Clinical Reasoning in Local Authority Paediatric Occupational Therapy: Planning a Major Adaptation for the Child with a Degenerative Condition,Part 1

Abstract

Three-track reasoning, narratives and reflective practice frameworks form the background for examining the clinical reasoning of a social services occupational therapist during a supervision session. Telling the story of a child with a degenerative condition and the family's needs to the service manager helps to clarify the underlying meanings in the unfolding events the therapist is confronted with. Her reasoning is further challenged by presenting this work to her peers on a postgraduate course on clinical reasoning. This article provides the background and theory base for examining the use of narratives in greater depth in part 2.