Complaint, symptom behaviour, history, function.
LEVEL 2 · LESSON 05Findings & Basic
Findings & Basic
Clinical Reasoning
Clinical reasoning ialah proses menyusun information menjadi keputusan yang selamat. Bukan teka diagnosis — tetapi tentukan apa yang ditemui, apa objective dan apa tindakan yang sesuai.
BY THE END OF THIS LESSONCompile interview + physical findingsIdentify relevant problemSet measurable treatment objectiveChoose treat / modify / defer / refer
FINDINGS
↓PROBLEM
↓OBJECTIVE
↓DECISION
Build a finding set — not a diagnosis story.
Movement behaviour, guarding, visible findings.
ROM, functional movement, comparison, relevant palpation.
Precautions, contraindications and red flags.
Reason from findings to action.
FINDINGWhat did you observe / what did client report?
→PROBLEMWhat movement/function is limited?
→OBJECTIVEWhat do you want to improve today?
→INTERVENTIONWhat is appropriate within scope?
→REASSESSDid the target change?
CORE RULE
Assessment finding menentukan treatment choice. Jangan pilih treatment dahulu kemudian mencari finding untuk justify treatment itu.
Make the objective observable.
“Hilangkan sakit bahu.”
“Improve comfortable active arm elevation for overhead reach, then reassess range, quality and symptom response.”
Reasoning worksheet drill
Gunakan satu complaint rekaan dan lengkapkan urutan tanpa menamakan diagnosis.
Before treatment, answer these four questions.
Any reason not to proceed?
Which finding matters to function?
What are we trying to change?
How will we know if it helped?
Quick Knowledge Check
Apakah sequence paling sesuai untuk clinical reasoning course ini?
Client reports shoulder discomfort when reaching overhead. No red flags. Active elevation is limited and guarded; everyday overhead reach is difficult.
Apakah reasoning plan terbaik?
Reasoning tidak memberi practitioner lesen untuk membuat medical diagnosis di luar scope. Bila findings tidak jelas, tidak selamat, tidak respond seperti dijangka atau melebihi competence — modify, defer atau refer.
You can now assess before you treat.
Interview → Observation → Physical Assessment → Safety Screen → Findings → Objective → Decision. Seterusnya kita belajar bagaimana intervention dibina dengan purpose.
Continue to Level 3 — Therapeutic Principles →