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Ethical Dx of Therapy Practice

Ethical Dx of Therapy Practice. Sheri L. Bjork, PT, MBA. Current Events. Patient Scenarios Disclaimer.

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Ethical Dx of Therapy Practice

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  1. Ethical Dx of Therapy Practice Sheri L. Bjork, PT, MBA

  2. Current Events

  3. 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.

  4. Making an Ethical Decision • Is it Legal? • Is it Balanced? • How does it make you feel? Nickels, McHugh, McHugh.

  5. Is It Legal? • Statutory Law • Administrative Agencies

  6. 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

  7. 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

  8. 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

  9. Is It Balanced? • Professional Ethics Codes • Professional Standards • Facility Policies & Procedures • Facility Mission Statement • Others

  10. CRITERIA FOR STANDARDS OF PRACTICE FOR PHYSICAL THERAPY • http://www.apta.org/AM/PrinterTemplate.cfm?Section=Marketing_Programs&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=29748

  11. APTA Guide for Professional Conduct • http://www.apta.org/AM/Template.cfm?Section=Ethics_and_Legal_Issues1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=41221

  12. 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

  13. Code of Ethics • http://www.apta.org/AM/Template.cfm?Section=Ethics_and_Legal_Issues1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=40904

  14. 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

  15. 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?

  16. Moral Judgment--Balancing • Patient rights & goals • Physician orders/professional evaluation • Values • Religious/philosophical perception

  17. Patient Rights • Informed consent • Respect for privacy • Protect confidential information

  18. Physician Order(s) • Looking out for the patient’s well being • Physician duty to uphold the Hippocratic Oath • Professional Standard/Practice

  19. Values/Religion/Philosophical Perceptions • Quality • Goals • How?

  20. Balancing? • Am I acting fairly? • Would I want to be treated this way? • Is it a win-win situation?

  21. 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

  22. 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?

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