You are now viewing our public site. Back to Dashboard

Clinical Reasoning in Pediatric Occupational Therapy

presented by Tracy Stackhouse

Accrediting Body:

Target Audience:

Levels:
Disclosure Statement:

Financial: Tracy Stackhouse receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Tracy Stackhouse has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact support@medbridgeed.com. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
Clinical reasoning for pediatric occupational therapists should be informed by neuroscience, developmental theory, occupational science, and clinical practice, including tacit clinical knowledge – all rich sources of evidence and inspiration. However, combining all of these sources of information into a format useful for in-the-moment clinical use can be daunting. In this course, you will be introduced to a clinical reasoning framework for combining sensory, affective, and motor processing into a relationship-based model to allow therapists to create and implement effect treatment plans as well as monitor progress. The aim of the clinical reasoning process is to help the therapist identify the underlying issues and provide comprehensive treatment and supports while building targeted skills in order to shift the adaptive functioning of the client/child. The clinical reasoning format lends itself as a guide to treatment to address the most common clusters of difficulties/diagnostic conditions seen by pediatric occupational therapists. This course will provide theory and practical information for enhancing OT clinical work with children with a broad range of neurodevelopmental conditions including those categorized as having sensory integrative difficulties or "SPD" concerns. Learning sound clinical reasoning allows the therapist to commit to excellence in their evidence-based approach to treatment and establishes the OT as a strong member of a multidisciplinary team.

Meet Your Instructor

Tracy Stackhouse, MA, OTR/L

Tracy Stackhouse is a clinical pediatric occupational therapist who has specialized in working with children, adults, and families affected by fragile x syndrome (FXS) and Fragile X related conditions since the late 1980s. Through this work, first at Children's Hospital in Denver, continuing at the UC Davis MIND Institute, and now at the nonprofit center…

Read full bio

Chapters & Learning Objectives

Download Learning Objectives

1. Clinical Reasoning in Occupational Therapy

What is clinical reasoning in occupational therapy and how does the process set up excellence in clinical practice? These are the questions addressed here. The course begins with an overview of the key concepts of clinical reasoning and how occupational therapists use the dynamic interaction between themselves, the client, and valued occupations, activities, and contexts to promote a person’s participation and satisfaction in life (AOTA, 2008). The demand for a pediatric OT is that they bring multiple levels of knowledge in an occupational context while delivering relationship-based and client-centered interventions that are up to date in terms of the science – this is a tall order and requires guided clinical reasoning to implement.

2. A Conceptual Model for Clinical Reasoning in Pediatric OT

Utilizing the Model of Spatial-Temporal Adaptation provides a general developmental framework for considering any developmental skill. This is a foundation for pediatric therapy, especially a practice that is grounded in neuroscience and in the dynamic of therapeutic use of self. These elements are brought together in a conceptual model presented here. The Pediatric Clinical Reasoning Flow takes basic neural networks and applies them to identifying patterns of strength and need, so that treatment can be tied to the individual needs of the client. The conceptual framework builds on work across pediatric occupational therapy and, in particular, weaves in ASI from Ayres and the DIR framework from Greenspan to create a flow for fostering progress in basic developmental capacities. This conjunction of frames of reference streamlines modern pediatric OT clinical reasoning in a systematic way to increase consistency across providers.

3. Pediatric Clinical Reasoning Flow

Summarizing strengths and needs across developmental domains in a quasi-quantifiable manner allows for clarity in the treatment planning process and accuracy in progress monitoring. This produces a general developmental summary. This summary is then taken and utilized to devise a treatment plan following the STEPSI format (Stackhouse, et al. 1997). Finally, from the STEPSI process, intervention including direct treatment, activity selection, and selection of specialized intervention programs or protocols can occur. The intervention is extended to include connection to occupational roles, skills, and capacities and for home or community programming and includes consultation or coaching that might allow for implementation. This flow allows the clinician to integrate treatment and select appropriate methodologies based on the client’s profile, which is the aim of clinical reasoning. The flow includes progress monitoring with a modification of the COPM process, so that goal attainment guides the entirety of the reasoning model.

More Courses in this Series

The Sensory Diet Concept

Presented by Tracy Stackhouse, MA, OTR/L

The Sensory Diet Concept

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
In this course, you will learn how to establish power, precision, and proper timing in the sensory diet targeted to desired outcomes. In addition, you will learn to customize the sensory diet around common issues including postural development, autonomic dysregulation, and social-emotional or affective issues. The sensory diet concept can be extended to incorporate sensory-social routines to integrate co-regulation and relation-based interventions into daily programming. The evidence-base supporting the use of a sensory diet approach will be reviewed. Case examples from children with Autism and Fragile X Syndrome will illustrate the power of matching the sensory diet to a child’s specific needs. Finally, the sensory diet concept will be contrasted with a sensory based approaches, including the "sensory lifestyle," sensory breaks, supports, accommodations, and modifications.

View full course details

The Somatosensory System

Presented by Tracy Stackhouse, MA, OTR/L

The Somatosensory System

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course provides the fundamentals for understanding how to harness the power of the somatosensory system to influence optimal outcomes when somatosensory-based intervention is indicated. A basic overview of somatosensory function and anatomy, as well as central nervous system interaction, is provided. Somatosensory functions will be traced from the receptor through the primary and associated processing pathways. The content will include information on how to directly assess somatosensory functions, including discriminative processing and evaluative/modulation functions.

View full course details

The Mighty Vestibular System

Presented by Tracy Stackhouse, MA, OTR/L

The Mighty Vestibular System

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course provides the fundamentals for understanding how to harness the power of the vestibular system to influence optimal outcomes when vestibular-based intervention is indicated. A basic overview of vestibular function and anatomy, as well as central nervous system interaction is provided. Vestibular functions will be traced from the receptor through the primary and associated processing pathways. The content will include information on how to directly assess vestibular function as well as the common physiological, postural, ocular manifestations that need to be included in assessment. Vestibular processing is a quiet, pivotal foundation, critical in the ASI approach, and often a missing link underlying neurodevelopmental progress. Treatment considerations to produce effective improvements in specific vestibular symptoms (dizziness, motion perception difficulties) as well as the direct products of vestibular processing, (balance, bilateral coordination, postural/ocular control, motor timing and coordination, visual motor/perceptual skills, etc) are provided. These considerations are extended to include associated modulation-based difficulties, including a grounded sense of self within the context of person/environment/other/task, and as functional abilities related to vestibular processing are provided.

View full course details

Sign up to receive exclusive content from industry leading instructors.

Send us feedback

Email