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10/1/2019
1
OT 321
Occupation: Theory and Analysis
Professional Reasoning in Practice
W & S CH 32
Instructor
Noor Ismael, MSc, PhD, OTR/L
29/9/2019
Learning Objectives
• Understand what is professional reasoning
• Learn about different aspects of professional reasoning
• Discuss the reasoning process, and how it is embedded in practice
situations
10/1/2019
2
Introduction
Professional Reasoning
• The process that practitioners use to plan, direct, perform, and
reflect on client care.
• The term reflects less of a medical perspective and more of education
and community practices.
Professional Reasoning
Requires meta-cognitive analysis, or
“thinking about thinking”
10/1/2019
3
Professional reasoning in occupational therapy is a whole-body
process; it involves knowledge gained from different senses during
practice situations.
Aspects of Professional Reasoning
• Scientific
• Narrative
• Pragmatic
• Ethical
• Interactive
• Conditional
10/1/2019
4
Scientific Reasoning
“Scientific reasoning is used to understand the condition that is
affecting an individual and to decide on interventions that are in the
client’s best interest.”
Forms of scientific reasoning
- Diagnostic reasoning
- Procedural reasoning
- Hypothetical deductive reasoning
10/1/2019
5
Examples of scientific reasoning questions
• What is the client’s medical, educational or social condition
prompting OT involvement?
• What are the performance skills, body functions, and daily living
limitations that typically result from this condition?
• What contextual factors typically affect performance?
• What theories and research are available to guide my assessment and
intervention decisions?
Narrative Reasoning
• What occupations are the most important for this person?
10/1/2019
6
Examples of Narrative Reasoning Questions
• What are the client’s life experiences, interests, previous life
habits/routines, and meaning associated with occupational activities.
• What are past/present perceived areas of success and competence
regarding his/her daily life occupations?
• What are the client’s priorities and desired target outcomes/goals?
• What occupational activities are both meaningful to the person and
useful in fulfilling therapy goals?
Pragmatic Reasoning
Scheduling
Insurance
Equipment
10/1/2019
7
Examples of Pragmatic Reasoning Questions
• Who is paying for these services and what are their expectations?
• What are the family, caregiver and community resources available to
support intervention and follow up recommendations?
• How much time is there to work with this person?
• What space, equipment and interdisciplinary support is available for
therapy/intervention?
• What are my professional competencies and development needs?
Ethical Reasoning
• Are the risks of therapy worth the benefits?
10/1/2019
8
Examples of Ethical Reasoning Questions
• What were the benefits and risks to the person? Did the benefits warrant
the risks?
• what were determining factors in prioritizing care for this client?
• How did you resolve conflicts when there were discrepancies between
team members’, caregivers’ and the client/families goals?
• How did you address issues of documentation when the requirements for
reimbursement conflicted with standard documentation procedures?
Interactive Reasoning
• Thinking directed toward building positive interpersonal relationships
with clients, permitting collaborative problem identification and
problem solving.
10/1/2019
9
Examples of Interactive Reasoning Questions
• How can I best relate to this person?
• How can I put this person at ease?
• What is the best way for me to encourage this person?
• What cultural factors do I need to consider as I engage with this
person?
Conditional Reasoning
• “flexibly responding to changing conditions or predicting possible
client futures”
10/1/2019
10
Schell’s Ecological Model of Reasoning
Schell’s Ecological Model of Reasoning
10/1/2019
11
Developing and Improving Professional
Reasoning
Professional reasoning Continuum
-Novice
- Advanced Beginner
-Competent
-Proficient
-Expert
Questions
10/1/2019
12
• Lab material includes completing the professional reasoning
assignment on case study groups.

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Ot 321 week 2 3-ni_2019

  • 1. 10/1/2019 1 OT 321 Occupation: Theory and Analysis Professional Reasoning in Practice W & S CH 32 Instructor Noor Ismael, MSc, PhD, OTR/L 29/9/2019 Learning Objectives • Understand what is professional reasoning • Learn about different aspects of professional reasoning • Discuss the reasoning process, and how it is embedded in practice situations
  • 2. 10/1/2019 2 Introduction Professional Reasoning • The process that practitioners use to plan, direct, perform, and reflect on client care. • The term reflects less of a medical perspective and more of education and community practices. Professional Reasoning Requires meta-cognitive analysis, or “thinking about thinking”
  • 3. 10/1/2019 3 Professional reasoning in occupational therapy is a whole-body process; it involves knowledge gained from different senses during practice situations. Aspects of Professional Reasoning • Scientific • Narrative • Pragmatic • Ethical • Interactive • Conditional
  • 4. 10/1/2019 4 Scientific Reasoning “Scientific reasoning is used to understand the condition that is affecting an individual and to decide on interventions that are in the client’s best interest.” Forms of scientific reasoning - Diagnostic reasoning - Procedural reasoning - Hypothetical deductive reasoning
  • 5. 10/1/2019 5 Examples of scientific reasoning questions • What is the client’s medical, educational or social condition prompting OT involvement? • What are the performance skills, body functions, and daily living limitations that typically result from this condition? • What contextual factors typically affect performance? • What theories and research are available to guide my assessment and intervention decisions? Narrative Reasoning • What occupations are the most important for this person?
  • 6. 10/1/2019 6 Examples of Narrative Reasoning Questions • What are the client’s life experiences, interests, previous life habits/routines, and meaning associated with occupational activities. • What are past/present perceived areas of success and competence regarding his/her daily life occupations? • What are the client’s priorities and desired target outcomes/goals? • What occupational activities are both meaningful to the person and useful in fulfilling therapy goals? Pragmatic Reasoning Scheduling Insurance Equipment
  • 7. 10/1/2019 7 Examples of Pragmatic Reasoning Questions • Who is paying for these services and what are their expectations? • What are the family, caregiver and community resources available to support intervention and follow up recommendations? • How much time is there to work with this person? • What space, equipment and interdisciplinary support is available for therapy/intervention? • What are my professional competencies and development needs? Ethical Reasoning • Are the risks of therapy worth the benefits?
  • 8. 10/1/2019 8 Examples of Ethical Reasoning Questions • What were the benefits and risks to the person? Did the benefits warrant the risks? • what were determining factors in prioritizing care for this client? • How did you resolve conflicts when there were discrepancies between team members’, caregivers’ and the client/families goals? • How did you address issues of documentation when the requirements for reimbursement conflicted with standard documentation procedures? Interactive Reasoning • Thinking directed toward building positive interpersonal relationships with clients, permitting collaborative problem identification and problem solving.
  • 9. 10/1/2019 9 Examples of Interactive Reasoning Questions • How can I best relate to this person? • How can I put this person at ease? • What is the best way for me to encourage this person? • What cultural factors do I need to consider as I engage with this person? Conditional Reasoning • “flexibly responding to changing conditions or predicting possible client futures”
  • 10. 10/1/2019 10 Schell’s Ecological Model of Reasoning Schell’s Ecological Model of Reasoning
  • 11. 10/1/2019 11 Developing and Improving Professional Reasoning Professional reasoning Continuum -Novice - Advanced Beginner -Competent -Proficient -Expert Questions
  • 12. 10/1/2019 12 • Lab material includes completing the professional reasoning assignment on case study groups.