CCR theory Flashcards

1
Q

Clinical Reasoning

A

The thinking and/or decision-making processes that are used in clinical practice
- The ability to select and use information effectively in solving problems, a teachable,
cognitive skill that is independent of specific clinical knowledge.

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2
Q

HOAC II

A

Hypothesis Oriented Algorithm for Clinicians

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3
Q

ICF

A

International Classification of Functioning Disability and Health

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4
Q

RPS

A

Rehabilitation Problem Solving form

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5
Q

Hypotheses

A

Proposed, testable explanations (cause + effect) of the complaints of the patients = Target problem + target mediator

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6
Q

Primary Prevention

A

Preventing anticipated / future problems

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7
Q

Secondary Prevention

A

Preventing existing / current problems

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8
Q

Tertiary Prevention

A

Preventing longer term, lasting effects i.e) linked to the problem - depression

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9
Q

PIPS

A

Patient Identified Problems

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10
Q

NPIPS

A

Non-patient Identified Problems

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11
Q

Body Functions

A

Physiological functions of body systems

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12
Q

Body Structures

A

Anatomical parts of the body i.e.) organs, limbs

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13
Q

Impairments

A

Problems in body function or structure

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14
Q

Participation

A

Involvement in a life situation

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15
Q

Activity Limitations

A

Difficulty an individual may have in executing activities

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16
Q

Participation Restrictions

A

Problems an individual has in involvement in life situations

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17
Q

Environmental Factors

A

External to the patient. Make up the physical, social and attitudinal environment in which people live and conduct.

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18
Q

Personal Factors

A

Internal to the patient. Influence how disability is experienced by the individual.

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19
Q

Target Problem

A

“Effect”
Difficulties the patient has
Identified in activities and participation section of RPS

20
Q

Target Mediator

A

“Cause”
Supposed to have the highest potential to solve the target problem Identified in the body functions section of RPS

21
Q

Existing problem

A

A current problem (secondary-tertiary prevention)

22
Q

Anticipated problem

A

Nearby future (primary prevention)

23
Q

Observed Pain Behaviour

A

Guarding, bracing, rubbing, grimacing and sighing

24
Q

Clinical Outcomes

A

Strength, swelling, range of motion, pain, proprioception, psychological overlay and endurance (muscular)

25
Q

Functional Outcomes

A

Power, speed, agility, activity specific, kinesthetic awareness, pain, endurance (muscular and cardiovascular), skill level required for activity, psychological preparedness and daily living skills

26
Q

Screening process

A

Early identification of a health problem, not yet diagnosed, through a process that can be quickly executed.

27
Q

Medical Diagnosis

A

A process in which elements that have been observed will be classified under the name of a pathology.

28
Q

Physiotherapeutic Diagnosis

A

An inventory and analysis of limiting and facilitating factors for biological and behavioural recovery and adaptation processes within the boundaries of physical therapy.

29
Q

“Gut Feeling”

A

The instinctive feeling that there’s something wrong, though concrete evidence is missing

30
Q

Signs

A

Clinical information which is taken as objective proof from the PT

31
Q

Symptoms

A

Information that the patient gives but it is not taken by the PT as objective.

32
Q

Pattern Recognition

A

“Screening”

33
Q

Patient Profile

A

“Patient History”
Personal story of the patient about perceived health problems, in their own language, in its own context, with its own history and with its own dynamics.

34
Q

Red Flags

A

The problem is not a musculoskeletal one.
Biomedical risk factors (Serious pathology - Cancer, infection, fracture, etc.) Red flag findings in patient history indicate a need for referral to physician.

35
Q

Orange

A

Psychological risk factors (Psychiatric issues - Major depression, schizophrenia, etc.)

36
Q

Yellow Flags

A

Signs and symptoms that denote problems may be more severe or may involve more than one area requiring a more extensive examination, or they may relate to cautions and contradictions to treatment that the examiner have to consider (ex. Abnormal signs/symptoms, bilateral symptoms, drop attacks, vertigo, abnormal sensation patterns etc.)
Or overlying psychosocial or cognitive risk factors (Distress, anxiety, etc.) Yellow flag findings indicate a more extensive examination may be required.

37
Q

Blue Flags

A

Social and economical (work related) risk factors (Job dissatisfaction, lack of support, etc.)

38
Q

Black Flags

A

Societal and insurance related factors (Limitations imposed by legislation, conflict with the insurer or workplace)

39
Q

SMART Goals

A

Specific, Measurable, Attainable, Relevant, Time

40
Q

Long-term goals

A

Related to patients target problem

41
Q

Short-term goals

A

Steps taken to meet the long term goal

42
Q

Strategies in Clinical Reasoning

A
  1. Trial and Error
  2. Following Protocol
  3. Rule-in/Rule-out (diseases)
  4. Hypothetico-deductive reasoning (research)
  5. Pattern recognition (experienced practitioners)
43
Q

7 Steps of HOAC

A
  1. Contextualisation of patient
  2. Interview (patient history) + problem list+ hypotheses
  3. Examination Strategy
  4. Examination Findings = accept/reject hypothesis
  5. Goals/Actions to take
  6. Intervention Strategy
  7. Reassessment
44
Q

ICD10 vs ICF

A

ICD10 = deals with disease and limitation giving a medical diagnosis, objective
ICF = deals with overall functioning ability and perspective of the patient, subjective

45
Q

Clinical Reasoning Systems

A

System 1 = subconscious CR of pattern recognition, quick, narrow view (Exp. Health prof) System 2 = conscious CR which is analytical, slow, systematic, reflective, broad view (Student)

46
Q
A