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Details

Clinical Reasoning Process
Scientific, Narrative, Pragmatic. Ethical, Interactive
5
Other
Undergraduate 4
09/18/2015

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Cards

Term
Scientific
Definition
  • Used to understand the nature of the condition
  • What is the nature of the illness, injury, or development problem?
  • What are the common disabilities resulting from this condition?
  • What are the typical impairments associated with this condition?
  • What are the typical contextual factors that affect performance?
  • What theories and research are available to guide assessment and intervention?
  • What intervention protocols are applicable to this person's condition?
Term
Narrative
Definition
  • Used to understand the meaning of the condition to the person
  • What is this person's life story?
  • What is the nature of this person as an occupational being?
  • How has the health condition affected the person's life story or ability to continue his or her life story?
  • What occ. activities are most important to this person?
  • What occ. activities are both meaningful to this person and useful for meeting therapy goals?
Term
Pragmatic
Definition
  • Used to understand the practical issues affecting clinical action
  • Who referred this person and why?
  • Who is paying for services, and what are the expectations?
  • What family or caregiver resources are there to support intervention?
  • What the the expectations of my supervisor and workplace?
  • How much time is there to see this person?
  • What therapy space and equipment are available?
  • What are my practice competencies? 
Term
Ethical
Definition
  • Used to choose morally defensible actions, given competing interests
  • What are the benefits and risks to the person related to service provision and do the benefits warrant the risks?
  • In the face of limited time and resources, what is the fairest way to prioritize care?
  • How can I balance the goals of the person receiving services with those of the caregiver when they don't agree?
  • To what degree should I customize documentation of services to improve reimbursement?
  • What should I do when other members of the tx team are operating in ways that I feel conflict with the goals of the person receiving services?
Term
Interactive
Definition
  • Used to develop and promote positive interpersonal relationships with the client
  • How can I best relate to this person?
  • How can I put this person at ease?
  • What is the best way for me to encourage this person?
  • What nonverbal strategies should I use in this situation?
  • Where should I place myself relative to this person so that I support him or her but do not "invade" the person?
  • What cultural factors do I need to consider as I engage with the person?
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