Clinical Reasoning

Clinical reasoning, like many things in the OT profession has many gray areas and can vary from client to client. There are eight different types of clinical reasoning that will hopefully help you make the right decision for your client. Here are just a few styles of clinical reasoning that we as OT's:

  • ·         Procedural reasoning- strategy OT uses to find out what procedure you will do and what order you will do them in. The OT process.

  • ·         Diagnostic reasoning- relates to how the diagnosis effects the clinical picture. (a component of scientific reasoning.)

  • ·         Scientific reasoning- focuses on the facts.

  • ·         Interactive reasoning- Has a lot of exchange and dialogue with client and/or caregiver.

  • ·         Narrative reasoning- Relying on story-telling to solve problems and come up with solutions

  • ·         Pragmatic reasoning- Focuses on logistics (income, living situation, insurance)

  • ·         Conditional Reasoning- involves empathetic understanding as well as a vision for a solution.


  • ·         Ethical Reasoning- knowing the difference between right and wrong.  

        As we gain experience in the field and use our knowledge we gain from OT school we can use these clinical reasoning styles to make important judgement calls that hopefully maximize the client's outcomes. 


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