History and Process of Clinical Reasoning Quiz

Clinical Reasoning

• Clinical reasoning is a cyclical process that goes beyond basic protocols of diagnostic care and reasoning.
• It is an interactive and interprofessional process that develops with clinical practice.

Process of Clinical Reasoning

• The 5 steps of clinical reasoning are:
  • Client and referral information
  • Clinical hypotheses
  • Data collection, problem solving, and hypotheses evaluation
  • Test and refine hypotheses
  • Appraise the evidence

Types of Clinical Reasoning

• OTs use various types of clinical reasoning with clients, including:
  • Scientific Reasoning
  • Diagnostic Reasoning
  • Narrative Reasoning
  • Pragmatic Reasoning
  • Procedural Reasoning
  • Ethical Reasoning
  • Interactive Reasoning
  • Conditional Reasoning

Scientific Reasoning

• Uses applied logical and scientific methods.
• Focuses on hypotheses, pattern recognition, theories, and statistical evidence.
• Impersonal and focused on diagnosis and condition.

Diagnostic Reasoning

• Involves investigative reasoning and analysis.
• Combines scientific reasoning and client-centered information.
• Focuses on personal and impersonal information.

Narrative Reasoning

• Attempts to understand the client's circumstance through narrative/story.
• Focuses on the effect of illness, disability, and impact on performance skills, activities, and occupations.
• Client-centered and considers culture and personal circumstances.

Pragmatic Reasoning

• Focuses on therapeutic interventions and realities of service delivery.
• Considers scheduling options, payment, equipment availability, therapist skills, and social support.
• Not typically client-centered.

Procedural Reasoning

• Involves interventions that are routine for identified conditions.
• Science-based and reflects habits and culture of the setting.
• Focuses on routines and typical treatment options.

Ethical Reasoning

• Used to analyze an ethical dilemma.
• Focuses on identifying alternative solutions and actions to achieve the solution.
• Systematic approach to determine the ethical course of action.

Interactive Reasoning

• Collaborative identification of problems and problem-solving.
• Focuses on interpersonal relationships and client-centered approach.
• Encourages client participation in the therapeutic process.

Conditional Reasoning

• Blend of different types of reasoning to best fit the client's needs.
• Focuses on applying multiple clinical reasoning approaches.
• Typically used by therapists with clinical experience.