PHTY102 Lecture 9: Lecture 9
Clinical Reasoning in Physiotherapy
•Define clinical reasoning in relation to physiotherapy intervention
•Outline the relevance of clinical reasoning for physiotherapy practice
•Identify and outline the key steps for using clinical reasoning in physiotherapy intervention
What is clinical reasoning?
•The decision-making process used to determine the diagnosis and management of patients’
problems
•The sum of the thinking and decision-making processes associated with clinical practice
•The thinking and decision making associated with clinical practice that enables therapists to take
the best-judged action for individual patients
•Related terms- clinical decision making, problem solving, professional judgement
Relevance of clinical reasoning:
Why is clinical reasoning important?
•Increasing legal requirements for comprehensive, relevant and appropriate information exchange
between health professionals and patients (including their caregivers)
•Drive for active consumer involvement- collaborative decision making- patient centred care
•Health professionals accountable for their decision and service provision to patients
Models of clinical reasoning:
Hypothetico-deductive:
•Most common
•clinician generates hypothesis based on data from patient
Pattern recognition:
•Clinician associates problems of current patient with previously seen clinical problems
Narrative:
•Process of enquiry, examination and reflective management
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Document Summary
Clinical reasoning in physiotherapy: de ne clinical reasoning in relation to physiotherapy intervention, outline the relevance of clinical reasoning for physiotherapy practice, identify and outline the key steps for using clinical reasoning in physiotherapy intervention. Hypothetico-deductive: most common, clinician generates hypothesis based on data from patient. Pattern recognition: clinician associates problems of current patient with previously seen clinical problems. Narrative: process of enquiry, examination and re ective management. Key steps of clinical reasoning in physiotherapy practice: Requirements for physiotherapy clinical reasoning: knowledge- ability to develop, organise and access own unique multidimensional knowledge base for practice, cognitive abilities- to identify and process multiple data inputs to understand clients and their problems. In uenced by practitioner: ability to generate knowledge, competence in data collection (examination skills, interpersonal skills, values and attitudes of clinician, ability to involve patient in decision making process, in uenced by client:
