clinical reasoning Flashcards
what is clinical reasoning?
- capability that is needed by the physiotherapist to synthesis information from the assessment, analyse the findings, tailor the intervention and evaluate its effectiveness
what should you structure and what is it based on?
- structure meaningful goals and healthcare strategies based on the patient
how do you support clinical reasoning?
- information and subjective findings
- knowledge
- collaboration
- clinical data and evaluation of effectiveness
- experiences
describe information and subjective findings
- whole person approach
describe knowledge
- evidence
- subjective assessment and data outside patient
who do you collaborate with?
- patients and others
describe clinical data and evaluation of effectiveness
- use of outcome measures
describe experiences
- develop pattern recognition
what are the 5 approaches to reasoning?
- trial and error
- protocol
- rule in/ rule out
- hypothetico- deductive
- pattern recognition
what are approaches to reasoning within?
- within a biomedical paradigm
what is the world health organisation constitution health definition ?
- state of complete physical, mental and social well- being and not merely the absence of disease or infirmity
what do biomedical approaches focus on?
- focus purely on the specific structure
what are the disadvantages of biomedical approaches?
- illness always explained by a physical malfunction which has ben recognised as reductionist and dualist
- fails to recognise context and complexity (not holistic)
what three factors are included in biopsychological model?
- biological
- social
- psychological
what are biological factors?
- genetic vulnerabilities, disability, physical health
what are psychological factors?
- self- esteem
- coping skills
- social skills
what are social factors?
- peers
- family circumstances
- school
what is the overlap between social and biological factors?
- drug effects
what is the overlap between social and psychological factors?
- family relationships
- trauma
what is the overlap between psychological and biological factors?
- temperament
- IQ
what is the biopsychological model described as?
- dynamic
- integrated
- complex
why is the biopsychological model dynamic?
- constantly changing as health always changing
what does the biopsychological model improve?
- patient outcomes
- patient satisfaction
- overall health through recognition and signposting/ advice
what are the 6 key themes that are known as barriers to employing BPS?
- knowledge, skills and attitudes
- confidence
- role clarity
- environmental context and resources
- patient expectations, beliefs and attitudes (guides treatment)
- therapeutic alliance
what is the ICF tool?
- helping clinical reasoning
- supports BPS approach
what are the four factors of the ICF tool?
- holistic
- comprehensive
- universal
- considers interactions between factors
what are 6 factors of international classification of functioning?
- health condition
- body structures/ functions
- activities
- participation
- environmental factors
- personal factors
what are the five benefits of using the ICF approach?
+ 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
