title: Describing the clinical reasoning process: application of a model of enablement to a pediatric case.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Reflection using the ICF model as a framework to discuss clinical reasoning can highlight important factors contributing to effective patient management.
authors.affiliation: Department of Physical Therapy, School of Pharmacy and Health Professions, Creighton University, Omaha, NE 68178, USA. jfurze@creighton.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Furze
authors.forename: Kelly
authors.initials: K
authors.lastname: Nelson
authors.forename: Megan
authors.initials: M
authors.lastname: O'Hare
authors.forename: Amanda
authors.initials: A
authors.lastname: Ortner
authors.forename: A Joseph
authors.initials: AJ
authors.lastname: Threlkeld
authors.forename: Gail M
authors.initials: GM
authors.lastname: Jensen
mesh_terms: D000203:Activities of Daily Living; D002547:Cerebral Palsy / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D003661:Decision Support Techniques; D004185:Disability Evaluation; D004644:Emotions; D005195:Family Relations; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D009128:Muscle Spasticity; D018482:Muscle, Skeletal / Q000503:physiopathology*; D026741:Physical Therapy Modalities; D011788:Quality of Life; D020127:Recovery of Function; D013550:Swimming; D013997:Time Factors; D016896:Treatment Outcome