Final answer:
When a patient does not show progress after three physical therapy sessions, a PT may reassess and potentially change the Plan of Care, refer to an MD/surgeon, continue treatment if no red flags are present, or transfer the patient to another PT. The primary goal is to ensure patient safety and improving function.
Step-by-step explanation:
If a patient is not progressing after three sessions of physical therapy with direct access, there are several steps a physical therapist (PT) could consider. Option A, which suggests the PT re-evaluate the patient to assess if there is a need to change the Plan of Care (POC), is a common and advisable next step. The PT would examine factors such as strength, balance, endurance, and the functionality of the joint to ensure the therapy plan is targeted and effective. If no progress is made even after modifying the POC, other options may be considered, like referral to a medical doctor or specialist for further review (Option B). It's crucial that PTs continually monitor patient improvement and readiness to resume normal activities. Option C indicates that the PT can continue to see the patient for more sessions if there are no red flags. Lastly, Option D suggests transferring the patient to another PT, which could be considered if a different specialization or approach is deemed beneficial. Ultimately, patient safety and progress are of the utmost concern in determining the appropriate next steps in their treatment.