Full Description
The Matthews Model of Clinical Reasoning (MMCR) provides occupational therapy practitioners with a systematic approach to develop their clinical reasoning skills during the evaluation and intervention process when collaborating with persons served across multiple practice locations.
The three core constructs of person, environment, and occupation lay the foundation for practitioners to compartmentalize information from selected evaluations, determine relevant intervention priorities, implement occupation-based intervention plans, and interpret successful outcomes. This book, influenced by these constructs, the practice framework, and accreditation standards for academic preparedness, provides the reader with the foundational information on how to apply the core constructs using a MMCR systematic approach for evaluation and intervention. Within the chapters are a variety of instructional methods, interviews with practitioners of various levels of experience, and case study examples. Clinical reasoning guidesheets are presented to assist the reader to follow the MMCR clinical reasoning process in terms of evaluation findings, application of frame of reference (FOR)/practice models, intervention strategies, and documentation.
Occupational therapy students and practitioners will be provided with the foundational skills to systematically think about and apply the steps of the clinical reasoning process, starting with a person's evaluation through the completion of the intervention plan.
Contents
SECTION 1 Clinical Reasoning and Evaluation; 1 Exploring the Literature Related to Clinical Reasoning; 2 The MMCR Approach to Evaluation Guided by the Profession's Domain of Concern; 3 Compartmentalizing Evaluation Information and Understanding the Person Served; 4 Compartmentalizing Evaluation Information and Understanding the Six Facets of the Environment; 5 Compartmentalizing Evaluation Information to Understand How Activities and Occupations Relate to a Person's Story; 6 Putting It All Together to Identify Occupational Performance Issue(s); SECTION 2 Intervention; 7 MMCR Five-Step Guide to Infusing the Frame of Reference/Practice Model Into a Person's Story; 8 Overview to Intervention Planning: Spiraling Within the Top-Middle- Bottom Occupational Performance Issues; 9 Overview to Intervention Planning: Spiraling the Top-Middle-Bottom Occupational Performance Issues Across the Intervention Plan; 10 Overview to Intervention Planning: Spiraling the Top-Middle-Bottom Occupational Performance Issues Across the Intervention Plan Continued; 11 Strategizing the Beginning-Middle-Ending of the Specific Intervention Plan; 12 Strategizing How to Create Change During the Intervention Plan; SECTION 3 Documentation; 13 Documentation Overview and the Evaluation Summary; 14 Documentation Continued: Goal Creation, Progress Notes, and Discharge Summaries; SECTION 4 Case Examples; 15 Case Example: Using the MMCR in an Outpatient Hand Therapy Clinic Over 8 Weeks of Intervention; 16 Case Example: Using the MMCR to Guide a Seven-Day Intervention Plan in an Inpatient Acute Rehab Hospital; 17 Case Example: Using the MMCR to Guide a Six-Month Intervention Plan for an Adult With an Intellectual and Developmental Disability; 18 Case Example: Using the MMCR to Guide a Three-Month Intervention Plan in a Homecare Setting
