Clinical Reasoning: Difference between revisions
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Clinical Reasoning is the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained. Treatment choice and patient management should be based on clinical reasoning using information gathered from the following categories. | Clinical Reasoning is the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained. Treatment choice and patient management should be based on clinical reasoning using information gathered from the following categories. | ||
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'''Original Editor '''- Your name will be added here if you created the original content for this page. | |||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | |||
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Optimal management with a dynamic clinical working diagnosis should follow if all the above categories have been cosidered. | Optimal management with a dynamic clinical working diagnosis should follow if all the above categories have been cosidered. | ||
== Recent Research == | <div class="researchbox"> | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | |||
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== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Articles]] [[Category:Assessment]] | [[Category:Articles]] [[Category:Assessment]] | ||
Revision as of 22:07, 22 May 2009
Clinical Reasoning is the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained. Treatment choice and patient management should be based on clinical reasoning using information gathered from the following categories.
Original Editor - Your name will be added here if you created the original content for this page.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
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|- | style="color: rgb(0, 0, 0);" | Original Editors - Rachael Lowe.
Lead Editors - If you would like to be a lead editor on this page, please contact us.
|}
Pathobiological Mechanisms[edit | edit source]
- mechanisms relating to tissues - tissues injured, nature of injury, stage of healing
- mechanisms relating to pain - input (nociceptive, neurogenic), processing (central, cognitive), output (motor, sympathetic).
Dysfunction/Impairment
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Clinical manifestations of the pathobiological processes, these are the patients main problems at that time.
- dysfunction - general physical dysfunction as described by the patient such as limitations in activity
restriction in participation - impairment - specific impairments in body functions and structures identified on examination.
Sources
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The actual anatomical location of the pathobiological mechanisms.
Contributing Factors
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Any factor relating to the predisposition, development and maintenance of the problem
- physical - previous injury, nerve root involvement, pain provoked by multiple trunk movemements, reduced muscle control, reduced physical fitness
- psychosocial - yellow flags determine a patients potential to proceed to chronicity.
- environmental
- emotional
- behavioural
- ergonomic
- cultural
Precautions
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- red flags - need referral on for appropriate medical intervention.
- yellow flags - highlight the need for a more detailed psychosocial assessment.
- SIN factor - severity, irritability, nature.
Prognosis
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To predict potential improvement identify positive and negative prognostic indicators. Consider age, occupation, hobbies, previous treatment response, stage and stability od condition, general health, past medical history, pain mechanisms.
Management
[edit | edit source]
Optimal management with a dynamic clinical working diagnosis should follow if all the above categories have been cosidered.
Recent Related Research (from Pubmed)[edit | edit source]
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