neuropathology
The manners in which the peripheral and central nervous system responds to tumours, infections or inflammation as well as to immune mediated mechanisms.
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.
Competences and skills
147 ESCO relationsEssential knowledge 33 competences
Occupation specific
2 competencessomatic integrated modalities
The indications, contraindications and modifications of physiotherapeutic modalities and other manual and therapeutic modalities based on various conditions and situations.
Sector-specific
11 competencesbiological chemistry
Biological chemistry is a medical specialty mentioned in the EU Directive 2005/36/EC.
endocrinology
Endocrinology is a medical specialty mentioned in the EU Directive 2005/36/EC.
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.
exercise physiology
The effect of exercise on pathology and how the exercise can mitigate or reverse disease progression.
kinesiology
The study of human movement, performance and function, the sciences of biomechanics, anatomy, physiology and neuroscience.
microbiology-bacteriology
Microbiology-Bacteriology is a medical specialty mentioned in the EU Directive 2005/36/EC.
neuroanatomy
The different parts of the nervous system.
obstetrics and gynaecology
Obstetrics and gynaecology is a medical specialty mentioned in the EU Directive 2005/36/EC.
orthopaedic conditions
The physiology, pathophysiology, pathology, and natural history of common orthopaedic conditions and injuries.
radiation effects on human body
The way specific body parts are more specifically affected by exposure to different types of radiation sources.
rehabilitation of all organ systems
The principles of physical medicine and rehabilitation of all organ systems as related to physiotherapy.
Cross-sector
20 competencesbiomechanics
The use of mechanical means to understand the function and structure of biological organisms.
epidemiology
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.
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.
general medicine
General medicine is a medical specialty mentioned in the EU Directive 2005/36/EC.
geriatrics
Geriatrics is a medical specialty mentioned in the EU Directive 2005/36/EC.
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.
human physiology
The science that studies the human organs and its interactions and mechanisms.
kinetics
The study of movement and its causes.
manage healthcare staff
The managerial tasks and responsibilities required in a health care setting.
medical informatics
The processes and tools used for the analysis and dissemination of medical data through computerized systems.
digital
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.
neurology
Neurology is a medical specialty mentioned in the EU Directive 2005/36/EC.
neurophysiology
The medical specialty which is concerned with the study of the nervous system functionalities.
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.
orthopaedics
Orthopaedics is a medical specialty mentioned in the EU Directive 2005/36/EC.
paediatrics
Paediatrics is a medical specialty mentioned in the EU Directive 2005/36/EC.
psychology
The human behaviour and performance with individual differences in ability, personality, interests, learning, and motivation.
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.
rehabilitation
The methods and procedures used to help an ill or injured person restore lost skills and regain self-sufficiency and control.
sociology
The group behaviour and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
Essential skills and competences 97 competences
Occupation specific
19 competencesapply 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/mobilization.
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.
assess chiropractic intervention
Assess chiropractic interventions based on re-evaluation of the client`s response to treatment.
assess referred healthcare users
Assess healthcare users admitted under other medical specialties.
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.
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).
educate on preventing injuries
Educate and advise patients and their caregivers about how to prevent injuries and conditions and improve existing conditions.
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.
observe record keeping standards in chiropractics
Ensure good standards of record keeping for all activities relating to patients, and to chiropractic patients specifically.
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.
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 lesion and reveal abnormalities that are clinically uncertain, silent or unsuspected.
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.
prepare patients for surgery
Assign patients to the best treatment area for their condition, according to priority for surgery.
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.
provide neuromusculoskeletal therapy
Provide neuromusculoskeletal therapy and care, which involves adjusting a patient`s spinal column and other joints, principally by hand.
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.
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.
write reports on neurological tests
Provide a written report to the referring doctor for every test taken, interpreting results.
Sector-specific
49 competencesaccept own accountability
Accept accountability for one`s own professional activities and recognise the limits of one`s own scope of practice and competencies.
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.
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.
advise on pregnancy
Counsel patients on normal changes occurring in pregnancy, providing advice on nutrition, drug effects and other lifestyle changes.
advise on rehabilitation exercises
Educate and advise on rehabilitation exercises to aid long-term recovery, teaching the appropriate techniques to ensure health is maintained.
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.
apply caseload management
Manage a number of patients within a given amount of time, striving to provide optimum health services.
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 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.
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.
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.
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.
conduct chiropractic examination
Undertake chiropractic assessment, collecting data by physical examinations and evaluating anatomic findings through the use of observation, palpation, percussion, auscultation and information derived from other relevant sources.
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.
contribute to continuity of health care
Contribute to the delivery of coordinated and continuous healthcare.
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.
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.
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.
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.
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.
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.
formulate a treatment plan
Formulate a treatment plan and evaluation (analysis) based on collected data following assessment using a clinical reasoning process.
interpret findings from medical examinations
Interpret the findings from a patient`s history, clinical examination, radiographic examination, and other diagnostic tests and procedures.
interpret medical images
Analyse medical images in order to diagnose illnesses and injuries.
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.
maintain treatment records
Keep accurate records and file reports related to the prescribed treatment or medication.
manage acute pain
Handle patients with acute pain and ease their pain accordingly.
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.
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.
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.
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).
digital
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.
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.
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.
promote health and safety policies in health services
Promote adherence to local, regional, national and EU Health and Safety legislation, policies, guidelines and protocols.
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.
provide chiropractic diagnosis
Provide a working diagnosis/differential diagnosis and an inter-disciplinary or chiropractic treatment/management plan by performing an interview, working with patients to identify physical problems and difficulties resulting from illness, injury, disability or aging and by performing a specific physical, neurological and orthopedic examination.
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.
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.
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.
record healthcare users' progress related to treatment
Record the healthcare user's progress in response to treatment by observing, listening and measuring outcomes.
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.
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.
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 healthcare examination
Assess the healthcare user's physical state, taking detailed information on previous injuries, surgery, general health, resources and lifestyle into account.
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.
digital
use techniques to increase patients' motivation
Encourage the patient`s motivation to change and promote the belief that therapy can help, using techniques and treatment engagement procedures for this purpose.
work in multidisciplinary health teams
Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.
Cross-sector
29 competencesaddress public health issues
Promote healthy practices and behaviours to ensure that populations stay healthy.
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.
advise on healthy lifestyles
Promote healthy lifestyles, preventive measures and self-care by strengthening empowerment, promoting health and enhancing behaviours and therapeutic compliance, providing patients with the adequate information in order to support compliance with and adherence to prescribed treatments, medication and nursing care.
apply business acumen
Take appropriate actions in a business environment in order to maximise possible outcome from each situation.
apply massage therapy
Apply massage therapy to relieve patient's pain by using various specialised techniques.
apply organisational techniques
Employ a set of organisational techniques and procedures which facilitate the achievement of the set goals set such as detailed planning of personnel's schedules. Use these resources efficiently and sustainably, and show flexibility when required.
communicate in healthcare
Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.
comply with legislation related to health care
Comply with the regional and national health legislation which regulates relations between suppliers, payers, vendors of the healthcare industry and patients, and the delivery of healthcare services.
contribute to the rehabilitation process
Contribute to the rehabilitation process to enhance activity, functioning and participation using a person-centered and evidence-based approach.
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.
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.
develop a collaborative therapeutic relationship
Develop a mutually collaborative therapeutic relationship during treatment, fostering and gaining healthcare users' trust and cooperation.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
- Scope note
- Includes procedures such as hand washing, disinfection and proper skin care, universal hygiene precautions, collection and handling of laboratory specimens, segregation and disposal of waste materials, decontamination of instruments and clinical equipment, reporting and treatment of sharps injuries, and dealing with blood and body fluid spillages.
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.
promote inclusion
Promote and respect diversity, and advocate for equal treatment of genders, ethnicities and minority groups in organisations in order to prevent discrimination and ensure inclusion and a positive environment.
provide health education
Provide evidence based strategies to promote healthy living, disease prevention and management.
provide medication information
Provide patients with information about their medication, possible side effects, and contra-indications.
respond to changing situations in health care
Cope with pressure and respond appropriately and in time to unexpected and rapidly changing situations in healthcare.
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.
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.
Optional knowledge 3 competences
Occupation specific
1 competenceneuropharmacology
The central nervous system neurotransmitters and drugs which modulate them and the mode of action of drugs affecting the central and peripheral nervous systems.
Sector-specific
0 competencesNo competences in this bucket.
Cross-sector
2 competencespharmacology
Pharmacology is a medical specialty mentioned in the EU Directive 2005/36/EC.
therapeutic massage
Massage techniques used to relieve pain and alleviate other symptoms associated with a number of different medical conditions.
Optional skills and competences 14 competences
Occupation specific
5 competencesinterpret electroencephalograms
Analyse and interpret electroencephalography to provide evidence for the diagnosis and classification of epilepsy, helping investigation and management.
interpret evoked potentials records
Record responses from both the peripheral and central nervous system in response to exogenous stimulation, analysing and interpreting the evoked potentials.
manage the neuropsychiatric sequelae of stroke
Localise brain lesions approximately, formulating a basic differential diagnosis as to stroke aetiology and estimating the severity of the deficit and the urgency of further assessment.
treat neurological disorders
Diagnose and treat patients with neurological diseases such as brain damage, spinal cord disorders, peripheral neuropathy, stroke, Alzheimer`s disease, headache, epilepsy, Parkinson`s disease, sleep disorders, multiple sclerosis, pain or tremor.
use functional neuroimaging
Use neuroimaging technologies and methods to study the brain functions.
digital
Sector-specific
4 competencesanalyse X-ray imagery
Analyse X-ray imagery in order to locate the sources of patients` difficulties and interpret the findings.
apply acupuncture
Use procedures involving the stimulation of anatomical points on the body by a variety of techniques, such as penetrating the skin with thin, metallic needles manipulated by the hands or by electrical stimulation in order to relieve pain or achieve other therapeutic benefits.
employ cognitive behaviour treatment techniques
Employ cognitive behavioural treatment techniques for those whose treatment involves cognitive re-training, addressing dysfunctional emotions, maladaptive behaviours and cognitive processes and contents through a variety of systematic procedures.
obtain healthcare user's medical status information
Gather healthcare user information through various sources such as questioning the healthcare user, caregiver, or healthcare professional to obtain information on the patient`s health and social status, and interpreting records made by other health care professionals when appropriate.
Cross-sector
5 competencesconduct health related research
Conduct research in health related topics and communicate findings orally, through public presentations or by writing reports and other publications.
- Scope note
- Research topics may include illness, acute, chronic and non-communicable conditions, public health, clinical research, health promotion and disease prevention topics.
process medical insurance claims
Contact the patient`s health insurance company and submit the appropriate forms with information on the patient and treatment.
record healthcare users' billing information
Record the healthcare user`s information for the billing of provided medical services.
use foreign languages for health-related research
Use foreign languages for conducting and collaborating in health-related research.
use foreign languages in patient care
Communicate in foreign languages with healthcare users, their carers, or services providers. Use foreign languages to faciliate patient care according to the needs of the patient.