Clinical, professional and therapeutic reasoning Flashcards
Define reasoning
A cause, explanation or justification to do something
Define thinking
A person’s ideas or opinions
Define therapeutic/professional reasoning
How OTs actually think while practising
A metacognitive process
Process of planning, directing, performing and reflecting
What is the whole body process
Using observations, sensory experiences and theoretical knowledge to identify client and contextual factors; a bigger/holistic picture
Define frames/scripts
Receiving, storing and organising information of a phenomena
First stage of professional reasoning
Formulating an impression = OT tries to develop an understanding based on fairly brief knowledge (records, referral details)
Second stage of professional reasoning
Information gathering and planning = more detailed assessment driven by gaps in knowledge
Third stage of professional reasoning
Monitoring = continual evaluation and improvement
Define scientific reasoning
Using applied logical and scientific methods (hypothesis, testing, patterns)
What is scientific reasoning used for?
Understanding the condition
Selecting interventions in client’s best interest
How is scientific reasoning recognised in practice?
Impersonal
Focus on evidence of what ‘typically occurs’
Define diagnostic reasoning
Investigating and analysing the cause/nature of the condition
What is diagnostic reasoning used for?
Recognising and explaining the conditon
Selecting interventions
How is diagnostic reasoning recognised in practice?
Personal and impersonal
Explains conditions using science-based info
Define narrative reasoning
Understanding the meaning that a condition has to an individual
What is narrative reasoning used for?
Understand the client’s perspective
Understand client’s desired outcomes
How is narrative reasoning recognised in practice?
Personal
Relates to the ‘so what’ of the condition for the person’s life
Define interactive reasoning
Understanding of current supports, engagement and attitude towards service systems
What is interactive reasoning used for?
Building positive interpersonal relationships
Collaborative problem identification
Understand environmental influences
How is interactive reasoning recognised in practice?
Empathetic comments
What is the best way to engage with this client?
Define procedural reasoning
Understanding the client’s conditions, prognosis and interventions that are likely to support optimal outcomes
What is procedural reasoning used for?
Guiding evidence-based interventions
Considering +/- of different interventions
How is procedural reasoning recognised in practice?
Using therapy routines
What interventions are suitable for the client?
Define Conditional reasoning
Understanding a client’s condition and how change is conditional upon participation in therapy
