Clinical Reasoning Flashcards
1
Q
Why do we need clinical reasoning?
A
- no 2 injuries are the same
- to ensure treatment is effective and efficient for that individual
- problems are picked u and managed in a timely fashion
1
Q
What are the 8 stages of the clinical reasoning cycle?
A
- Consider the patient & context
- Collect cues & info (data)
- Process info
- Identify problems list/ issues (contributing factors)
- Establish goal(s)
- Take action (intervention/ treatment)
- Evaluate outcomes
- Reflect on process & new learning
2
Q
What is the clinical reasoning process for therapists?
A
- understand the patient’s journey: Subjective History
- identifying underlying problems (impairments): Objective assessment
- assessing the person’s level of function: Functional tests & measures
- process info: reaching a possible diagnosis
- identify the most appropriate measure(s) to use to track progress
- documenting findings (think ICF)
3
Q
What are the 2 types of clinical reasoning?
A
- hypo-deductive
- pattern recognition
4
Q
What is hypo-deductive clinical reasoning?
A
- more complex problems
- less experienced clinicians
- several hypotheses are formed and tested against the evidence
- the most likely hypothesis reached
5
Q
What is pattern recognition clinical reasoning?
A
- usually simpler problems
- more experienced clinicians
- patterns are recognised quickly and the likely hypothesis reached
- hypothesis is tested
6
Q
How do you develop a plan in clinical reasoning?
A
- Understanding the patients needs and wishes
- Producing and Prioritising a problem list
- Co-producing and agreeing SMART goals
- Consider your patients’ capacity/prognosis
- Considering what management is most appropriate
- Understanding all the Rx options – pros and cons
- Establishing a likely timescale and anticipated progression
7
Q
What is a problem list?
A
- Is a list of problems which can be addressed through treatment
- Usually prioritised from most to least important
- Can be physio-led, patient-led or a combination of both
