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All areas of the case study will have a small thumbnail picture of the navigation tree. Click on the small picture to go to the navigation tree.

You will navigate the case study with an interactive navigation tree. By clicking on an area in the navigation tree you will be taken to various parts of the case study. Try out a sample navigation tree. The navigation tree and parts of the case study have been color coded. The background color of the top frame matches where you are on the tree.

One of the places you will link to is the worksheets. The worksheets are constructed with frames. The top frame will have the navigation links and the picture of the navigation tree. The left frame will contain the case narrative or correct answers to worksheet questions. The right frame will contain the worksheets or the completed worksheets

Each case study will contain six components; Narrative Case Material, Clinical Reasoning Worksheets, Occupational Therapy Process Worksheets, Completes Worksheets, a Completed Case Study and an Infant/Toddler Sensory Profile. Each of the these components is described in detail below.
1. Narrative Case Material
The Narrative Case Material will have the background information on the patient. You will use this information to complete your worksheets. Pictures and videos of the patient may also be found here.
2. Clinical Reasoning Worksheets
There are four clinical reasoning worksheets; Narrative Reasoning, Scientific Reasoning, Pragmatic Reasoning, and Ethical Reasoning. You can complete these in any order.
Narrative Reasoning Worksheet. Narrative Reasoning is used to understand what the situation means to the person and family (Schell, 2003). Narrative reasoning provides a way to learn about the person's life story. In this worksheet, we will pose narrative reasoning questions, and you will search through the case material to locate narrative reasoning material. You will construct your 'Narrative Reasoning Worksheet' responses right on the screen.
Scientific Reasoning Worksheet. Scientific Reasoning is used to understand the condition that may be affecting the person and family (Schell, 2003). Sceintific reasoning requires you to consider the background knowledge that might help you to understand the characteristics of the condition better. In this worksheet, we will pose scientific reasoning questions, and you will search through the case material to locate scientific reasoning material. You will construct your 'Scientific Reasoning Worksheet' responses right on the screen.
Pragmatic Reasoning Worksheet. Pragmatic Reasoning is used to understand the practical issues that may have an impact on the situation with the person and family (Schell, 2003). Pragmatic reasoning enables you to incorporate your ideas into the actual situation this family is facing, enabling you to identify realistic strategies for intervention. In this worksheet, we will pose pragmatic reasoning questions, and you will search through the case material to locate pragmatic reasoning material. You will construct your 'Pragmatic Reasoning Worksheet' responses right on the screen.
Ethical Reasoning Worksheet. Ethical Reasoning Worksheet. Ethical Reasoning is used to make sure you select the proper, morally defensible decisions regardless of pressures from other sources (Schell, 2003). Ethical reasoning introduces the consideration of what 'should' be done in the best interest of the person and family. In this worksheet, we will pose ethical reasoning questions, and you will consider the ethical issues that might arise in a case such as this one. You will be able to record your 'Ethical Reasoning Worksheet' responses right on the screen.
3. Occupational Therapy Process Worksheets
In addition to the clinical reasoning process, professionals must also consider how the information fits together into a cohesive set of ideas for the next steps in planning. These steps include creating some hypotheses about what seems to be going on for the person, conducting additional assessments to gather more information and creating a plan for intervention to support the person's improved participation. We have created 3 worksheets to help you through this process:
PreAssessment Hypothesis Development Worksheet. After reading background material, hearing the family's needs and asking some preliminary questions, we are ready to make some educated guesses about the person's situation. We call these educated guesses the Preassessment Hypotheses. We create hypotheses as a way to formulate our ideas about where to go next. We consider patterns of information that suggest a direction for our assessment planning. The Preassessment Hypothesis worksheet will assist you to go through this process.
Assessment Information Worksheet. Now we are ready to conduct additional information gathering; we plan what other assessments we need to complete the picture and help us test our hypotheses about the nature of the participation needs. This worksheet will enable you to create a plan for additional assessments to know more about the person.
Intervention Planning Worksheet. After gathering additional information, it is time to create a plan for supporting improved participation. This worksheet will guide you through this process for one of the participation needs of the person, and you can use this format to create others for yourself.
4. Completed Worksheets
If you would like to review the completed Worksheets based on our clinical decision making, you can click on this component. If you have worked through the Clinical Reasoning worksheets, the completed worksheets provide a way for you to check your responses compared to ours.
5. Completed Case Study
A completed case study is available as a part of this lesson. Feel free to refer to it at any time. You may generate different ideas than we did as you progress. There is not one right answer. The intent is to have you make decisions using a clinical reasoning format. You might also find it beneficial to refer back to Units I and II for information as well.
6. Sensory Profiles
Infant/Toddler Sensory Profile
The Infant/ Toddler Sensory Profile is a standardized questionnaire that caregivers complete to indicate how their young child responds to sensory experiences of everyday life.
It has been nationally standardized and has reported validity and reliability. For a copy of the Infant/ Toddler Sensory Profile Technical Report from the Psychological Corporation which summarizes the standardization data, use this link: http://marketplace.psychcorp.com/PsychCorp/Images/pdf/ittechrpt.pdf
It is designed for children birth to 36 months of age. Caregivers respond to statements about sensory experiences in everyday life by indicating how frequently their child responds (nearly never, seldom, occasionally, frequently, almost always). For more information, visit the website: www.sensoryprofile.com.
Sensory Profile
The Sensory Profile is a standardized questionnaire that caregivers complete to indicate how their young child responds to sensory experiences of everyday life.
It has been nationally standardized and has reported validity
and reliability.
For a copy of the Sensory Profile Technical Report from the Psychological Corporation
which summarizes the standardization data, use this link:
http://marketplace.psychcorp.com/PsychCorp.com/Cultures/en-US/dotCom/SensoryProfile/SubPages/Sensory+Profile+Technical+Report+Page+1.htm
It is designed for children 3 to 10 years of age. Caregivers respond to statements about sensory experiences in everyday life by indicating how frequently their child responds (nearly never, seldom, occasionally, frequently, almost always). For more information, visit the website: www.sensoryprofile.com.
Adolescent/ Adult Sensory Profile
The Adolescent/ Adult Sensory Profile is a standardized questionnaire that people complete to indicate how they respond to sensory experiences of everyday life.
It has been nationally standardized and has reported validity
and reliability.
For a copy of the Adolescent/ Adult Sensory Profile Technical Report from the
Psychological Corporation which summarizes the standardization data, use this
link:
http://marketplace.psychcorp.com/PsychCorp/Images/pdf/aatechrpt.pdf
It is designed for persons 11-70+ years of age. People self
report to statements about sensory experiences in everyday life by indicating
how frequently they respond (nearly never, seldom, occasionally, frequently,
almost always). For more information, visit the website: www.sensoryprofile.com.