Physiotherapy management of a patient with diabetic neuropathy through different clinical reasoning process

Abstract

Background: Clinical Reasoning is the judgment method by this process therapist communicate with the patients, family members and others professional person. Moreover, clinical reasoning is valuable for assess patient assessment, diagnosis and treatment or complete management that’s why it makes a relationship between theory and clinical practice. Clinical Reasoning continually support a professional therapist to decide the best achievable management guide line through logical point of view. Aim: Aim of this study is to making professional judgment about a single case using hypothetico deductive reasoning (HDR), three track reasoning, narrative reasoning approaches with typical a cervical radiculopathy case. Method: A case of typical diabetic neuropathy managed by using clinical reasoning process such as hypthetico deductive reasoning, three tract reasoning, and narrative reasoning for clinical judgment. Result: After completing of treatment program improvement was notice based on, pain and numbness was reduced with improvement in balance and functional ability with change in disability. Now patient can lead in activity of daily living. Conclusion: Clinical reasoning is the foundation in our clinical practice. It enables the therapist to take the best- judged action for individual patients and make sure quality service. It was very difficult to be strict in a single reasoning process during solving this case. I have to go one reasoning process to another reasoning process.