Clinical Reasoning: Difference between revisions
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Revision as of 12:35, 23 April 2013
Original Editor - Rachael Lowe
Lead Editors -
Introduction[edit | edit source]
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. It has been defined as “an inferential process used by practitioners to collect and evaluate data and to make judgments about the diagnosis and management of patient problems"[1]
Clinical reasoning is “the sum of the thinking and decision-making processes associated with clinical practice”[2][1]). During this process, the therapist analyses multiple variables contributing to the patient’s limited physical capacity (the ability to execute a task or action in a standard environment) and performance (what the patient can do in his or her own current environment). The key elements of the process include generation of hypotheses of factors assumed to underlie the limitations of physical capacity and performance and postulation of the magnitude of those factors. The therapist interacts with the patient and other persons involved in the patient care (family, other health care professionals) and guides the patient in finding meaningful goals and health management strategies[3]. All decisions and actions need to be made in line with professional ethics and community expectations[4].
Approaches[edit | edit source]
Hypothesis-Oriented Algorithm for Clinicians II (HOAC II)
International Classification of Functioning, Disability and Health (ICF)
Resources[edit | edit source]
Physical Therapy Clinical Reasoning and Reflection Tool - aims to integrate the ICF framework into the patient management model while incorporating the hypothesis-driven basis of CDM models[5]
getPTsmart - Tool to engage in the teaching and learning of clinical reasoning in a contemporary, time-independent environment that serves as a link between the classroom and clinical practice.
Recent Related Research (from Pubmed)[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Higgs J, Jones M. Clinical decision making and multiple problem spaces. In: Higgs J, Jones MA, Loftus S, Christensen N. Clinical reasoning in health professions. Amsterdam: Elsevier;2008. p. 4-19.
- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs namedEdwards - ↑ http://ptjournal.apta.org/content/91/3/416.full.pdf
- ↑ A tool for clinical reasoning and reflection using the international classification of functioning, disability and health (ICF) framework and patient management model.fckLRAtkinson HL, Nixon-Cave K. Phys Ther. 2011 Mar;91(3):416-30.
- ↑ A tool for clinical reasoning and reflection using the international classification of functioning, disability and health (ICF) framework and patient management model. Atkinson HL, Nixon-Cave K. Phys Ther. 2011 Mar;91(3):416-30.
