Clinical Reasoning

Question 1

Clinical reasoning

Answer 1

“Backbone of OT” (not just logic)
Thought process that guides an individual’s practice
-show initiative
-take responsibility
-observe to plan interventions that guides practice
*makes our use of occupation therapeutic

Question 2

Procedural Reasoning

Answer 2

identifying pt’s fxnl challenges and select procedures that might help

• problem ID
• goal setting
• intervention planning

Question 3

Interactive Reasoning

Answer 3

Therapist and client develop a collaborative relationship when monitoring and interpreting behaviors between them providing motivation and joint problem solving necessary for goal achievement

• get to know the client as a person
• be empathetic
• match goals and interventions to the client
• engage client in intervention session

Question 4

Conditional Reasoning

Answer 4

Attempt to understand the “whole person” in the context of real-life and the disabilities future impact

• reflect on impact of interactive and procedural reasoning
• imagine the client’s future
• deeper thinking process of interpreting client as a whole

Question 5

Three Tracks of Reasoning

Answer 5

Procedural Track: How to…
Interactive Track: Interaction to better understand the client
Conditional Track: future vision

Question 6

Narrative Reasoning

Answer 6

-to better understand client by brainstorming with others

Question 7

Pragmatic Reasoning

Answer 7

all practical issues of Tx

• concrete
• addresses limitations encountered in practice: Tx environment, practitioner’s knowledge/abilities, insurance/finances, client’s social supports