clinical reasoning Flashcards

1
Q

what is clinical reasoning?

A
  • capability that is needed by the physiotherapist to synthesis information from the assessment, analyse the findings, tailor the intervention and evaluate its effectiveness
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2
Q

what should you structure and what is it based on?

A
  • structure meaningful goals and healthcare strategies based on the patient
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3
Q

how do you support clinical reasoning?

A
  • information and subjective findings
  • knowledge
  • collaboration
  • clinical data and evaluation of effectiveness
  • experiences
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4
Q

describe information and subjective findings

A
  • whole person approach
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5
Q

describe knowledge

A
  • evidence
  • subjective assessment and data outside patient
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6
Q

who do you collaborate with?

A
  • patients and others
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7
Q

describe clinical data and evaluation of effectiveness

A
  • use of outcome measures
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8
Q

describe experiences

A
  • develop pattern recognition
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9
Q

what are the 5 approaches to reasoning?

A
  • trial and error
  • protocol
  • rule in/ rule out
  • hypothetico- deductive
  • pattern recognition
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10
Q

what are approaches to reasoning within?

A
  • within a biomedical paradigm
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11
Q

what is the world health organisation constitution health definition ?

A
  • state of complete physical, mental and social well- being and not merely the absence of disease or infirmity
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12
Q

what do biomedical approaches focus on?

A
  • focus purely on the specific structure
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13
Q

what are the disadvantages of biomedical approaches?

A
  • illness always explained by a physical malfunction which has ben recognised as reductionist and dualist
  • fails to recognise context and complexity (not holistic)
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14
Q

what three factors are included in biopsychological model?

A
  • biological
  • social
  • psychological
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15
Q

what are biological factors?

A
  • genetic vulnerabilities, disability, physical health
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16
Q

what are psychological factors?

A
  • self- esteem
  • coping skills
  • social skills
17
Q

what are social factors?

A
  • peers
  • family circumstances
  • school
18
Q

what is the overlap between social and biological factors?

A
  • drug effects
19
Q

what is the overlap between social and psychological factors?

A
  • family relationships
  • trauma
20
Q

what is the overlap between psychological and biological factors?

A
  • temperament
  • IQ
21
Q

what is the biopsychological model described as?

A
  • dynamic
  • integrated
  • complex
22
Q

why is the biopsychological model dynamic?

A
  • constantly changing as health always changing
23
Q

what does the biopsychological model improve?

A
  • patient outcomes
  • patient satisfaction
  • overall health through recognition and signposting/ advice
24
Q

what are the 6 key themes that are known as barriers to employing BPS?

A
  • knowledge, skills and attitudes
  • confidence
  • role clarity
  • environmental context and resources
  • patient expectations, beliefs and attitudes (guides treatment)
  • therapeutic alliance
25
Q

what is the ICF tool?

A
  • helping clinical reasoning
  • supports BPS approach
26
Q

what are the four factors of the ICF tool?

A
  • holistic
  • comprehensive
  • universal
  • considers interactions between factors
27
Q

what are 6 factors of international classification of functioning?

A
  • health condition
  • body structures/ functions
  • activities
  • participation
  • environmental factors
  • personal factors
28
Q

what are the five benefits of using the ICF approach?

A

+ ensures biopsychological considerations
+ helps direct how contextual factors (environment and personal) may influence a patient’s presentation
+ help identify factors which may be modifiable e.g., alcohol, diet, exercise
+ promotes interdisciplinary consideration and discussion
+ help direct best use of objective tests and outcome measures