Tool 18
Scope & Referral-Back Guide
When to pause implementation and seek appropriate professional review — the situations that sit outside IMHC's educational and functional scope.
IMHC education and functional implementation complement clinical care. Assessment, diagnosis, treatment, prescribing and clinical modification remain with appropriately qualified or registered professionals.
This guide lists the situations in which implementation should pause and appropriate review be sought — from new or worsening symptoms and falls, to swallowing risk, medication questions, acute distress, cognitive or communication change, and any recommendation that no longer appears safe or workable.
If there is immediate danger in Australia, call 000.
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Scope & Referral-Back Guide
Professionals / Support Teams • SEEK PROFESSIONAL REVIEW
IMHC education and functional implementation complement clinical care. Assessment, diagnosis, treatment, prescribing and clinical modification remain with appropriately qualified or registered professionals.
Pause implementation and seek appropriate review when there is
- New or worsening symptoms, or a significant change from usual function.
- Falls, new mobility concerns, unsafe transfers or environmental safety concerns.
- Swallowing, feeding or significant eating-related risk.
- Medication questions, adverse effects or uncertainty about prescribed treatment.
- Acute psychological distress, risk concerns or significant deterioration.
- New or worsening cognitive / communication changes affecting safety.
- A professional recommendation that appears no longer safe, tolerable or workable in everyday practice.
- A need that is outside the educator or support person's competence or agreed role.
If there is immediate danger in Australia, call 000.
IMHC educational tool. Use within the person's agreed plan and professional recommendations. This resource does not replace clinical assessment, diagnosis, treatment or emergency support.