Clinical Reasoning Flashcards
Define clinical reasoning.
a reflective process of inquiry & analysis carried out by a health professional in collaboration with the patient with the aim of understanding the patient, their context, and their clinical problem(s) in order to guide evidence-based practice
What are the 3 elements of evidence-based practice?
- best available research evidence
- clinical experience
- patient preferences & perspectives
List the 8 clinical reasoning strategies described in the monograph.
- Diagnostic
- Narrative
- Intervention Procedures
- Interactive
- Collaborative
- Reasoning about Teaching / Patient Education
- Predictive
- Ethical
Which type of reasoning strategy includes reasoning about what information to gather & how to interpret information from both the patient interview/interactions and physical examination?
Diagnostic Reasoning
Which type of reasoning strategy involves establishing and validating an understanding of the “person” who is the patient & includes the patient’s illness experience, context, beliefs, and culture?
Narrative Reasoning
Which type of reasoning strategy include the choice & administration of interventions?
Intervention Procedures Reasoning
Which type of reasoning strategy includes strategic choices of approach & manner of interacting with patients?
Interactive Reasoning
Which type of reasoning strategy involves approaches and strategies for educating patients & effective assessment of whether or not intended learning has occurred?
Reasoning about Teaching / Patient Education
Which type of reasoning strategy involves the development of a prognosis & the consideration of what factors will influence a “worst case” vs “best case” scenario?
Predictive Reasoning
Which type of reasoning strategy involves recognition of moral and pragmatic dilemmas in daily practice?
Ethical Reasoning
Describe the reasoning error of “over-focus on early / superficial recognition”
acceptance of the validity of a diagnosis / clinical pattern identification based on a presentation’s superficial similarity to another familiar case
Describe the reasoning error of “premature anchoring”
fixation on first impressions that is unaltered with new or conflicting information
Describe the reasoning error of “premature closure”
acceptance of a diagnosis without challenge through adequate consideration of likely alternatives
Describe the reasoning error of the “framing effect”
a decision is made based on whether the options are presented with positive or negative connotations (ex. “kills 99% of germs” vs “only 1% of germs survive”)
Describe the reasoning error of “commission bias”
deciding to do something regardless of evidence that would contradict the decision