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Clinical Reasoning RUBA

The document discusses the clinical reasoning process used by an occupational therapist. It outlines the key components that guide the therapist's decision making, including theories, models, client context, resources, and how the therapy context impacts decisions. The Person-Environment-Occupation model is used to inform the therapist's holistic and collaborative approach.

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rubataha9
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39 views5 pages

Clinical Reasoning RUBA

The document discusses the clinical reasoning process used by an occupational therapist. It outlines the key components that guide the therapist's decision making, including theories, models, client context, resources, and how the therapy context impacts decisions. The Person-Environment-Occupation model is used to inform the therapist's holistic and collaborative approach.

Uploaded by

rubataha9
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Clinical Reasoning Assignment

Ruba Taha – 21511483

 What guides your decision making in practice?

Occupational therapy practice involves a holistic approach to help individuals engage in


meaningful activities and improve their overall well-being, and occupational therapy is
based on theories, models, approaches and clinical reasoning. In my case I used The
Person-Environment-Occupation (PEO) model is a model that emphasizes occupational
performance shaped by the interaction between person, environment, and occupation,
this interaction between three components lead to occupational performance and more fit
between three components is more improvement in occupational performance and
engaging in reasoning relevant for OT practice.

 Theory and science: Occupational therapists is based on theories, models, approaches


and clinical reasoning. In my case I used the Person-Environment-Occupation (PEO)
model. This model describes interactions between person, occupation and environment to
help me organize knowledge and the occupational performance from the interaction of
Person-Environment-occupation, to address issues and engaging in reasoning relevant for
OT practice.

 Personal beliefs of the therapist: These are the fundamental beliefs occupational
therapists have about themselves, others and the profession. They contribute to defining
the acceptable behaviors for any given therapy context, The relationship between
therapist and patient is not an emotional one, rather simply designed to help a patient feel
free to say whatever they needs and priorities, patient privacy and work meaningfully to
achieve the patient's goal, treat the patient with respect, dignity, and acceptance.

 The client and their context: The integration of knowledge of the client and their life
context is fundamental to the clinical reasoning process. I built the treatment plan
according to what my client wants and needs, when we build the treatment plan we took
into account the patient’s condition and what limits resulted from their condition. Also
how the context support or hinder his participation in ADL, is the environment in which a
person lives and functions it considers all of the external factors that may be impacting
their occupational performance.

 The treatment room context: in the center there are several rooms for physical sessions,
a big room for occupational therapy sessions consist of 3 table for three session
individually, and the space is small per each patient therapy sessions, it prefer the session
done individual in the other rooms, in order to limit the distractions from the people and
patients.

 Physical resources: most of our activities in sessions depend on what material and tools
are in the center. With my client I found everything I need to work with him. Also each
tool I used it in different way.

 What impact does the therapy context have on the decisions you make
in your practice?

The context was supporting to my practice and help me to work correctly on my goals,
the center have an suitable room for individual therapy as well as for group therapy, also
there are a sensory room that spurt the client that have sensory issue. In addition, the
center contains all the tools that is may use to achieve the goals that I was sit with my
client.
Supportive:
 Time: the session’s time are sufficient for the client.
 They provide us with the needed assessment to evaluate the patient's condition.
 The organization is accessible to all kinds of disabilities
 organized schedule: every client has a definite hour and day for the session.
 Caseload: the number of patients is appropriate for the number of therapists.

Restricted:
-There is no any restrictions.

 Do you use a particular occupational therapy model to inform clinical


reasoning?

Person (P) Environment (E) Occupation (O) Model:


The model consists of three components, namely the person (P), the environment (E) and
the occupation (O). The interaction of the three components results in occupational
performance, these elements are dynamic and they continue throughout the lifespan.
During a lifetime of an individual or community, there are different factors and
interactions that happen within the three components and the overlap can differ in size at
any one time depending on these factors. This model provides a framework for a
systematic interactional analysis of PEO.

 Person: a unique being who assumes a variety of roles simultaneously.


I put the goals according to priorities the client, the holistic view of the person
acknowledges the mind, body, and spirit, Values and interests help to determine
what is important, meaningful, and enjoyable to the person.

 Environment: defined broadly to give equal importance to the cultural, socio-


economic, institutional, physical and social considerations of the environment. I
used the environment due to the physical and social environment.

 Occupation: groups of self-directed, activities are the basic units of tasks.


functional tasks and activities in which a person engages over the lifespan

By using this model, we will reinforce W's performance by looking holistic for him, and
understood the factor that forms his performance (person, occupation, and environment) to take
advantage of these factors to have the pest performance.

 Can you think of examples of procedural, narrative and conditional


reasoning in relation to your practice with current or past clients?

:Narrative clinical reasoning


Narrative reasoning is a central mode of clinical reasoning in occupational therapy. Therapist’s
reason narratively when they are concerned with disability as an illness experience, that is, with
how a physiological condition is affecting a person's life, is often described as an individual's
narrative, story, or occupational history and incorporating their personal perspectives on their
experiences to reach collaborative understanding, used to make sense of peoples particular
circumstances prospectively imagine the effect of the illness disability or occupational
performance problem on their daily lives and create a collaborative story that is enacted with
clients.
 I used this reasoning when I gathered information about the client helps me to know
about different aspects of his life. (Demographic data, social history and medical history),
Also I used this in all the sessions because it increasing participation and motivate the
patient to be apart on the treatment and to set appropriate goals.

Interactive clinical reasoning:


Interactive reasoning is concerned with the interchanges between the client and therapist, This
type of thinking occurs when the therapists is working face to face with the client and
collaborating with him, building a positive therapeutic relationship and trying to understanding
his experiences, Is used when the therapist wants to understand the patient as a person.
 I used this reasoning during every session to build therapeutic relationship with the client
to make trust relation between us and to make the session as most comfort as it be and to
engage with him, understand his priorities, what importance for him, and to motivate the
client to be active in the session.

Pragmatic clinical reasoning;


This type of reasoning focuses on logistics such as cost, time, therapist’s skills,
client wishes, and physical location. It looks at the problems and the contexts and focuses on
developing practical and realistic solutions.
 I used this clinical reasoning by using a schedule for week program, I used the tools and
activity that available in the center to meet the treatment goal that determined, and plan to
the week sessions according to the patient progress.

Scientific (Diagnostic/Procedural) reasoning:


Diagnostic Reasoning; this type of reasoning specifically relates to the client’s diagnosis and
how that diagnosis affects the clinical picture. It is sometimes considered a component of
scientific reasoning.
Procedural Reasoning; This type of reasoning focuses on the process of what, when, and how
interventions and other solutions will be carried out. It focuses primarily upon the process of
therapy, occurs when practitioners are “thinking about the disease or disability and deciding
which intervention activities (procedures) they might employ to remediate the person’s
functional performance problems”.
 I used assessments such as” FIM, COPM, DASH” and sensory assessments to know his
problems, limitations, signs and symptoms of the client illness, in the activity of daily
living through observation and interview, I used the scientific when using suitable
assessment and intervention, approaches, and models that are evidence based to choose
the best intervention and guide us to achievable goals.

Conditional reasoning:
This reasoning is generally used to review therapy plans regularly to meet the client’s needs.
Is done keeping clients present and possible future context, is concerned with the context in
which interventions occur, context in which the client performs occupations, and how various
factors might affect the outcomes and direction of therapy.

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