Dorn Therapy documentation
In the framework of the Dorn Method the question of quality assurance is always raised.
One part of this question concerns the documentation of the treatment, and as such the reproducibility of Dorn Therapy. To address this question of quality assurance a shared language must first be found. Which structures and which surfaces are assessed and subsequently treated? An equivalent language and vocabulary can exist through a similar or shared assessment sheet. This should meet various criteria, such as: simplicity of implementation for fast application; efficient layout; compact organisation for the specific demands of the therapy; integration of the preceding diagnostic sheets and patient files; and usability in the various aspects of the Dorn Method.
There is a general obligation to keep records as part of the duty of care in all medical professions.
Duty of care obliges every therapist to document questioning, assessment and treatment, as proof in the case of a subsequent review of treatment. This is completely fulfilled by the assessment sheet. But I would also like to see this duty in a positive sense, as in approaching one’s own work with an inquiring mind and continually being able to recognise and treat possible connections present in the patient from differing standpoints or aspects.
At a follow-up treatment the therapist can briefly run through self-treatment exercises with the patient, and in this way get a picture of the collaboration and identify any necessary corrections. A5 is the size to be recommended for the assessment sheet, as this fits best with patient files and can easily be inserted into them.
Regarding its implementation: only the treated parts are recorded and respectively crossed on the treated side. The relevant side and vertebral height are recorded in writing in a treatment of transverse processes and ribs. The treatment of peripheral joints is recorded freely with an additional note on whether it was successful with these complaints or whether it brought about no changes. In the case of successful treatments, these joints are given over to self-treatment exercises.Functional changes in leg length are recorded in their total values on right and left, but treatment steps that are carried out one after another are not to be added up (Cave assessment error). Successful exercises are always both recorded and given to the patient to take away. Normal measurements are under 1.5cm, and few maximum measurements reach 3cm. Measurements greater than this are very rare, and these are anatomical differences. Around a half of patients only have a measurement on one side, with the other leg being recorded as 0.0. All self-treatment exercises given to the patient during treatment are recorded on the bottom margin, by hand.