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Describing the clinical reasoning process: Application of a model of enablement to a pediatric case

机译：描述临床推理过程：启用模型在儿科病例中的应用

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Background and purpose: Clinical reasoning is a core tenet of physical therapy practice leading to optimal patient care. The purpose of this case was to describe the outcomes, subjective experience, and reflective clinical reasoning process for a child with cerebral palsy using the International Classification of Functioning, Disability, and Health (ICF) model. Case description: Application of the ICF framework to a 9-year-old boy with spastic triplegic cerebral palsy was utilized to capture the interwoven factors present in this case. Interventions in the pool occurred twice weekly for 1 h over a 10-week period. Outcomes: Immediately post and 4 months post-intervention, the child made functional and meaningful gains. The family unit also developed an enjoyment of exercising together. Each individual family member described psychological, emotional, or physical health improvements. Discussion: Reflection using the ICF model as a framework to discuss clinical reasoning can highlight important factors contributing to effective patient management.
机译：背景和目的：临床推理是物理疗法实践的核心宗旨，可实现最佳患者护理。本案例的目的是使用国际功能，残疾与健康分类（ICF）模型描述脑瘫患儿的结局，主观经验和反思性临床推理过程。案例描述：ICF框架在9岁男孩痉挛性三重性脑瘫中的应用被用于捕获这种情况下存在的交织因子。在10周的时间内，每周两次在池中进行干预，持续1小时。结果：干预后立即和干预后4个月，孩子获得了功能性和有意义的收获。家庭单位还锻炼了一起运动的乐趣。每个家庭成员都描述了心理，情感或身体健康的改善。讨论：使用ICF模型作为讨论临床推理的框架的反思可以突出显示有助于有效患者管理的重要因素。

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