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Physical therapists and professionalism
Physical therapists and professionalism
Principle or approcahes ethics in confidentiality
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This week's discussion focuses on the direction and supervision of support personnel in the physical therapy (PT) profession. I am currently practicing as a PT in the state of Louisiana. Hence, I will be mainly referencing the Louisiana (LA) Physical Therapy Practice Act in the discussion of the two case studies presented in this paper. The LA PT practice act was enacted to protect the safety and health of the public and regulate the practice of PT in the state.1 And it is the position of the American Physical Therapy Association (APTA) that it is the obligation of the PT to provide quality and safe therapy services.
The article argues that the therapist has a legal duty to the safety of this patient and the patient’s would-be victim (Beauchamp & Childress, 2001). If the therapist disclosed this information to the family, Tatiana likely would have lived. The other side of the argument is that the therapist should keep confidentiality of the conversation. First, without the use of confidentiality in a therapy session, a patient may choice to avoid therapy.
The ethical principles involved in this dilemma are beneficence, social justice, veracity and fidelity. The duties of the physical therapist assistant is to carry out the plan of care that is established by the physical therapist, and follow the physical therapist’s plan of care. Furthermore, as a therapist, it is the PTA’s ethical duty to treat each patient equally, be truthful with each patient and allow all patients to participate equally in their treatment. My responsibility as a rehab aide and her colleagues is to report this misconduct to the physical therapist that I am working under and to my direct manager, the outpatient rehabilitation coordinator while keeping the confidentiality of the situation.
According to the RIPS Model, an ethical decision making guide for physical therapists, an ethical dilemma is when, “Two alternative courses of action may be taken, both of which fulfill an important duty, and it is not possible to fulfill both obligations.” In the field of physical therapy, like other healthcare fields, ethical decisions are made daily. There is a variety of situations that put physical therapists in uncomfortable positions. These range from confidentiality codes to more complex situations involving health insurance and billing. Ultimately, the physical therapist must use their own judgment, but the Physical Therapy Code of Ethics and RIPS Model of Ethical Decision Making both serve as a guide for determining the best course
Due to mental health being a difficult topic for people and the act of seeking out treatment is often a difficult task, confidentiality is needed for individuals to seek out assistance (Beauchamp & Childress, 2001). The reluctance around getting help for mental health concerns is often alleviated by the assurance of confidentiality. Another argument made for the necessity of confidentiality is that it is crucial to allow for full transparency and disclosure from the patient (Beauchamp & Childress, 2001). Due to the nature of psychiatric treatment, a patient must feel comfortable to disclose their innermost thoughts to truly participate in therapy. The final argument made for the need for confidentiality between therapist and patient is due to the ability to form a confidential relationship based on trust (Beauchamp & Childress, 2001).
According to APTA (American Physical Therapy Association), 2011 (authorized by federal guidance) that examining patient 's medication issues are a part of physical therapy scope of practice. APTA amended a statement endorsed by House delegates that the component of physical therapist management incorporates of providing an education to the patients of understanding their prescribed and nonprescribed medication. Patients need to be aware of the drug contemplation effect to their health, limitation in function and disablement (APTA, 2011). Medication awareness about tramadol is essential for our patients to through verbal or reading materials (layman 's term) including indications, contraindication, pharmacodynamics, food or drug with
Jurisdictional Established by a state's practice act governing the specific physical therapist’s license, and the rules adopted pursuant to that act Personal Activities undertaken by an individual physical therapist that are situated within a physical therapist’s unique body of knowledge The individual is educated, trained, and competent to perform the activity Regulation of PT by State State legislature establish the depth of PT scope of practice state by state in conjunction with state established Board of examiners BOE’s work closely with state government officials in order to develop a clear understanding of the PT’s role, responsibilities, and occupation duties with its state Establish Requirements and state by state statutes Mandatory reporters of abuse (children and elderly) Direct access care
As a DPT student, my idea of professionalism is to be trustworthy, reliable, honest, and respectful. I have quickly learned that respect and professionalism are synonyms and always go hand in hand in professional settings. One of the main behavioral focuses of all of my classes during PT school has been respecting other classmates and future colleagues in and out of school. Practicing respect while in school, teaches us to be respectful of our future patients’ time and needs. As a DPT student I have learned that respecting others regardless of their race, gender, and age is the hallmark of professionalism.
During my sophomore year, I was fortunate enough to shadow an internist. I came in every other day and observed his interaction with patients. He managed patients from different age groups and diverse backgrounds. Various illnesses come through that door and I was there to witness aspects of it. I interacted with patients per the physician’s permission to do as such.
This is an ethical dilemma because if the therapist has no intention on getting information to help get their client help the disclosure of information is a clear violation of when confidential can be
Ethics Assignment Introduction Confidentiality is an ethical value that remains deeply rooted in the nursing profession and has always been the cornerstone of the nurse-patient relationship. Since the days as nursing students, we were constantly reminded of the significance in maintaining patient’s confidentiality. The Oxford dictionary defines confidentiality as intended to be kept secret while the Cambridge dictionary defines it as the state of being secret.
Professionalism by definition is "the skill, good judgment and polite behavior that is expected from a person who is trained to do a job well." The American Physical Therapy Association states that "there are seven core values that comprise professionalism in physical therapy: accountability, compassion, excellence, professional duty, social responsibility, integrity, and altruism. " For some professionalism can simply mean that the individual has a high level of standards, but for others, the term might hold a different meaning. One might infer that there can be several different definitions that apply to this term, which poses the question, what is professionalism in the context of being a student in a doctor of physical therapy degree program?
Driven by the goal of improving overall wellness, students should take part in being active health advocates for their communities. Displaying a proper attitude, image, and behavior projects the values inherent within physical therapy. Maintaining professionalism as a student in a doctor of physical therapy program is an important way to contribute to the elevation of the physical therapy profession. With reflective practice towards these components that define professionalism, student ambition will translate into providing efficient care as a well-rounded therapist that of which allows for maximum growth in all areas of the
One of Kidder’s three basic approaches to dilemmas is ends-based, we can “determine the consequences or outcomes of alternative actions and its effects whether good or bad for the business.” A solution that I could think of is to ask the patient’s permission if people can come in to observe the therapy session. However, working with kids is a different story altogether, young kids cannot grasp the idea of privacy. Another solution that I can think of is to close the door to a treatment room but therapy sessions doesn’t usually occur in a small room if you are working with kids. Ultimately, the RIPS model is useful to analyze ethical situations in physical therapy.
In April, I will sit for my Board of Certification Exam, in order to claim the title of a Certified Athletic Trainer. My major has allowed me to dedicate myself to the Oklahoma State University athletic population as well as the Stillwater High School student population. My profession is a health care profession that prevents, evaluates, treats, and manages injuries. All of these categories and courses will aid and benefit me in a Physical Therapy program. I struggled as an observer because I had the education, experience, and confidence to work alongside the physical therapy staff.
