Week 6 - Clinical Reasoning

Question 1

What are the five points in the clinical reasoning flow chart?

Answer 1

1. Assessment
2. Problem list
3. Goals
4. Intervention
5. Reassess

Question 2

What is involved in assessment?

Answer 2

Subjective examination

Objective examination

Question 3

What is involved in subjective examination?

Answer 3

• Get info from patient’s records
• Talk to patient to fill in gaps
• Ask about their main problem and goals

Question 4

What is involved in objective examination?

Answer 4

• Task analysis to
• Assess level of independence
• iIdentify impairments
• Measurements using outcome measures

Question 5

What tasks might you analyse?

Answer 5

Bed mobility
Sitting balance
Sit to Stand
Standing balance
Walking
Arm function

Question 6

What are the three steps in balance training? Three levels of intervention.

Answer 6

1. Fix impairments e.g. strengthen weak muscles
2. Activities to improve balance (e.g. with visual feedback, changing BOS, shifting weight, throwing and catching, dimmed lighting)
3. Task specific functional balance e.g. lawn bowls, changing a light bulb?)