Clinical, professional and therapeutic reasoning Flashcards

1
Q

Define reasoning

A

A cause, explanation or justification to do something

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2
Q

Define thinking

A

A person’s ideas or opinions

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3
Q

Define therapeutic/professional reasoning

A

How OTs actually think while practising
A metacognitive process
Process of planning, directing, performing and reflecting

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4
Q

What is the whole body process

A

Using observations, sensory experiences and theoretical knowledge to identify client and contextual factors; a bigger/holistic picture

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5
Q

Define frames/scripts

A

Receiving, storing and organising information of a phenomena

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6
Q

First stage of professional reasoning

A

Formulating an impression = OT tries to develop an understanding based on fairly brief knowledge (records, referral details)

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7
Q

Second stage of professional reasoning

A

Information gathering and planning = more detailed assessment driven by gaps in knowledge

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8
Q

Third stage of professional reasoning

A

Monitoring = continual evaluation and improvement

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9
Q

Define scientific reasoning

A

Using applied logical and scientific methods (hypothesis, testing, patterns)

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10
Q

What is scientific reasoning used for?

A

Understanding the condition

Selecting interventions in client’s best interest

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11
Q

How is scientific reasoning recognised in practice?

A

Impersonal

Focus on evidence of what ‘typically occurs’

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12
Q

Define diagnostic reasoning

A

Investigating and analysing the cause/nature of the condition

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13
Q

What is diagnostic reasoning used for?

A

Recognising and explaining the conditon

Selecting interventions

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14
Q

How is diagnostic reasoning recognised in practice?

A

Personal and impersonal

Explains conditions using science-based info

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15
Q

Define narrative reasoning

A

Understanding the meaning that a condition has to an individual

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16
Q

What is narrative reasoning used for?

A

Understand the client’s perspective

Understand client’s desired outcomes

17
Q

How is narrative reasoning recognised in practice?

A

Personal

Relates to the ‘so what’ of the condition for the person’s life

18
Q

Define interactive reasoning

A

Understanding of current supports, engagement and attitude towards service systems

19
Q

What is interactive reasoning used for?

A

Building positive interpersonal relationships
Collaborative problem identification
Understand environmental influences

20
Q

How is interactive reasoning recognised in practice?

A

Empathetic comments

What is the best way to engage with this client?

21
Q

Define procedural reasoning

A

Understanding the client’s conditions, prognosis and interventions that are likely to support optimal outcomes

22
Q

What is procedural reasoning used for?

A

Guiding evidence-based interventions

Considering +/- of different interventions

23
Q

How is procedural reasoning recognised in practice?

A

Using therapy routines

What interventions are suitable for the client?

24
Q

Define Conditional reasoning

A

Understanding a client’s condition and how change is conditional upon participation in therapy

25
Q

What is conditional reasoning used for?

A

Anticipate situations

Imagine future possibilities

26
Q

How is conditional reasoning recognised in practice?

A

‘Seeing’ multiple futures based on the OT’s past experiences

**In an ideal world

27
Q

Define pragmatic reasoning

A

Implementation of therapy possibilities to current realities

28
Q

What is pragmatic reasoning used for?

A

Considering how therapy can operate given available resources

29
Q

How is pragmatic reasoning recognised in practice?

A

Physical and social aspects of environment
Realistic discussion of treatment
Balancing what is optimal and what is achievable given current situation

30
Q

Define ethical reasoning

A

Moral conflict between between actions

31
Q

What is ethical reasoning used for?

A

Generate alternate solutions

Analysing ethical dilemma

32
Q

How is ethical reasoning recognised in practice?

A

Determining the right thing to do

Are the benefits worth the costs?