How should PTs and PTAs address contraindications in a plan of care?

Notifying the referring physician is essential when there are contraindications in a plan of care. This is because contraindications can indicate potential risks or harm to the patient if treatment is continued as planned. The physical therapist (PT) or physical therapist assistant (PTA) has a duty to ensure the safety and well-being of their patients, and that often involves clear communication with the referring physician.

If a PT or PTA identifies a contraindication that may affect the treatment plan, it is imperative to inform the physician who prescribed or referred the patient for therapy. This allows for a collaborative approach to patient care, where necessary adjustments can be made, alternative treatments can be considered, and the patient's overall health can be safeguarded.

Discussing the issue with other staff members may be helpful, but it does not replace the need to inform the referring physician. Ignoring contraindications or proceeding without consultation could lead to serious adverse outcomes for the patient. Therefore, prompt communication with the physician is the most appropriate and responsible course of action in this situation.