What is CLINICAL REASONING? Flashcards
What is CLINICAL REASONING?
“An inferential process used by practitioners to collect and evaluate data and to make judgments about the diagnosis and management of patient problems”
(Edwards et al. 2004)
Part of clinical reasoning is also “__”
prognosis
“Clinical Reasoning*** –
the sum of the thinking and decision-making processes associated with clinical practice
Collect and analyze ___ variables
multiple
Determine ___ limitations (the ability to execute a task or action in a standard environment) and ___ deficits (what the patient can do in his or her own current ___).
capacity
performance
environment
Generate ___ to explain these factors that includes identifying the impact on the patient’s life
hypotheses
Interacts with the patient and ___ (family, other health care professionals)
others involved
Find ___ goals and health management strategies
meaningful
Decisions and actions are in line with professional ___ and community ___
ethics
expectations
Core dimensions:
Knowledge
Cognition
Metacognition
Knowledge =
derived from theory and research, professional and personal experience
Cognition =
also called: reflective inquiry
analysis, synthesis and evaluation of data collected
Metacognition =
bridge knowledge and cognition
identify limitations in the quality of information, monitoring their reasoning and practice
seeking errors and credibility
Additional dimensions:
Mutual decision-making
Contextual interaction
Task impact
No single model of clinical reasoning because:
> Complex nature of clinical reasoning
> Context dependent nature
> Individuality of expertise
> Changing conceptions of quality and error
> Challenge to novices in developing clinical reasoning skills and to educators in facilitating this development
Clinical reasoning is an invisible ___ but linked with more visible ___ (e.g. making diagnosis, interventions, case conference)
process
behaviors
Clinical reasoning is ___
developmental
Clinical reasoning can be implemented as a ___ practitioner process or a ___ process
sole
group
Clinical reasoning is grounded on ____
evidence-based practice and public accountability
____ are required
Language and interactive behaviors
Clinical reasoning requires a range of capabilities such as ____
emotional and social
Clinical reasoning is ____
quality assurance or quality improvement
“These 3 things”
Clinical reasoning is a complex process
Clinical reasoning is making sense of data
Clinical reasoning takes practice
(ICF)
International Classification of Functioning, Disability, and Health
