Describing the clinical reasoning process: Application of a model of enablement to a pediatric case. (April 2013)

• Record Type: Journal Article
• Authors: Furze, Jennifer; Nelson, Kelly; O'Hare, Megan; Ortner, Amanda; Threlkeld, A. Joseph; Jensen, Gail M.
• Is Part Of: Physiotherapy theory and practice. Volume 29:Number 3(2013:Apr.)
• Page Start: 222
• Page End: 231
• Publication Date: 2013-04
• Subjects: Physical therapy -- Periodicals; 615.82
• DOI: 10.3109/09593985.2012.727204
• Languages: English
• ISSNs: 0959-3985

Abstract

<abstract abstract-type="executive-summary"> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title /> <p> <italic>Background and purpose:</italic> Clinical reasoning is a core tenet of physical therapy practice leading to optimal patient care. The purpose of this case was to describe the outcomes, subjective experience, and reflective clinical reasoning process for a child with cerebral palsy using the International Classification of Functioning, Disability, and Health (ICF) model. <italic>Case description:</italic> Application of the ICF framework to a 9-year-old boy with spastic triplegic cerebral palsy was utilized to capture the interwoven factors present in this case. Interventions in the pool occurred twice weekly for 1 h over a 10-week period. <italic>Outcomes:</italic> Immediately post and 4 months post-intervention, the child made functional and meaningful gains. The family unit also developed an enjoyment of exercising together. Each individual family member described psychological, emotional, or physical health improvements. <italic>Discussion:</italic> Reflection using the ICF model as a framework to discuss clinical reasoning can highlight important factors contributing to effective patient management.</p> </sec> </abstract>