Clinical reasoning is the thinking process used by occupational therapists as they interact with clients throughout the occupational therapy process. Seven different types of clinical reasoning are defined and discussed below.Reference:
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A definition of clinical reasoning includes an ability to integrate and apply different types of knowledge, to weigh evidence, critically think about arguments and to reflect upon the process used to arrive at a diagnosis.
Narrative reasoning is a central mode of clinical reasoning in occupational therapy . Therapists try to “emplot” therapeutic encounters with patients, that is, to help create a therapeutic story that becomes a meaningful short story in the larger life story of the patient.
Pragmatic reasoning considers issues such as reimbursement, therapists’ skills, and equipment availability. To be comprehensive, further study of clinical reasoning should include these contextual issues as an inherent part of the clinical reasoning process.
Occupational therapists are health care professionals who help people to resume or maintain participation in a variety of tasks – their jobs, leisure and social activities, getting around, caring for themselves and their home, and much more.
In patient-centered care and evidence-informed practice, healthcare providers are trained to make decisions based on the five rights of clinical reasoning : the right cues, right patient, right action, right time, for the right reason .
Clinical reasoning is an essential function for health care. The performance of the professional depends on multiple factors, but its final outcome cannot be good if the thinking skills are deficient(9). The result of the clinical reasoning will guide the decision making, which may be diagnostic or therapeutic.
Procedural reasoning guides the therapist in thinking about the patient’s physical performance problems. Experienced occupational therapists seem to shift smoothly from one mode of thinking to another in order to analyze, interpret, and resolve various types of clinical problems.
Narrative reasoning is an inductive cognitive strategy used to understand patients’ experiences with illness within the biosocial context of their lives. The process includes co-construction of narrative reasoning through encounters with patients, families, clinical instructors and other team members.
Scientific reasoning (SR), broadly defined, includes the thinking skills involved in inquiry, experimentation, evidence evaluation, inference and argumentation that are done in the service of conceptual change or scientific understanding.
Diagnostic reasoning is a dynamic thinking process that is hypothesis driven and leads to a diagnosis that best explains the symptoms and clinical evidence in a given clinical situation.
80,150 USD (2015)
Occupational therapists who currently practice with a bachelor’s or master’s degree in occupational therapy degree will not need a doctoral degree. After July 1, 2027, all new practicing OTs will require a doctor of occupational therapy degree.
Here are examples of the tasks and skills OTs might focus on: Self-care routines like getting dressed (fine motor skills and motor planning) Writing and copying notes (fine motor skills, hand-eye coordination) Holding and controlling a pencil, using scissors (fine motor skills, motor planning)