Case studies

Prompt/Instruction:

I am a third-year student in occupational therapy writing a case study assignment and I am unsure which of three scenarios to choose. Here are the learning outcomes:

• LO1: Demonstrate a critical understanding of the role of clinical reasoning in nursing practice. Students will critically reflect on the significance of clinical reasoning in nursing, analysing how its application impacts decision-making and patient care. 
   
• LO2: Analyse and evaluate challenges faced in applying clinical reasoning to complex patient scenarios. Students will systematically examine and evaluate challenges encountered when applying clinical reasoning to complex patient scenarios. This includes identifying potential issues related to data interpretation, prioritisation of interventions, and adapting clinical reasoning to varying patient needs.
   
• LO3: Apply clinical reasoning to develop a structured and comprehensive case study. Students will apply insights gained from clinical reasoning and academic literature to develop a structured and comprehensive case study report for the complex patient scenario. 

Based on these objectives, what should I be considering when choosing the right scenario?
 

Result:

When choosing the right scenario for your case study assignment in occupational therapy, consider the following factors aligned with your learning outcomes:

1. Complexity of Patient Scenario: Look for a scenario that presents multiple layers of complexity, such as comorbidities, conflicting patient goals, or ambiguous symptoms. This complexity will provide ample opportunity to demonstrate your understanding of clinical reasoning and its application in challenging situations.

2. Availability of Data: Ensure that the scenario provides sufficient data for assessment and analysis. This data should include relevant medical history, current symptoms, social context, and any other pertinent information. Having comprehensive data will allow you to demonstrate your ability to interpret information and prioritize interventions effectively.

3. Variability in Patient Needs: Choose a scenario that allows you to explore the variability in patient needs. This could involve considering cultural factors, socioeconomic status, age-related considerations, or unique preferences of the patient. Adapting your clinical reasoning process to meet diverse patient needs is crucial in achieving positive outcomes.

4. Opportunities for Critical Reflection: Select a scenario that prompts critical reflection on the role of clinical reasoning in nursing practice. This could involve scenarios where decisions are not straightforward or situations where there is room for uncertainty. Reflecting on the significance of clinical reasoning and its impact on decision-making and patient care is essential for meeting your learning outcomes.