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Describing the clinical reasoning process : application of a model of enablement
to a pediatric case

FURZE J; NELSON K; O'HARE M; ORTNER A; THRELKELD AJ; JENSEN GM
PHYSIOTHER THEORY PRACT , 2013, vol. 29, n° 3, p. 222-231
Doc n°: 163551
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2012.727204
Descripteurs : JQ - CIF

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. CASE DESCRIPTION: 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. OUTCOMES:
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. DISCUSSION: Reflection using the ICF model as a
framework to discuss clinical reasoning can highlight important factors
contributing to effective patient management.

Langue : ANGLAIS

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