Week 3: clinical reasoning HOP FA Flashcards
what is clinical reasoning
the decision making process that allows us to clearly state our rationale within every step of the patient client management model, as we consider the child as a whole in their family and envmt
inductive reasoning
*experts see the pattern
- bottom up approach
- pattern recognition
- expert practitioner
Deductive Reasoning
*students!
- top down approach
- gather data
- form hypotheses
- confirm
- execute plan
remediation
GMFCF level 1-3
- force production deficit w good prognosis
Compensatory strategy
GMFCS 4-5
- force production deficit with poor prognosis
HOP FA
hypothesis oriented peds focused algorithm
child with CP what/how do you expect tone to be
spasticity LEs
child with CP what/how do you expect DTRs to be
increased
child with CP what/how do you expect clonus / babinski to be
present
child with CP what/how do you expect developmental functional strength and quality of movememt to be
weakness: paucity of mvmt; poor variability; poor force production - LEs
child with CP what/how do you expect righting and equilibrium reactions to be
immature righting reactions; fear of falling; fear of mvmts; high guard