Clinical Reasoning in Occupational Therapy

Clinical  Reasoning inOccupational Therapy......Page 1
Clinical  Reasoning in Occupational Therapy......Page 2
Contents......Page 4
List  of  Contributors......Page 5
Foreword......Page 7
Reference......Page 8
Organisation......Page 9
Acknowledgements......Page 13
Introduction......Page 14
Strand One: the theoretical underpinning  of problem solving......Page 15
Stage 1 of  problem solving: from referral to problem               identification......Page 16
Complexities of  the goals......Page 17
Factors affecting the intervention......Page 19
Relationship to three-track mind......Page 20
Relationship to narrative......Page 21
Strand Three: using problem solving to define outcomes in reasoning......Page 23
References......Page 25
What is a problem?......Page 28
Ways clinicians reduce the complexity......Page 29
Assumptions are invisible......Page 30
What is abductive reasoning?......Page 31
What is clinical reasoning and  case formulation?......Page 32
What is  case formulation?......Page 33
Why should we use a case formulation approach?......Page 34
Detecting the underlying  patterns......Page 35
Inferring  causal mechanisms......Page 37
Evaluating  the  causal model......Page 38
Writing the case formulation......Page 40
References......Page 41
Introduction......Page 44
Context......Page 47
External morality: professional autonomy and truth telling......Page 48
Internal morality: informed consent......Page 52
Conclusion......Page 54
References......Page 56
Background to the rise of managerialism......Page 58
The ‘new’ health professional......Page 62
Learning to  recognise the ‘drift’ in snowflakes......Page 64
Becoming  bilingual......Page 66
Guides for trekking through the managerialist blizzard......Page 70
References......Page 73
‘It’s a  bit like peeling an onion ? there are many layers!’......Page 76
Putting Mary’s practice in  context......Page 77
Mary’s story continues......Page 82
Reasoning and time both differ in different  contexts......Page 83
Mary changes context......Page 84
Changing contexts......Page 85
Personal  context enhancing  contextual  reasoning......Page 86
References......Page 87
Introduction......Page 89
The clown model......Page 90
Tangible elements of practice......Page 91
The cues......Page 92
The occupational therapy role......Page 94
The client’s view......Page 95
Application of knowledge......Page 96
Team work......Page 98
Learning to be an Occupational Therapist......Page 99
Conclusion......Page 101
References......Page 102
Clinical  reasoning terminology ? what arewe talking about?......Page 105
Clinical reasoning and  practice ? fitting expertise and judgment into practice and evidence-based practice......Page 108
Clinical reasoning in practice ? valuing and developing judgment artistry......Page 113
Conclusion......Page 116
References......Page 117
8.  Kai Whakaora Ngangahau ?Ma¯ori Occupational Therapists’ Collective Reasoning......Page 119
Introduction......Page 120
Ma¯ori in Aotearoa/New Zealand......Page 121
Treaty of Waitangi and  colonisation......Page 123
Knowledge in te ao Ma¯ ori ? the world of Ma¯ ori......Page 124
Ma¯ ori working with Ma¯ ori......Page 126
Occupation as a connector of wairua and tangata......Page 127
Working  with wha¯nau/extended family......Page 128
The process of collective reasoning in clinical versustikanga/ customary  practices......Page 130
Secure cultural identity......Page 132
Conclusion......Page 135
Glossary......Page 136
References......Page 138
Contextual influences......Page 140
Personal context......Page 141
Intuitive  responses......Page 143
Professional values and credibility......Page 144
References......Page 146
Index......Page 148