Chapter 20 Flashcards
Therapeutic Reasoning
cognitive thought
process in which information from many sources
are gathered and synthesized to form the evaluation, intervention plan,
Steps of Therapeutic Reasoning
Use Theory to Generate Questions
Gather Data
Identify Occupational Challenges
Create an Intervention Plan
Implement the Plan
Assess Outcomes
Use Theory to Generate Questions
-begins by referring to a
model of practice
They create questions based on their model.
They may also generate questions based on a
frame of reference
Gather Data
begin collecting data as soon as they meet the client.
Observe behaviors, conduct interviews, assess skills
-Review the client’s medical history
Identify Occupational Challenges
-synthesizes all available information to identify the client’s strengths
and challenges.
They interpret the data and use that to create hypotheses
Create Intervention Plan
-the plan will address the client’s goals
-reates the intervention plan by developing long- and short-term goals and selecting strategies
Implementation of Intervention Plan
-engaging clients in the
activities, monitoring client responses, responding to
cues, and using one’s style to interact with clients.
The OT practitioner evaluates the client’s progress
toward goals, adapts
Outcome Assessment
-final step involves assessing the outcomes or measuring the client’s progress toward their
goals.
Discharge plans are created in collaboration
with clients.
Elements of Therapeutic Reasoning
Scientific elements
Ethical element
artistic element
Types of Therapeutic Reasoning
Scientific reasoning
Procedural reasoning
Narrative reasoning
Pragmatic reasoning
Interactive reasoning
Ethical reasoning
Conditional reasoning
From Novice to Expert: Development
of Therapeutic Reasoning Skills
Novice
Advanced Beginner
Competent Practitioner
Proficient Practitioner
Expert
Techniques to Develop Therapeutic
Reasoning Skills
-Students trying to advance their therapeutic reasoning abilities benefit by
critically analyzing data,
raising tough questions,
and stepping outside of their comfort zones.
- coaching, reflecting, analyzing, and role modeling .
Reading, reflecting, and listening to the lived experiences