Structure a physiotherapy initial assessment so the subjective drives the objective and the plan follows from both — the history that localises the problem, the red and yellow flags screened deliberately, and goals set in the patient's own terms. Use when asked to structure a physio initial assessment, write an assessment template, document a first appointment, or improve subjective examination. Produces the subjective structure, the flag screen, the objective examination plan, the working hypothesis with competing explanations, and patient-centred goals. A documentation framework for a licensed clinician.
“Structure an initial physio assessment for low back pain”“Write an assessment template for a new patient”“How do I make my subjective examination more efficient?”“What should I document at a first appointment?”“How do I set goals with a patient?”
What to give it
▸The presenting problem — what happened, when, how it has behaved since, and what the patient can no longer do
▸Symptom behaviour — location, quality, aggravating and easing factors, 24-hour pattern, and any change over time
▸Screening information — general health, medications, weight change, previous episodes, and relevant medical history
▸The patient's beliefs and concerns — what they think is wrong, what they are afraid of, and what they have been told already
▸Context — occupation, activities, sport, home demands, and what recovery needs to allow them to do
✅ The bar it holds itself to
Every skill in this library self-verifies — these are this skill's own quality checks, straight from its definition.
✓The subjective establishes lost function, not just pain location
✓Symptom behaviour includes aggravating, easing and the 24-hour pattern
✓Red flag screening is recorded as having been performed, with findings
✓Yellow flags are actively identified, not noted incidentally
✓A hypothesis exists before the objective examination, and the tests target it
✓Competing explanations are listed with what would distinguish them
✓Goals are in the patient's words and measurable
✓Reassessment markers are identified at the first visit
⚠️ What it refuses to do
**Examining without a hypothesis.** Produces a page of findings and no reasoning.
**A body chart with no functional impact.** You cannot set a goal against a diagram.
**Screening red flags silently.** An unrecorded screen provides no protection and no information.
**Treating yellow flags as personality.** They are prognostic factors and they change the plan.
**Goals written by the clinician.** 'Improve ROM' motivates nobody and measures little.
Install
npx pm-claude-skills add --agent claude # or codex · cursor · gemini · hermes
# or one-line MCP (every skill, any client):
claude mcp add pm-skills -- npx -y -p pm-claude-skills pm-claude-skills-mcp