Clinical Reasoning: Difference between revisions
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Clinical Reasoning is the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained. Treatment choice and patient | Clinical Reasoning is the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained. Treatment choice and patient management should be based on clinical reasoning using information gathered from the following categories.<br> | ||
=== Pathobiological mechanisms === | === Pathobiological mechanisms === | ||
*mechanisms relating to tissues - tissues injured, nature of injury, stage of healing<br> | *mechanisms relating to tissues - tissues injured, nature of injury, stage of healing<br> | ||
*mechanisms relating to pain - input (nociceptive, peripheral neurogenic, central, autonomic), processing (feelings, memories), output (motor, sympathetic).<br> | *mechanisms relating to pain - input (nociceptive, peripheral neurogenic, central, autonomic), processing (feelings, memories), output (motor, sympathetic).<br> | ||
=== Dysfunction/Impairment<br> === | === Dysfunction/Impairment<br> === | ||
*clinical manifestations of the pathobiological processes, these are the patients main problems at that time.<br> | *clinical manifestations of the pathobiological processes, these are the patients main problems at that time.<br> | ||
=== Sources<br> === | === Sources<br> === | ||
*the actual anatomical location of the pathobiological mechanisms.<br> | *the actual anatomical location of the pathobiological mechanisms.<br> | ||
=== Contributing Factors<br> === | === Contributing Factors<br> === | ||
*any factor relating to the predisposition, development and maintenance of the problem.<br> | *any factor relating to the predisposition, development and maintenance of the problem.<br> | ||
=== Precautions<br> === | === Precautions<br> === | ||
*red flags - need referral on for appropriate medical intervention.<br> | *red flags - need referral on for appropriate medical intervention.<br> | ||
*yellow flags - highlight the need for a more detailed psychosocial assessment.<br> | *yellow flags - highlight the need for a more detailed psychosocial assessment.<br> | ||
=== Prognosis<br> === | === Prognosis<br> === | ||
*to predict potential improvement identify positive and negative prognostic indicators.<br> | *to predict potential improvement identify positive and negative prognostic indicators.<br> | ||
=== Management<br> === | === Management<br> === | ||
*optimal management should follow if all the above categories have been cosidered. | *optimal management should follow if all the above categories have been cosidered. | ||
<br> | <br> | ||
Revision as of 15:03, 4 October 2008
Clinical Reasoning is the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained. Treatment choice and patient management should be based on clinical reasoning using information gathered from the following categories.
Pathobiological mechanisms[edit | edit source]
- mechanisms relating to tissues - tissues injured, nature of injury, stage of healing
- mechanisms relating to pain - input (nociceptive, peripheral neurogenic, central, autonomic), processing (feelings, memories), output (motor, sympathetic).
Dysfunction/Impairment
[edit | edit source]
- clinical manifestations of the pathobiological processes, these are the patients main problems at that time.
Sources
[edit | edit source]
- the actual anatomical location of the pathobiological mechanisms.
Contributing Factors
[edit | edit source]
- any factor relating to the predisposition, development and maintenance of the problem.
Precautions
[edit | edit source]
- red flags - need referral on for appropriate medical intervention.
- yellow flags - highlight the need for a more detailed psychosocial assessment.
Prognosis
[edit | edit source]
- to predict potential improvement identify positive and negative prognostic indicators.
Management
[edit | edit source]
- optimal management should follow if all the above categories have been cosidered.
