ethical dx of therapy practice
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Ethical Dx of Therapy Practice. Sheri L. Bjork, PT, MBA. Current Events. Patient Scenarios Disclaimer. - PowerPoint PPT PresentationTRANSCRIPT
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Ethical Dx of Therapy Practice
Sheri L. Bjork, PT, MBA
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Current Events
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Patient Scenarios Disclaimer
The scenarios in this course are a work of fiction. Names, characters, places, and incidents either are the product of this author’s imagination or are used fictitiously. Any resemblance to actual patients, therapists, business establishments, events or location is entirely coincidental.
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Nickels, McHugh, McHugh.
Making an Ethical Decision
• Is it Legal?• Is it Balanced?• How does it make you feel?
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Is It Legal?
• Statutory Law• Administrative Agencies
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Statutory Law
• Written law• Federal & State• Legislative enactments• Texas Physical Therapy Practice Act• Title 3, Subtitle H, Chapter 453, Occupations
Code• August 2006• http://www.ecptote.state.tx.us/_private/
PT_Act_2006.pdf
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Administrative Agencies
• Branches of the government created by Congress
• Power to issue rules, regulations, & orders• Texas Board of Physical Therapy Examiners
Rules• Last publication June 2007• http://www.ecptote.state.tx.us/_private/
PT_currentrules.pdf
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ECPTPTE
• http://www.ecptote.state.tx.us/• Physical Therapy Act
– http://www.ecptote.state.tx.us/_private/PT_Act_2006.pdf
• Physical Therapy Rules– http://www.ecptote.state.tx.us/_private/
PT_currentrules.pdf
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Is It Balanced?
• Professional Ethics Codes• Professional Standards• Facility Policies & Procedures• Facility Mission Statement• Others
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CRITERIA FOR STANDARDS OF PRACTICE FOR PHYSICAL THERAPY
• http://www.apta.org/AM/PrinterTemplate.cfm?Section=Marketing_Programs&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=29748
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APTA Guide for Professional Conduct
• http://www.apta.org/AM/Template.cfm?Section=Ethics_and_Legal_Issues1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=41221
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APTA Guide for Conduct of the Physical Therapist Assistant
• http://www.apta.org/AM/Template.cfm?Section=Ethics_and_Legal_Issues1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=41220
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Code of Ethics
• http://www.apta.org/AM/Template.cfm?Section=Ethics_and_Legal_Issues1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=40904
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APTA Standards of Ethical Conduct for the Physical Therapist Assistant • http://www.apta.org/AM/Template.cfm?
Section=Ethics_and_Legal_Issues1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=40903
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Professional Code of Ethics
• Not all therapists are members of the professional association.
• Are the ethical codes binding even if a therapist is not a member?
• Does each member agree with the Code of Ethics?
• What happens when professional codes conflict?
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Moral Judgment--Balancing
• Patient rights & goals• Physician orders/professional evaluation• Values• Religious/philosophical perception
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Patient Rights
• Informed consent• Respect for privacy• Protect confidential information
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Physician Order(s)
• Looking out for the patient’s well being• Physician duty to uphold the Hippocratic
Oath• Professional Standard/Practice
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Values/Religion/Philosophical Perceptions
• Quality• Goals• How?
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Balancing?
• Am I acting fairly?• Would I want to be treated this way?• Is it a win-win situation?
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Decision Making
• Legal documents– PT Practice Act & Rules
• Professional documents– Code of Ethics– Standards of Practice
• Moral judgment– Patient rights & values– Your values & philosophies– Others values & philosophies
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How does it make you feel?
• Would I be able to discuss my actions with an immediate supervisor? Company client?
• How would I feel if my decision was announced on the evening news?