditions, intervening in acute, chronic, preventative, palliative and emergency care.
- Educate on the prevention of illness
Offer evidence-based advice on how to avoid ill health, educate and advise individuals and their carers on how to prevent ill health and/or be able to advise how to improve their environment and health conditions. Provide advice on the identification of risks leading to ill health and help to increase the patients' resilience by targeting prevention and early intervention strategies.
- Observe record keeping standards in chiropractics
Ensure good standards of record keeping for all activities relating to patients, and to chiropractic patients specifically.
- Post-process medical images
Perform post-processing on medical images, or develop X-ray films, checking processed images to determine if further care is necessary.
- Comply with quality standards related to healthcare practice
Apply quality standards related to risk management, safety procedures, patients feedback, screening and medical devices in daily practice, as they are recognized by the national professional associations and authorities.
- Contribute to the rehabilitation process
Contribute to the rehabilitation process to enhance activity, functioning and participation using a person-centered and evidence-based approach.
- Promote health in specialised care
Identify health promotion and education needs for patients within the field of specialisation and develop and implement strategies as appropriate.
- Have good bedside manner
Make patients feel comfortable and speak to them in a pleasant tone.
- Measure effectiveness of the service provided
Use a problem-solving approach to develop and measure recommendations for improving the quality of professional practice in increasingly unpredictable contexts, contributing to change and development within the profession or service at a local, regional or national level.
- Formulate a treatment plan
Formulate a treatment plan and evaluation analysis based on collected data following assessment using a clinical reasoning process.
- Advise patients on health and lifestyle issues
Advise patients on issues related to health and lifestyle, such as exercise, nutrition, and sleep habits.
- Apply supports for spinal adjustment
Apply supports such as braces, straps, tapes, bandages and shoe inserts in order to treat and relieve the patient`s pain.
- Accept own accountability
Accept accountability for one`s own professional activities and recognise the limits of one`s own scope of practice and competencies.
- Manage clinical risk
Improve the quality and safe delivery of healthcare, placing special emphasis on identifying those circumstances that place clients, their families and carers, staff, students and others at risk of harm and act to prevent or control those risks.
- Develop therapeutic relationships
Maintain the individual therapeutic relationship to engage the individual's innate healing capacities, to achieve active collaboration in the health education and healing process and to maximise the potential of healthy change.
- Refer healthcare users
Make referrals to other professionals, based on the healthcare user's requirements and needs, especially when recognising that additional healthcare diagnostics or interventions are required.
- Conduct chiropractic examination
Undertake chiropractic assessment, incorporating data collected physical examinations, process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation, chirorpactic examination and information derived from other relevant sources.
- Manage acute pain
Handle patients with acute pain and ease their pain accordingly.
- Prepare patients for surgery
Assign patients to the best treatment area for their condition, according to priority for surgery.
- Perform clinical neurophysiological examinations
Perform clinical neurophysiological examinations, an extension of a neurologic consultation, which can verify or exclude a clinical suspicion, but also give precise definition of site, type and degree of the lesion and reveal abnormalities that are clinically uncertain, silent or unsuspected.
- Promote inclusion
Promote inclusion in health care and social services and respect diversity of beliefs, culture, values and preferences, keeping in mind the importance of equality and diversity issues.
- Develop plans related to client discharge
Organise discharge planning, when applicable, across a range of healthcare settings, communicating effectively and ensuring that the client and carers are involved in the decision making process.
- Provide information on chiropractic treatment outcomes
Provide information on therapeutic outcomes and any inherent risks to the client, ensuring that the client understands, and acting in accordance with ethical principles and local/national policies where the client does not have the capacity to understand.
- Conduct physical examinations
Conduct physical examination of healthcare users, looking for signs of dysfunction and sub-optimal function and analysing the patient`s systems, posture, spine and reflexes.
- Develop plans related to the transfer of care
Organise transfer of care, when applicable, across a range of healthcare settings, communicating effectively and ensuring that the patient/client and carers are involved in the decision making process.
- Comply with legislation related to health care
Comply with the regional and national legislation that is relevant to one`s work and apply it in practice.
- Provide health education
Provide evidence based strategies to promote healthy living, disease prevention and management.
- Apply health sciences
Apply a broad range of bio-medical, psycho-social, organisational, educational, and societal aspects of health, disease, and healthcare to improve healthcare services and to improve quality of life.
- Apply specific manual chiropractic techniques
Strive to decrease pain caused by neuro-muscular system dysfunction by using specific muscle tissue and joints adjustment and/or general manipulation/mobilisation.
- Motivate patiens
Encourage the patient's motivation to change and promote the belief that therapy can help, using techniques and treatment engagement procedures for this purpose.
- Advocate health
Advocate for health promotion, well-being and disease or injury prevention on behalf of clients and the profession to enhance community, public and population health.
- Contribute to quality physiotherapy services
Participate in activities that promote quality, particularly in the acquisition and evaluation of equipment, resources, safe storage and supply management.
- Prescribe treatments related to surgical procedures
Prescribe treatment before and after the surgery, such as sedatives, diets, antibiotics, and preparation and treatment of the patient`s operative area.
- Record healthcare users' progress related to treatment
Record the healthcare user's progress in response to treatment by observing, listening and measuring outcomes.
- Maintain treatment records
Keep accurate records and file reports related to the prescribed treatment or medication.
- Adhere to organisational code of ethics
Adhere to organisational European and regional specific standards and code of ethics, understanding the motives of the organisation and the common agreements and apply this awareness.
- Advise on healthcare users' informed consent
Ensure patients/clients are fully informed about the risks and benefits of proposed treatments so they can give informed consent, engaging patients/clients in the process of their care and treatment.
- Manage chiropractic staff
Recruit, train and manage chiropractic staff within the unit and care team, ensuring clinically effective service to all patients referred to the unit.
- Interact with healthcare users
Communicate with clients and their carer’s, with the patient’s permission, to keep them informed about the clients’ and patients’ progress and safeguarding confidentiality.
- Develop chiropractic treatment plans
Develop new chiropractic treatment plan and review the existing components such as chiropractic manual therapy, manual therapy of soft tissue and other tissue, therapeutic range of motion, therapeutic rehabilitative exercise and the application of technological equipment (ultrasound, traction, electrical and light modalities).
- Assess referred healthcare users
Assess healthcare users admitted under other medical specialties.
- Educate on preventing injuries
Educate and advise patients and their caregivers about how to prevent injuries and conditions and improve existing conditions.
- Work in a multicultural environment in health care
Interact, relate and communicate with individuals from a variety of different cultures, when working in a healthcare environment.
- Ensure safety of healthcare users
Make sure that healthcare users are being treated professionally, effectively and safe from harm, adapting techniques and procedures according to the person's needs, abilities or the prevailing conditions.
- Apply business acumen
Take appropriate actions in a business environment in order to maximise possible outcome from each situation.
- Assess chiropractic intervention
Assess chiropractic interventions based on re-evaluation of the client`s response to treatment.
- Ensure proper appointment administration
Set up a proper procedure to manage appointments, including policies related to cancellation and nonappearance.
- Provide stabilisation care in emergency
Provide comprehensive, immediate, and stabilising care in an emergency situation, such as cardiovascular and respiratory emergencies, poisonings and disasters, independent of the location of the emergency, using techniques such as cardiopulmonary resuscitation, first aid treatment of polytrauma and traumatic injury, and disaster medicine.
- Listen actively
Give attention to what other people say, patiently understand points being made, asking questions as appropriate, and not interrupting at inappropriate times; able to listen carefully the needs of customers, clients, passengers, service users or others, and provide solutions accordingly.
- Provide neuromusculoskeletal therapy
Provide neuromusculoskeletal therapy and care, which involves adjusting a patient`s spinal column and other joints, principally by hand.
- Manage infection control in the facility
Implement a set of measures to prevent and control infections, formulating and establishing health and safety procedures and policies.
- Provide medication information
Provide patients with information about their medication, possible side effects, and contra-indications.
- Inform policy makers on health-related challenges
Provide useful information related to health care professions to ensure policy decisions are made in the benefit of communities.
- Maintain chiropractic equipment
Maintain the chiropractic professional equipment, supplied and professional spaces in the unit/office, making sure that it is kept in good working condition to support chiropractic services and maintained regularly as required by national legislative regulations.
- Monitor patients' progress related to treatment
Observe and report on healthcare users' response to medical treatment, monitoring their progress or decay on a daily basis and modifying the treatment procedures whenever necessary.
- Promote health and safety policies in health services
Promote adherence to local, regional, national and EU Health and Safety legislation, policies, guidelines and protocols.
- Apply person-centred care
Treat individuals as partners in planning, developing and assessing care, to make sure it is appropriate for their needs. Put them and their caregivers at the heart of all decisions.
- Adhere to organisational guidelines
Adhere to organisational or department specific standards and guidelines. Understand the motives of the organisation and the common agreements and act accordingly.
- Address public health issues
Promote healthy practices and behaviours to ensure that populations stay healthy.
- Undertake healthcare examination
Assess the healthcare user's physical state, taking detailed information on previous injuries, surgery, general health, resources and lifestyle into account.
- Interpret medical results
Interpret, integrate and apply results of diagnostic imaging, laboratory tests and other investigations as part of the assessment of the client, in consultation with other healthcare practitioners.
- Follow-up after patients' surgery
Follow-up after patients` surgery evaluating the needs for a faster recovery.
- Manage chiropractic professional equipment
Make sure that the chiropractic professional equipment in the unit/office is kept in good working condition and is maintained regularly as required by national legislative regulation.
- Diagnose musculoskeletal conditions
Identify the patient`s orthopaedic injuries such as fractures, dislocations, torn ligaments, sprains, and strains, tendon injuries, pulled muscles, ruptured disks, sciatica, low back pain, and scoliosis, arthritis and osteoporosis, bone tumours, muscular dystrophy and cerebral palsy, club foot and unequal leg length, abnormalities of the fingers and toes and growth abnormalities.
- Manage staff
Manage employees and subordinates, working in a team or individually, to maximise their performance and contribution. Schedule their work and activities, give instructions, motivate and direct the workers to meet the company objectives. Monitor and measure how an employee undertakes their responsibilities and how well these activities are executed. Identify areas for improvement and make suggestions to achieve this. Lead a group of people to help them achieve goals and maintain an effective working relationship among staff.
- Use different communication channels
Make use of various types of communication channels such as verbal, handwritten, digital and telephonic communication with the purpose of constructing and sharing ideas or information.
- Prescribe healthcare products
Prescribe healthcare products, when indicated, for therapeutic effectiveness, appropriate to the client`s needs and in accordance with evidence-based practice, national and practice protocols and within scope of practice.
- Apply context specific clinical competences
Apply professional and evidence based assessment, goal setting, delivery of intervention and evaluation of clients, taking into account the developmental and contextual history of the clients, within one`s own scope of practice.
- Apply organisational techniques
Employ a set of organisational techniques and procedures which facilitate the achievement of the goals set. Use these resources efficiently and sustainably, and show flexibility when required.
- Interpret medical images
Analyse medical images in order to diagnose illnesses and injuries.
- Manage healthcare users' data
Keep accurate client records which also satisfy legal and professional standards and ethical obligations in order to facilitate client management, ensuring that all clients' data (including verbal, written and electronic) are treated confidentially.
- Provide learning support in healthcare
Provide the necessary support to facilitate learning for clients, carers, students, peers, support workers and other healthcare practitioners by assessing the learner`s development needs and preferences, designing agreed formal and informal outcomes of learning and delivering materials that facilitate learning and development.
- Perform orthopaedic examinations
Perform, interpret and report the findings of orthopaedic physical examination, examining the shoulder, elbow, wrist and hand, spine, pelvis and hip, knee, foot, and ankle.
- Supervise chiropractic students
Supervise chiropractic students in the workplace and share own expertise with them; train them so that they can perform well in the workplace.
- Perform chiropractic examinations
Perform, interpret and report the findings of chiropractic physical examinations, possibly involving an examination of the patient's spine and posture, and where relevant finding the source of discomfort or pain.
- Use e-health and mobile health technologies
Use mobile health technologies and e-health (online applications and services) in order to enhance the provided healthcare.
- Prescribe treatment for musculoskeletal injuries
Prescribe non-invasive procedures for injuries, immobilising fractured bones with the use of braces, splints, and casts and recommending therapeutic exercises, medication and nutritional supplements.
- Respond to changing situations in health care
Cope with pressure and respond appropriately and in time to unexpected and rapidly changing situations in healthcare.
- Provide treatment strategies for challenges to human health
Identify possible treatment protocols for the challenges to human health within a given community in cases such as infectious diseases of high consequences at the global level.
- Interpret findings from medical examinations
Interpret the findings from a patient`s history, clinical examination, radiographic examination, and other diagnostic tests and procedures.
- Provide chiropractic diagnosis
Provide a proper working diagnosis/differential diagnosis and a proper inter-disciplinary or chiropractic treatment/management plan by performing a proper interview, working with patients to identify physical problems and difficulties resulting from illness, injury, disability or aging and by performing a proper/specific physical, neurological and orthopedic examination.
- Develop a collaborative therapeutic relationship
Develop a mutually collaborative therapeutic relationship during treatment, fostering and gaining healthcare users' trust and cooperation.
- Communicate effectively in healthcare
Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.
- Provide leadership
Lead and influence others to promote and contribute to policy development, advocacy, extending the boundaries and strategy at various levels.
- Contribute to continuity of health care
Contribute to the delivery of coordinated and continuous healthcare.
- Work in multidisciplinary health teams
Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.
Optional knowledge and skillsprocess medical insurance claims use functional neuroimaging employ cognitive behaviour treatment techniques treat neurological disorders therapeutic massage employ foreign languages for health-related research interpret evoked potentials records pharmacology employ foreign languages in care obtain healthcare user's medical status information interpret electroencephalograms apply acupuncture record healthcare users' billing information conduct health related research neuropharmacology
Source: Sisyphus ODB