Exam 4: Therapeutic Reasoning Flashcards
what is therapeutic reasoning
- used to be called clinical reasoning
- process
- involves thinking & feeling
- decisions about evaluation and intervention
- base of EBP
- foundation skill
elements of therapeutic reasoning
- scientific
- ethical
- artistic
thought process (5)
- formation of pre-assessment image
- cue acquisition
- hypothesis generation
- cue interpretation
- hypothesis evaluation
formation of pre-assessment image (thought process)
- gather initial information
- diagnosis, age, level of function
cue acquisition (thought process)
- client’s functional status
- occupational roles
hypothesis generation (thought process)
- make tentative assumption
- basis for therapeutic action
cue interpretation (thought process)
- gather further cues
- determine how data relate to hypothesis
hypothesis evaluation (thought process)
- exam data
- evaluate hypothesis
- base intervention
therapeutic reasoning strategies
- procedural
- interactive
- conditional
- narrative
- pragmatic
procedural therapeutic reasoning strategy
reviewing condition to see what will work best for that condition
interactive therapeutic reasoning strategy
understanding the person by gather data from their POV, goals, and environment- TUS
conditional therapeutic reasoning strategy
considering the condition and the person, environment, applying the results to implement change when the client requires it
narrative therapeutic reasoning strategy
storytelling/ story creation (using other client’s story to help them and reframe their own story)
pragmatic therapeutic reasoning strategy
considering outside factors that may impact the therapy process such as reimbursement, space and equipment, plus the therapist’s own skills and expertise
development of therapeutic reasoning skills
- novice
- advanced beginner
- competent
- proficient
- proficient
- expert
