clinical reasoning Flashcards
what is clinical reasoning?
It involves integrating and applying knowledge, evaluating evidence, making decisions, and problem-solving in real-time to provide effective and personalized care.
what is the ICF framework?
a model developed by the WHO
-key components include body structure and functions, activities, participation environmental factors and personal factors
what are examples of factors affecting clinical reasoning?
-knowledge organisation
-critical thinking (thinking, analysis, reflection)
-meta-cognition - reflective self awareness
-data collection and procedural skills
-therapeutic alliance - sense of collaboration , warmth between client and therapist
what are the pre requisites of effective clinical reasoning?
-questioning existing beliefs
-open mindedness
-reflective thinking
define diagnostic clinical reasoning
thinking processes associated with forming a physiotherapy diagnoses or identifying the patients problem
define narrative clinical reasoning
-the processes used to understand the patients interpretation of their illness experience
define collaborative clinical reasoning
-the process involved in engaging w/ patients in a shared approach to interpreting their problems, planning interventions and making decisions
define ethical clinical reasoning
-processes of identifying and resolving the ethical and contextual issues in a clinical situation
what is forward (inductive) reasoning?
-use of clinical patterns when confronted with a familiar problem
-dependent on good knowledge base and past experience
what is backward (deductive) reasoning?
-used when knowledge base is less extensive
-formation of hypothesis, disprove or approve it
what is pattern recognition?
-when knowledge is stored in memory in chunks or patterns that facilitate more efficient communication & thinking
what are the 5 stages of the model of skill acquisition?
-novice
-advanced beginner
-competent
-proficient
-expert
-master
what are the characteristics of a novice?
-less knowledge base
-disjointed list of signs and symptoms
-rely on black and white text book patterns
what are the characteristics of experts?
-excel in their domain of expertise
-pattern recognition - ability to see meaningful patterns
-faster at performing skills
-superior short term memory and long term memory
describe experts vs notices in an outpatients setting
-experts spent more time on S/E and less on P/E
-treatment is a means of testing hypothesis
-novice might not perform tests properly, could not interpret the results of a correctly performed test
