Therapeutic Reasoning

Question 1

referred to as clinical reasoning or professional reasoning

Answer 1

therapeutic reasoning

Question 2

STEPS OF THERAPEUTIC REASONING

Answer 2

1. Use Theory to Generate Questions
2. Gather Data
3. Identify Occupational Challenges
4. Create an Intervention Plan
5. Implement the Intervention Plan
6. Assess outcomes

Question 3

Refer to a Model of Practice or Frames of References to structure their thoughts and questions; OTs should focus questions on client’s
occupational performance

Answer 3

Use Theory to Generate Questions

Question 4

Begin as soon as OT met the client; Observe behaviors, conduct interviews, assess skills

Answer 4

Gather Data

Question 5

Synthesizes all available information to identify client’s strengths and challenges; Create hypotheses regarding factors that may be influencing the client’s occupational engagement

Answer 5

Identify Occupational Challenges

Question 6

Collaborate with client to create goals and objectives for OT interventions; OT creates intervention plan by developing LTG, STG, and selecting strategies and techniques from the desired FOR

Answer 6

Create an Intervention Plan

Question 7

Engaging clients in the activities, monitoring client responses, responding to cues, and using one’s style to interact with clients

Answer 7

Implement the Intervention Plan

Question 8

Assessing the outcomes or measuring the client’s progress towards their goals; Monitor progress and create discharge plans in collaboration with clients

Answer 8

Assess outcomes

Question 9

Elements of Therapeutic Reasoning

Answer 9

1. Scientific
2. Ethical
3. Artistic

Question 10

Understand the client’s medical condition, cause, symptoms, progression, prognosis, and management and the possible effects it may have on occupational performance

Answer 10

Scientific Reasoning

Question 11

thinking about the steps to take and guidelines to follow (e.g. procedures involved in assessment, ROM or transfer)

Answer 11

Procedural Reasoning

Question 12

understand the client’s story from their perspective; involves storytelling and story creation; can be therapeutic for clients and families. It may help understand their occupational performance.

Answer 12

Narrative Reasoning

Question 13

thinking through what needs to be accomplished in therapy in relation to what should be done. Focus can be on the consequences of actions (teleological) or on the action itself (deontological).

Answer 13

Ethical reasoning

Question 14

Strategy used by the OT to understand the client as a person. Development of interactive reasoning, starts with the basic skills of listening, observing and feeling at ease.

Answer 14

Interactive reasoning

Question 15

therapy possibilities into the current realities of service delivery (scheduling options, payment equipment, availability, therapist skills, management directives, personal situation of client). Considers practice context and personal context

Answer 15

Pragmatic Reasoning

Question 16

blending all forms of reasoning, responding to changing conditions are possible future of the client condition involving the client, illness, family, physical environment, and society. Considers the clients condition, including the disease or disability, and what that means to the person.

Answer 16

Conditional Reasoning

Question 17

Adheres to textbook theories, relies on scientific reasoning, follows protocols. focuses on procedural skills

Answer 17

Novice, Scientific

Question 18

Begins to individualize intervention

Answer 18

Advance Beginner, Pragmatic

Question 19

Sees more facts, individualize intervention, incorporates narrative reasoning

Answer 19

Competent, narrative and ethical

Question 20

views client as a whole, modifies plans

Answer 20

Proficient, Interactive

Question 21

Intuitive, uses multiple sources to create intervention, articulates evidences, identifies cues

Answer 21

Expert, Conditional