When supporting other therapists to interpret their clinical data, I find a common theme tricky patterns emerging while trying to make sense of assessment data. It is always helpful to remember to explore and reference the latest supporting evidence.
Dr Susanne Smith Roley reminded our Module 6 delegates of this just last night. She emphasised the importance of staying up to date and using evidence from the last 5 or so years to support our clinical reasoning, as the evidence base about ASI is rapidly expanding, mainly within our domain of practice, occupational therapy. There is also a raft of evidence in related fields like ENT, neurology, mental health, trauma and other related areas. We need to search widely. This reminder from Susanne was the perfect timing for a conversation this morning and my reflections on that conversation this morning.
In summary; we should all remember to link our clinical findings with the latest research and evidence. This means we should link our evidence searches to the clinical patterns we suspect may be emerging from our assessment data.
If it doesn’t make sense – keep looking and exploring. Go back and ask more questions. Clinical reasoning is about data from a range of sources pointing to and in sync with performance and participation challenges.
Data from standardised testing, questionnaires, narrative and interview and clinical observations provides a holistic and individualised view of your client’s strengths and challenges. Exploration and understanding of their interests will allow you to capitalise on what will motivate them in therapy; supporting engagement and creating the right conditions of neural plasticity needed for therapeutic change.Smith 2020
Emerging evidence suggests that children with attention deficit and hyperactivity disorder (ADHD) present more difficulties in standing and walking balance than typically developing children.Isaac’s et al 2017
Read the full article here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346589/