Chapter 3

Question 1

Self Care results in

Answer 1

Being a better caregiver.

Question 2

Resilience

Answer 2

ability to bounce back, positively adjust, and adapt in the face of adversity, trauma, or stress. A quality and a process. A commitment.

Question 3

Individual self care plan:

Answer 3

• Mindfulness/Mind-body practices
• Structured mentorship
• Attention to sleep
• Routine Self-screening
• Meditation Practices

Question 4

Organizational supports for self-care

Answer 4

Employee Assistance Programs and Counseling services

Inter-professional communication and peer support groups.

Workplace wellness programs.

Question 5

Balancing socializing and solitude

Answer 5

Socializing - connected with others for enjoyment, information sharing

Solitude - a positive active state of individual self reflection and integration of inputs.

Question 6

Self Respect and Competence:

Answer 6

Developing:
Specialized knowledge
professional skills
technical skills
Critical Reasoning
Interpersonal skill
teaching and administration
Seek opportunities to enhance expertise.

Question 7

Giving and Accepting support

Answer 7

Mutual support is realized through
*shared concerns
*shared fun, enjoyment
*Shared care and gratitude
Institutional support

Question 8

Mindfulness

Answer 8

True joy–In the moment
setting an intention to pay attention systematically and nonjudgmentally to the present moment for whatever arises.

Question 9

Anxiety

Answer 9

Threaten well being and performance
Acknowledge - identify source - share - seek help

Question 10

Burnout

Answer 10

rising rates
hallmarks:
* emotional exhaustion
* lack of personal accomplishment
* depersonalization and detachment

Question 11

Professional boundaries - what it is

Answer 11

Separates PTA roll from other rolls you have in your life - distinction between personal and professional relationships.

Question 12

Professional boundaries - how it’s managed

Answer 12

How you behave within the therapeutic relationship with your patients.

Question 13

Boundary

Answer 13

limit that allows for safe connection between you and patient
* based on patient’s needs
* Adhere to rules
* personal views are secondary
* patient is focal point.

Question 14

Key ethical principles

Answer 14

• Autonomy - patient’s right to self-determination
• Beneficence - you will do only good in the work you do
• non-malfeasance - not cause harm in work you do
• Justice - maximize fairness
• Veracity - respect patients
• Fiduciary duty - put patient needs ahead of your own.

Question 15

Letting personal bias shape relationship with patient

Answer 15

gain personally at patient’s expense
intent can be different from impact

Question 16

Behaviors of harm - taking professional shortcuts

Answer 16

for instance shortening treatment time to meat own need to leave early.

Question 17

behaviors of harm - treating patient like an object

Answer 17

in example - discussing your personal life with a colleague while performing care

Question 18

specific behaviors of harm - manipulating your patient

Answer 18

steering your patient toward a particular treatment option

Question 19

Purposeful manipulation

Answer 19

in patient’s best interest - individuals with dementia or other cognitive limitations - don’t lose respect for patient.

Question 20

specific behaviors of harm - Deceiving or cheating your patient

Answer 20

Omitting potential consequences when proposing treatment

Question 21

power imbalance

Answer 21

patient needs your knowledge or expertise - creates patient vulnerability - patients may not complain

Question 22

Applying your knowledge without misusing your power

Answer 22

don’t start in middle of story

Don’t leave out information that your patient should be aware of.

Question 23

when expectations can’t be met

Answer 23

Outline parameters of service
Define your role
seek consultation

Question 24

Words

Answer 24

Be careful of words or adjectives that label patients. - focus on describing behaviors.

Question 25

Who’s needs are coming first?

Answer 25

key question for patient interactions.

Question 26

Clear roles - patient and PTA can become muddled when -

Answer 26

Friend creates a dual role

Question 27

By sharing personal information

Answer 27

Dualize role and therapeutic boundary is blurred

Question 28

in self-disclosure

Answer 28

consider your professional purpose for the self-disclosure.

Question 29

Asking for advice from a professional that is also a patient

Answer 29

Creates role reversal and dualizes the relationship.

Question 30

Any dualized relationship

Answer 30

avoid

Question 31

Red flags for patient boundaries

Answer 31

Do you try to make you patient feel special?

Do you promise ongoing availability to patients?

What is the impact?

Question 32

Red flag 2

Answer 32

Do you socialize with patient outside of therapeutic relationship?

Question 33

More key red flags

Answer 33

Do you personally disclose, or touch of a personal nature?

Do you ask for favors?

Question 34

Red Flags 4

Answer 34

D you fail to define you roll or service parameters?

Do you make up your own rules?

Are you burnt out?