Clinical Reasoning Lecture Video Flashcards
success for PTs is directly proportional to abilities to _____ ______
think critically
what is clinical reasoning?
the result of clinical pondering and is the sum of all critical decision-making processes that are associated with clinical practice
t/f: critical reasoning enables practitioners to take the best judged action in a specific context
true
clinical reasoning permeates clinical practice by ______ ________ and _______ _______
informing decisions
dispelling ambiguity
t/f: by nature, clinical practice is ambiguous and rules change as decisions are made
true
what is the single most important attribute found among expert clinicians and is deemed the most important skill for developing clinicians?
self reflection
what is inductive reasoning?
moving from specific to general
ie. all basketball players in your school are tall, so all basketball players must be tall
what is deductive reasoning?
moving from a generalization to a conclusion
ie. you are tall, so you must be a basketball player
who primarily used the hypothetico-deductive reasoning model?
novices
experts in challenging situations
what is the knowledge reasoning integration model?
requires domain specific knowledge and an organized knowledge base
clinical reasoning involves the integration of knowledge, reasoning, and metacognition (reflection)
who primarily uses the knowledge reasoning integration model?
experts
what is the intuitive reasoning model?
intuitive knowledge related to past experiences with specific cases
knowledge is used unconsciously
who are the only people that can use the intuitive reasoning model?
experts
what is the pattern recognition model?
new cases are categorized in relation to previously experienced clinical cases
what is the problem with pattern recognition?
it may cause us to short cut sometimes
pattern recognition is characterized by what two things?
speed and efficiency
who are the only people that can use pattern recognition?
experts
what is the definition of examination?
the vigorous pursuit of valid, reliable, and clinically relevant data that is comprehensively obtained and used to inform intervention and provide an objective measure of progress toward functional outcomes that are meaningful to the patient
what is the primary objective of the examination?
to establish an accurate PT dx that guides intervention
t/f: the PT dx is a work in progress that can be transformed based on the pt response to intervention
true
what are the tools in our tool box?
diagnostic imaging
lab test values
response to medications
response to performance measures
response to self-report measures
response to last intervention
evidence-based standards
therapist experience, intuition
