ch 13-15 Flashcards
Professional Boundaries in
Occupational Therapy
Helping others and doing no harm.
Definition-Limits and parameters for professional interactions with clients, families, students, and colleagues.
Promote safe, transparent, and stable relationships
Continuum of Professional Behavior
Ranges from under-involvement to helpful engagement to over-
involvement
Boundary Violations
Under-Involvement
Neglecting client needs.
Disengagement or inattentiveness.
Ignoring protocols or safety measures
Boundary Violations
over -Involvement-
Engaging in personal conversations or seeking advice from clients.
Socializing with students outside professional contexts.
Boundary Violations
Consequences
Violation of policies, ethics codes, or laws.
Dual Relationships
Examples: Friend and client, educator and student.
Risk: Conflicts of interest and impaired judgment.
Power Differentials
Impacts trust and safety in relationships.
Must prioritize the well-being of clients, students, or subordinates.
Tips for Maintaining Professional
Boundaries
Communication
Be assertive and transparent about boundaries.
Ask reflective questions
Self-Awareness
Monitor personal behaviors and emotions.
Address emotional needs
Maintain objectivity and professionalism
Culturally Responsive Care
Definition: Intentional respect and understanding of a patient’s experiences, values, and beliefs.
Purpose: Improves quality of care and enhances client-practitioner relationships
Related Concepts
Cultural Competency: Developmental process to work effectively in cross-cultural situations.
Cultural Humility: Reflective process to address biases and manage power imbalances.
Cultural Negotiation: Finding mutually acceptable approaches to meet cultural needs
Key Considerations of Culturally Responsive Care
Valuing diverse identities enhances safety, satisfaction, and personalized care.
Understanding cultural contexts and preferences is essential for effective therapeutic use of self
Addressing Unconscious and Implicit Bias
Unconscious Bias: Subtle assumptions based on prior experiences and culture.
Implicit Bias: Categorizing groups that may affect treatment.
Impact on Care bias
Can lead to microaggressions, missed interventions, and reduced client trust.
Example: Assuming noncompliance based on socioeconomic status
Integrating Cultural Practices into Care
Respect religious and cultural preferences:
Consider cultural involvement in planning and decision-making:
Recognize diverse cultural groups:
Beneficence and Autonomy
Practical Tips for Practitioners
Training:
Materials: Use clear, gender-neutral, jargon-free printed resources.
Respect:
Support:
Acknowledge Mistakes
Next Steps for Implementation
Take courses on culturally responsive care
Advocate for workplace training.
Conduct surveys to identify service gaps in the community.
Review current scholarly resources quarterly.
Address systemic barriers
Key Types of Justice:
Procedural: Rights during resolution processes.
Distributive: Equal rights to goods, services, and privileges.
Restorative: Rehabilitation of injustice perpetrators and restitution for survivors
Social Justice in Health Care
Definition: Equal health care services for all, regardless of personal characteristics.
Human Rights Link: Includes right to work, education, leisure, and cultural life.
Equity: Societal-level focus on creating conditions for all to meet their needs.
Addressing Social Determinants of
Health
Poverty, health illiteracy, unemployment, food scarcity.
Chronic health conditions and limited transportation.
Social inclusion is the goal through participatory frameworks.
Injustice Issues in Practice
Personal Level
Balancing autonomy and safety.
Example: “Dignity of risk” in unsafe home environments.
Injustice Issues in Practice
Organizational Level
Barriers to occupations (e.g., inaccessible playgrounds).
Fair allocation of resources and equitable distribution of power
Actions for Occupational Therapy Practitioners
Address disparities at individual and systemic levels.
Advocate for policy changes to enable equitable resource distribution.
Promote community health and reduce risk behaviors
Educational Focus
Equip students to be advocates and change agents.
Use transformative learning to foster inclusive perspectives
Next Steps
Adopt a learner’s mindset when engaging with diverse populations.
Reflect on personal values versus advocacy needs.
Use critical thinking to create culturally relevant, equitable solutions.
Goal: Solidarity, humility, and sustainable advocacy for social and occupational justice.
