clinical reasoning

4 min read 2022-07-11 04:12:40

Scopes, roles, interprofessional practice and person-centred healthcare

A topic that almost immediately gets my hackles up is the one of scopes and roles in pain management and rehabilitation. It’s like “Oooh but

2 min read 2022-06-20 05:38:22

For a minute, I’d like you to grab an ice-cube. If you don’t have one handy, try this at home or when you’re having your next gin and tonic.

4 min read 2022-06-13 04:19:04

The IASP definition of pain is: An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or

4 min read 2022-05-16 04:29:13

Towards the end of 2017, IASP put forward a new mechanistic classification: nociplastic pain. The definition is: “Pain that arises from altered

4 min read 2022-04-04 04:14:08

I’m beginning to think this series could grow into a monster – so many #rehabfails to pick from! Today’s post is about rehabilitation that

3 min read 2022-03-28 03:05:37

One size does not fit all. Cookie cutter treatments fail to take into account the huge variability each person brings into a clinical encounter,

5 min read 2022-03-21 03:30:14

Well obviously I’m not going to cover everything that goes wrong – and certainly not in one post! But inspired by some conversations I’ve had

3 min read 2022-02-14 04:05:46

In occupational therapy and some other health professions, reflective practice is a vital part of professional clinical activity. In others – not

3 min read 2022-01-24 05:35:08

Most of us will recognise that when we experience a pain, we firstly notice where it is, and the sensory qualities of it. We automatically make

5 min read 2022-01-17 04:10:43

Congratulations! You’re an insightful clinician who’s offered your patient a screening assessment to find out if she or he has psychosocial risk

5 min read 2022-01-10 04:29:32

People come to see us because they have a problem. So the formulation approach I’m taking today begins from “the problem” and works back and

5 min read 2021-12-13 03:20:34

In the previous few posts on what to do with all that assessment information I’ve talked about generating a formulation to guide treatment, and a

4 min read 2021-12-06 03:34:46

In my last post I described the “4 P” model (sometimes called the 5P!) of formulation for pain. In today’s post I want to talk about an

1 min read 2021-11-29 03:33:56

Last week I described some of the reasons for using a case formulation approach when working through initial assessment information, and today I’m

1 min read 2021-11-22 06:00:52

Last post I wrote I said I’d continue with a process for structuring and synthesising the information we gather from the initial contact we make