Volume : 2 Issue :6 Month : December (2015) Page No : 1006-1011


Author/s : Shamima Islam Nipa, Mohammad Mustafa Kamal Rahat Khan, Mohammad Sohrab Hossain, Mohammad Habibur Rahman, Md. Shofiqul Islam

DOI : 10.15621/ijphy/2015/v2i6/80761

Background: Clinical reasoning is a thinking and decision making process which occur in clinical practice. It helps the health care providers to solve the clinical problem by using their reasoning process in an effective and efficient manner. Three track reasoning in one of the clinical reasoning process which includes the procedural, interactive and conditional reasoning to diagnose as well as ensure proper rehabilitation service according to patient and patient’s family members’ needs.
Methods: A single case based study through the three track reasoning process. The purpose of this study was to explore the management strategies of a Gullian Barrie Syndrome (GBS) patient through three track reasoning. We have tried to show how the basic idea behind the reasoning process helped to determine the reasoning process and diagnosis. However it has performed through theory and observation. We have also showed how we used the reasoning process through with the common sense reasoning. However it was the part of procedural reasoning in three track clinical reasoning. In three track reasoning, there is also interactive and procedural reasoning part through which we told patient story about his condition, identified his and his family members expectations and to establish hypothesis as GBS. So three track reasoning also supported us to do reasoning process rather than selecting another reasoning process.
Results: After analyzing the reasoning process it was identified that to be strict in a single reasoning process is very difficult. Clinical reasoning is the clinician’s ability through which they can consider the interpretation of different clinical findings. An expert clinician must have critical thinking skill rather than ignoring any symptoms or overemphasize the symptoms. In addition, patient’s knowledge, believes and reasoning was found an important part of clinical reasoning process in this study.
Conclusion: We have been practicing clinical reasoning in our day to day practice, but we were not conscious about it. That’s why we may not critically think about it at the time of dealing with this case. Thus, selecting three track clinical reasoning model the case was diagnosed and treated accordingly.
Keywords: Clinical reasoning, Knowledge, Cognition, Meta-cognition, Guillain Barre Syndrome (GBS), Three Track Reasoning.

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