Occupational Therapy and Clinical Reasoning

1993 Words8 Pages
Clinical Reasoning Clinical Reasoning is an essential part of the assessment, treatment and evaluation process in occupational therapy (Neistadt, 1996). This reasoning is the skill set that the occupational therapist draws from when working with clients in related to function and performance. Neistadt (1996) suggested that clinical reasoning is the combination of five interacting components (Ward, 2003). This will be explained in the following essay and applied to a case study about a girl named Maria. Narrative Reasoning The first form of reasoning to be used will be the narrative reasoning. This will address Maria’s occupational story. It considers temporal aspects such as the client’s history and identifies what needs to change to accommodate occupational engagement in the future (Neistadt, 1996). Maria is fifteen years old. Her mother reports that Maria has been performing poorly in school and has withdrawn from her family. This began after her transition to secondary school. Her performance further deteriorated when she began second year. Maria stopped participating in a number of her occupations including hockey, playing the piano, the girl guides, shopping with friends and going to the cinema. She now prefers to stay on the computer of listening to music. Maria previously had a good relationship with her younger siblings. However, she has disengaged from these relationships. She has also been distant from her friends Caoimhe and Meabh, preferring to spend time in her
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