Sunabh answered on
Jun 18 2021
Running Head: HEALTHCARE 1
(Approach to Clinical Reasoning Utilised by Health Professionals)
Table of Contents
The Process of Clinical Reasoning 3
1.0 Hypothetico - Deductive Model of Clinical Reasoning 4
2.0 Pattern Recognition Model of Clinical Reasoning 6
3.0 A Dual Process Diagnostic Reasoning Model 7
Clinical reasoning is a new concept used by therapists where the therapist interacts with the patient, collect required information and then generate hypothesis followed by its testing. One of the major rationales behind adoption of clinical reasoning process is to determine or provide the patient with optimal diagnosis as well as treatment based upon the collected information (Jones & Rivett, 2018). Further, the process of clinical reasoning could also be considered as an inferential process where the ultimate goal of the practitioner or other healthcare professional is to provide diagnosis and management of patient’s issues.
It would be essential to consider that clinical reasoning is also considered as the sum of thinking as well as decision-making process and the practitioner analyses multiple variables in order to provide a suitable diagnosis. There are different models or approaches, which are followed by health professional while implicating the concept of clinical reasoning (Maluf, 2017). Therefore, this report would discuss those models along with their implications for health professions. Further, efforts would be made to present the compatibility of these models with health professions.
The Process of Clinical Reasoning
The concept of clinical reasoning is very simple; however, it would be essential to consider that in practice this concept emerges as difficult and fraught with some e
ors. One of the major aims behind the concept of clinical reasoning is maintain the patient as well as health professional on track and to prevent misdirection. Norman et al. (2017) presented that the methodology adopted by a therapist to challenge their findings could strongly influence the way, in which the case might be interpreted. In other words, this process clearly directs the therapist towards the identification of any red flags while making diagnosis for the patient along with giving weight to any red he
ings, which might be presented therein.
The process of clinical reasoning begins as soon as patient visits or meets therapist because patient’s behaviour could be used as a major indication for the choice of clinical reasoning model to be used. Further, Oberg, Normann and Gallagher (2015) presented that the ongoing process of data collection does not stop even at the end of assessment. The therapist could manipulate subjective as well as objective assessments in order to identify that issue, from which patient might be suffering. Likewise, it would also be essential to consider that sometimes patients are not even aware regarding the issues they might be facing.
Moreover, during this scenario; data gathered over various sessions could be collated in order to best inform the therapist. Patel (2018) supported above presented arguments and further argued that diagnosis lies at the heart of any general practitioner (GP). Moreover, GPs visit numerous patients with dynamic issues and concerns, some with minor but some with major concerns. Therefore, here GPs role is to translate the na
ation of issues presented by patient into a possible diagnosis and then reason the collected data in order to provide a possible treatment or management of the diagnosed condition (Alfaro-LeFevre, 2016). There exists numerous models of clinical reasoning and some of them would be discussed below.
1.0 Hypothetico - Deductive Model of Clinical Reasoning
This model is based upon the description provided by scientific method. According to Hypothetico - deductive model formulation of hypothesis is the foremost step and scientific query cannot proceed without the development of a hypothesis. Further, formulation of hypothesis is then followed by performing test on observable data where outcome is unknown or could be considered as ‘yet to be known’.
This model of clinical reasoning was proposed by Karl Popper and he emphasised upon the formulation of hypothesis as one of the essential functions, which could conceivably be falsified through a test performed on observable data. Yazdani, Hosseinzadeh and Hosseini (2017) presented that this model adds to the already available information or previous knowledge, which suggested that gathering information is first and foremost function followed by the generation of the list of different diagnosis.
Carl Hempel, a well-known philosopher, pointed out that this model presents simplified view of scientific methods to be applied in clinical reasoning. However, a conjecture might also incorporate some probabilities and this could be explained through the example of a newly launched drug, where the drug was found effective only 70% of times. Therefore, this leaves the space for probabilities and repeated conjectures. Further, this model also leaves the space for the quantification of probabilities for confidence in the conjecture (Cellucci, 2016).
This could be considered as one of the major reasons, due to which this model contrasts with other available models such as grounded theory or inductive approach and much more. ‘Hypothetico – deductive’ model is usually followed by novice or new clinicians because they are not well versed with the signs and symptoms of a clinical condition. Therefore, based upon the symptoms hypothesis formation occurs, which is followed by potential diagnosis and treatment (Thampy, Willert & Ramani, 2019).
Further, it would also be...