Clinical reasoning is an integral component of the occupational therapy profession. It is “the thought process that guides practice” (Rogers, 1983). The ability to effectively problem solve in a clinical work environment is a skill that must be practiced in order to master. In an ever-changing, diverse profession such as occupational therapy, it is imperative to remain knowledgeable and current of any changes or medical advances that may improve clinical competence. Clinical reasoning skills cannot be mastered solely with a textbook filled with examples of diagnoses and treatment interventions. Clinical competence is built on experience and opportunities to apply knowledge and learn from mistakes in a hands-on environment. Despite being exposed …show more content…
Implementing the terms that encompass clinical reasoning will teach students to take all aspects of each patient into account and will follow the occupational therapy holistic approach. The elements that make up clinical reasoning as a whole are narrative reasoning, interactive reasoning, procedural reasoning, pragmatic reasoning, and conditional reasoning (Neistadt, 1996). Narrative reasoning focuses on the client’s particular circumstances and takes into account the client’s past, present, and future and how their current circumstances will affect their life. This gives the practitioner ideas on how to collaborate with the client and family based on the individual’s journey. It is important for the occupational therapy practitioner to help the client see how the treatment …show more content…
Interactive reasoning helps the practitioner get to know clients and form a relationship with them and their caregivers in order to form a therapeutic alliance and help the client succeed in therapy. Interactive reasoning explores the best approach to communicate with the client and engage him or her in occupational therapy. This method helps to individualize therapy based on the client’s circumstances and form trust and respect with the client. Learning how to implement this type of clinical reasoning will help the student recognize client needs and dispositions and alter their approach to meet those needs (Lyons, 2001). Procedural reasoning involves thinking about a client’s disability or disease and deciding what procedures to implement to combat the diagnosis (Fleming, 1991). Procedural reasoning is mainly used by occupational therapists while performing evaluations and coming up with therapeutic interventions. However, the occupational therapy assistant implements the treatment intervention and works toward the goals the occupational therapist has put into place. It is important for students to understand where their role is in regard to procedural reasoning (Lyons, 2001). Pragmatic reasoning takes into account the environment, such as the amount of space and the materials available to perform therapeutic activities, time constraints, organizational structure,
The Occupational Therapy Practice Framework defines an occupational profile as “the initial step in the evaluation process that provides an understanding of the client’s occupational history and experience, patterns of daily living, interests, values, and needs (2014).” During this process the client’s problems and concerns about daily occupations are identified then the client’s main concerns are determined (American Occupational Therapy Association, 2014). Occupational Therapists strive to be holistic and client-centered, and the occupational profile is one method to ensure treatment takes on these characteristics. During the occupational profile the clients share their priorities based on what is important to them, and the therapist
Occupational therapy is also known as the dynamic and developing healthcare profession that deals with people in ways of regaining their skills required for the every days of life. For a very long time I have always had the desire to achieve my dreams in becoming an occupational therapist. I am very well equipped with creativity, flexibility and the ability to aid people in solving their every day’s life challenges they get involved in. Occupational therapy is quite involving and needs good strategies and skills for one to be successful in the program.
Heinle, K. M. (2008). Buffalo's approach to CTE programming for students with disabilities. Techniques, 83(4), 20-23.
Though occupation usually refers to a job, a person’s occupation is initially determined by what their everyday life consists of. When a person becomes incapable of performing the tasks that they are expected to do in their everyday life due to developmental delays, physical injury, or psychological problems they are often referred to an occupational therapist. Occupational therapists, or OTs, usually have occupational therapy assistants, often called OTAs. The OT gives the OTA a set of objectives to help the patient achieve. Since people go through numerous occupations during the course of their lives, OT’s and OTA’s prov...
Sacket et al, cited in, Duncan, E,A,S, (2006) Foundtions for practice in Occupational Therapy, 4th edition, Elsevier Ltd.
Wiles, L.L. Simko, L.C. & Schoessler, M. (2013). What do I do now? Clinical Decision making
An occupational therapist becomes trained and licensed in the healthcare profession and obtains the credentials to make a complete assessment of the impact of an injury that is causing the activities of the patient at home and in work situations
Occupational therapy was based off of psychology; we evolved from treating mentally ill patients with isolation as an efficient treatment plan. We must never forget we are known to be “the art and science of helping people do the day-to-day activities that are important and meaningful to their health and well being through engagement in valued occupations” (Crepeau, Cohn, & Schell, 2008). To other professional disciplines this article explains the difference between each of us, yet can also express our relation to one another. The basic goal of all therapeutic disciplines is to better our clients life, through physical, speech or occupational therapy. Every discipline targets different goals, may it be body mechanics, reducing a stutter or buttoning a shirt, at the end of the day our clients well being may it be through science, art or both is all that matters. To the occupational therapy field this article means progress for what we do. Reading this article today in the year 2015 did not seem like old information to me, it is still relevant, I am proud that our field is not only evolving with contemporary time but it is also maintaining its
Occupational science in practice enables therapists to understand the patient as an occupational being, thus enabling the therapist to implement assessments that are occupationally focused, especially during the early stages of the occupational therapy process.
The experience I had interviewing for the first time was extremely daunting but at the same time, eye-opening as it made me realise how essential a skill like this is to have and practice as an occupational therapist. It is a skill that requires time to develop and to craft, but is vital in building a therapeutic alliance between the client and the therapist. I carried out two different interviews, The Occupational Circumstances Assessment Interview Rating Scale (OCAIRS) and Canadian Occupational Performance Model (COPM), as the interviewer and also acted as the interviewee so I could gain insight into what such an experience would be like from the client’s perspective. The aim of both interviews was to assess the client and assessment proves to be a critical part of the OT process.
I look forward to helping them become more independent by aiming for their personal goals and reaching for their full potential. I am enthusiastic in finding a career were I am able to be creative and discover the self-confidence in my patients that will help them succeed. Throughout the coming years, I hope to attain the skills and abilities to succeed in this field. As I further my knowledge in this field I hope to demonstrate ethical decision making and learn to appreciate my role in supporting my patients as they learn to navigate a new world. I hope to educate the community in gaining a better understanding of what occupational therapy is and the overall impact it can make on an individual’s life and
Furthermore, legal responsibility is willing to accept fault, knowing when to ask questions of a supervisor to more clearly meet the needs of the client. Kaslow, Grus, Campbell, & Fouad, et al., 2009). Moreover, this insightful implementation is the ability to evaluate and implement the soundest therapy for the client. My career identity has not been perfected in a skilled setting which would be a practicum or internship. The career character that has been built was by collaboration with colleagues at my first residency.
witnessed first-hand the impact occupational therapy can make in people’s lives, watching the delight of a
Nurses participate in the collaboration of teamwork that provides care and trusting relationships to individuals of all ages. By adapting to boundless environmental settings given in any situation, along with critical thinking skills for diagnosis, treatment of human response, evaluation of outcome, and interventions, nurses are advocates for individuals to effectively provide for their healthcare needs. Nursing methods such as visual thinking strategies contribute to “communicative and relational skills, the achievement of decision making and problem-solving skills, and the ability to observe and interpret sign and symptoms” (De Santis, Giuliani, Staffoli,
Cole, M. B., & Tufano, R. (2008). Applied theories in occupational therapy: A practical approach. Thorofare, New Jersey, United States of America: Slack Inc.