OT 5800: Advanced Application of OT Clinical Reasoning

Course description

This course will provide advanced knowledge on clinical evaluation tools and techniques. Students will be given additional training on the most commonly used and the state-of-the-art clinical evaluation tools. Advanced use of guidelines for practice and the integration of knowledge for clinical reasoning will be emphasized. Students will develop treatment plans for people with a variety of conditions and diagnoses. Evidence-based practice in OT will be used for analysis of evaluation tools and guidelines for practice.

Relationship to curriculum design

This course focuses on the application and the reflection tasks within the curriculum design as the students will be taking information from previous semesters and their fieldwork level experiences and applying it to the occupational therapy process from beginning to end. Throughout the semester, students will be reflecting on their ability to creatively and critically meet client need. Competency addressed in this course: intervention formulation and implementation the competent occupational therapy graduate uses evaluation findings which are culturally relevant and reflective of current occupational therapy practice, based on available evidence and appropriate frames of reference to develop occupation-based intervention and moral reasoning and clinical ethics. The competent occupational therapy graduate recognizes the ethical dimensions of practice and health policy, identifies alternatives in difficult ethical choices, analyze systematically the conflicting considerations supporting different alternatives and; formulates, defends, and effectively carries out a course of action that takes account of this ethical complexity. The graduate combines a willingness to recognize the nature of the value system of clients and others with commitment to his/her own system and the ethical choices necessary to maintain his/her own ethical integrity. This course focuses on the Application and the Reflection tasks within the curriculum design as the students will be taking information from previous semesters and their Fieldwork Level experiences and applying it to the OT process from beginning to end. Throughout the semester, students will be reflecting on their ability to creatively and critically meet client need. Competencies addressed in this course: intervention formulation and implementation and moral reasoning and ethics.

Learning outcomes

During this course, the students will build on their knowledge, skills and attitudes as they grow into professionals by meeting the following standards:

B.2.7.Exhibit the ability to analyze tasks relative to areas of occupation, performance skills, performance patterns, activity demands, context(s), and client factors to formulate an intervention plan.

  • Students will complete a thorough and detailed occupational analysis in order to create an appropriate intervention plan.

B.2.10.Use clinical reasoning to explain the rationale for and use of compensatory strategies when desired life tasks cannot be performed

  • Students will provide a detailed map of their clinical reasoning process and explanation for their chosen intervention to meet client needs.

B4.4 Evaluate client(s)' occupational performance in all 8 areas of occupation, using standardized and non-standardized assess tools. The evaluation will include the occupational profile, client factors, performance patterns and behavior patterns, all contexts and activity demands that affect performance and performance skills. 
B.6.6. Use national and international resources in making assessment or intervention choices, and appreciate the influence of international occupational therapy contributions to education, research, and practice.

  • Students will complete a thorough evaluation, utilizing appropriate assessment tools and clearly articulating the rationale for each, including recognition of the research both nationally and internationally that guides those choices.

B.4.8. Interpret the evaluation data in relation to accepted terminology of the profession and relevant theoretical frameworks.

  • Students will interpret evaluation data using accepted terminology theoretical frameworks.

B.4.9. Evaluate appropriateness and discuss mechanisms for referring clients for additional evaluation to specialists who are internal and external to the profession.

B.5.27 Terminate occupational therapy services when stated outcomes have been achieved or it has been determined that they cannot be achieved. This includes developing a summary of occupational therapy outcomes, appropriate recommendations and referrals, and discussion with the client and with appropriate others of post-discharge needs. 

  • Students will describe appropriate termination of OT services, making recommendations and referrals as needed.

B. 4.10. Document occupational therapy services to ensure accountability of service provision and to meet standards for reimbursement of services, adhering to applicable facility, local, state, federal, and reimbursement agencies. Documentation must effectively communicate the need and rationale for occupational therapy services.

  • Students will clearly and appropriately document at the evaluation, intervention and discharge levels to include reporting outcome measures to reflect on practice.