Clinical Reasoning in Occupational Therapy is a key text for occupational therapy students and practitioners. Written by an internationally renowned group of clinicians, educators and academics and with a central case study running throughout, the book covers the theory and practice of the following key topics: Working and Thinking in Different Contexts; Teaching as Reasoning; Ethical Reasoning; Diversity in Reasoning; Working and Thinking within 'Evidence Frameworks'; Experience as a Framework; The Client. FEATURES includes case studies problem-solving framework questions at the end of each chapter commentaries on key topics relates theory to practice
This comprehensive textbook lets readers develop the strong theoretical and practical foundation needed for effective decision-making in occupational therapy. Emphasis on both clinical and professional reasoning gives readers the skills needed to make informed decisions as practitioners, managers, and educators. This textbook offers easy-to-follow explanations of current theories of clinical and professional reasoning, demonstrating their relevance to occupational therapy work. "Thinking about Thinking" quotes offer thought-provoking perspectives on reasoning. Case examples and learning activities demonstrate how reasoning is applied in various clinical and professional scenarios. Each chapter includes learning objectives and a key word list. Photographs, figures, and tables support reader understanding.
Schell & Schell’s Clinical and Professional Reasoning in Occupational Therapy, 2nd Edition offers up-to-date, easy-to-understand coverage of the theories and insights gained from years of studying how occupational therapy practitioners reason in practice. Written by an expanded team of international educators, researchers and practitioners, the book is the only work that goes beyond simply directing how therapists should think to exploring whyand how they actually think the way they do when working with clients. The 2nd Edition offers a wide array of new chapters and a new, more focused four-part organization that helps Occupational Therapy students develop the skills they need to identify and solve challenges throughout their careers.
In this practical guide, occupational therapist Barbara Cortellini Benamy persuasively argues that a clinician's well-honed clinical reasoning skills make the critical difference between average technique and true professional mastery -- and she shows how anyone can enhance that ability in this important area. Ms. Benamy defines clinical reasoning as a process of internal inquiry that takes advantage of a clinician's academic training, philosophical beliefs and values, and professional as well as personal life experiences to set and achieve workable occupational goals for patients.At ease with the complex issues that underlie advanced reasoning, Benamy is deeply committed to putting this material into the reach of everyday practitioners. Her own advanced practice skills, experience with clinical supervision, and her enthusiasm for ideas propelled her to begin designing and implementing practice opportunities for new therapists, a system for pairing more seasoned practioners with novices, and later, simulations that offered therapists an opportunity to develop their skills and knowledge. This book attests to her continued commitment to the professional growth of clinicians.Working from a subconscious level, clinical reasoning usually isn't recognized by the best clinicians as they do it. But with this manual, you can learn to bring the internal process of clinical reasoning into consciousness and enhance your own clinical mastery. Developing Clinical Reasoning Skills not only fully explains clinical reasoning, but also provides useful examples and practical activities you can try yourself, alone or with a partner, to further your understanding.
This timely and innovative book relies on its author's experience in teaching interactive reasoning to explore the origins, the theory, reasoning, and clinical practice of interaction in occupational therapy. It is organized and based upon the belief that practice is a composite of philosophy, theory, and empirical data. Chapter topics cover essential requirements in the field—based on standards for certification and an accredited educational program for the Occupational Therapist or OT Assistant—to give readers first-hand exposure to practice as it is thought about and applied in 2001 and beyond. The book's four-section organization begins with philosophy, theory, and research base; portrays application to practice settings; covers population; and concludes with research, evidence, and education. For practicing occupational therapists, psychologists, social workers, counselors, and psychiatrists—as well as clinicians from variety of related fields such as physical therapy, speech/language pathology, and nursing.
Introduction: In this exploratory study, the clinical reasoning process followed by occupational therapists in determining whether their clients' spiritual occupations were health promoting or manifestations of a psychiatric illness is described. There has been limited investigation in this regard in existing literature. Method: A qualitative multiple case study design was used. Five occupational therapists working in different mental health care settings were interviewed using semi-structured interviews. Review of relevant documents and field-notes also provided important data sources. Findings: Three themes emerged from thematic analysis, namely 'Clinical Reasoning: complex, dynamic and multi-layered'; 'Multiple resources: people as key'; and 'Rewarding and challenging experience'. 'Underground practice' emerged as a strategy that helped participants to navigate around contextual barriers in order to ensure client-centredness when addressing spiritual occupational needs within a mental healthcare setting. Conclusion: Spiritual occupational engagements should be examined in conjunction with individual clients' own process of meaning-making, implications for health to the client and others within the healthcare setting, and by taking the broader occupational narrative of the person, as well as relevant cultural norms and expectations, into consideration.
Intended for occupational therapists, this text is designed to teach clinical reasoning in the context of OT intervention in adult physical disabilities, and show students how to synthesize knowledge and implement a holistic approach to treatment. Case studies help students apply frames of reference and implement situational thinking. Linking statements are used throughout the text to show students how to connect evaluation results to treatment goals, methods and specific activities.
This book is a collection of essays on occupational therapy theory and its application in practice. They represent the reflections, on aspects of occupational therapy, of experts in their own fields who are at the cutting edge of theory development. At the beginning of the twenty-first century, occupational therapists are beginning to conceptualise occupational therapy as a complex intervention. This book provides the level of detail to support such an understanding. Two chapters discuss the profession of occupational therapy: how it has developed and what is involved in being an occupational therapist. Other chapters explore the idea of occupation from different perspectives, providing detailed analyses of the concept that is central to the profession of occupational therapy. The third type of chapter describes how theory is used in occupational therapy practice, for example, in making decisions or implementing research findings.
Clinical reasoning is the foundation of professional clinical practice. Totally revised and updated, this book continues to provide the essential text on the theoretical basis of clinical reasoning in the health professions and examines strategies for assisting learners, scholars and clinicians develop their reasoning expertise. key chapters revised and updated nature of clinical reasoning sections have been expanded increase in emphasis on collaborative reasoning core model of clinical reasoning has been revised and updated
This book examines the occupational therapy paradigm (its focal viewpoint, core constructs, and values) as well as the role of complexity/chaos theory as a scientific framework for occupational therapy research and practice. Unlike other current OT texts, this book uses clinical case examples to illustrate application of proposed changes to make procedures consistent with the latest Occupational Therapy Practice Framework. The reader walks away with a clear grasp of the theoretical principles guiding his or her treatment interventions, the explanations behind those principles, and the applicable intervention for said techniques and procedures. An emphasis on clinical-reasoning skills, including information on different types of reasoning skills as well as the MAPP model of teaching helps the student and clinician translate theoretical principles into practice. The section on specific interventions addresses each of the conceptual practice models according to a consistent chapter template, which enables the reader to apply conceptual practice models in real-world contexts. Preview questions at the beginning of each chapter alert the reader to important concepts in the upcoming text. Critical analysis of the theoretical core provides suggested modifications to increase consistency with the new occupational therapy paradigm.
This Print on Demand title is available exclusively through Amazon.com. This book provides an important and badly needed conceptual bridge between the technical and humanistic sides of occupational therapy practice.
Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity
Author: Cynthia Cooper
Publisher: Elsevier Health Sciences
Emphasizes the development of clinical reasoning skills, describing the components of the evaluation process and addressing how to decide what to evaluate. Covers a broad array of common diagnoses seen in hand therapy, including shoulder and elbow disorders, peripheral nerve problems, wrist and hand fractures, tendonitis and tendonosis, finger sprains and deformities, tendon injuries, arthritis, burns, infections, ganglion cysts, stiffness, Dupuytrens, and pediatric and geriatric hand problems. Diagnostic-specific information and treatment guidelines follow a consistent format: Overview Diagnosis and pathology Timelines and healing Anatomy Treatment (non-operative and/or operative) Questions to ask the doctor What to say to clients Evaluation tips Diagnosis-specific information that affects clinical reasoning Tips from the field Precautions and concerns Role of therapy assistants Case examples Offers topics to use as mental prompts when working in the clinical setting: Questions to ask the doctor What to say to clients Tips from the field Precautions and concerns Over 400 illustrations in the text and on the CD demonstrate important concepts. Case studies in the common diagnoses chapters demonstrate the use of clinical reasoning and highlight the "human" side of each client encounter. Clinical pearls and precautions share advice from the author and contributors, learned from years of clinical experience. Describes the role of the therapy assistant with the client, showing how the therapy assistant may be included in the therapy process. Glossary includes key terms from the text, offering easy access to definitions of key terms. CD provides samples of hand therapy exercises and clinical forms that may be used with clients.
The aim of this study was to examine, understand and conceptualise the critical thinking and clinical reasoning adopted by new graduate occupational therapists as they enter the workforce to become newly autonomous practitioners. The study obtained the perspectives of new graduates, their supervisors and service managers on the means by which critical thinking and clinical reasoning develop to meet the expectations of employers. Factors which impeded the transition between new graduate and autonomous practitioner were identified and explored. Ethical approval was obtained to conduct the study. The study adopted a qualitative phenomenological research approach; Interpretative Phenomenological Analysis (IPA), which informed framing, data gathering and analysis. Semi-structured interviews were conducted with new graduates (n=6), supervisors (n=7) and managers (n=7) from multiple sites within one National Health Service Board. Interviews were transcribed verbatim from audio-recordings. The findings indicate that new graduates are expected to develop critical thinking and clinical reasoning in a manner that might challenge traditional conceptualisations of the transitioning process. A phenomenon, historically named the "shock of practice", was reflected on by therapists in each phase of the study and adaptive and mal-adaptive responses to this in the thinking and behaviour of new graduates was identified. The clinical supervisor-supervisee relationship appeared to be the key source of support, and the supervisor the most significant knowledge resource, for new graduates. This relationship was supplemented by both peer support and Preceptorship. Discharge planning was a significant source of anxiety and development of an algorithm to support this process is proposed. Recommendations for further research and theoretical implications for practice and undergraduate education are discussed.
Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity
Author: Cynthia Cooper
Publisher: Elsevier Health Sciences
Perfect for hand therapy specialists, hand therapy students, and any other professional who encounters clients with upper extremity issues, Fundamentals of Hand Therapy, 2nd Edition contains everything you need to make sound therapy decisions. Coverage includes hand anatomy, the evaluation process, and diagnosis-specific information. Expert tips, treatment guidelines, and case studies round out this comprehensive text designed to help you think critically about each client’s individual needs. "Overall, a very clear readable style is adopted throughout, with theory supported by various anecdotal case studies. Excellent use is made of illustrations, and many chapters contain the helpful addition of ‘clinical pearls’ or ‘tips from the field’, which are an attempt to make transparent the links between theory and practice. In conclusion, this is an excellent core text for reference purposes." Reviewed by: British Journal of Occupational Therapy Date: Aug 2014 Clinical Pearls and Precautions highlight relevant information learned by the experienced author and contributors that you can apply to clinical practice. Case examples included in the diagnoses chapters in Part Three demonstrate the use of clinical reasoning and a humanistic approach in treating the client. Diagnosis-specific information in the final section of the book is well-organized to give you quick access to the information you need. Special features sections such as Questions to Discuss with the Physician, What to Say to Clients, Tips from the Field, and more help readers find their own clinical voices. Online sample exercises give you a pool to pull from during professional practice. NEW! Chapters on yoga and pilates provide guidance into new ways to treat upper extremity problems. NEW! Chapter on wound care gives you a thorough foundation on how wounds impact therapeutic outcomes. NEW! Chapter on orthotics has been added to cover basic splinting patterns. NEW! Online resources help assess your understanding and retention of the material.