Code of ethics Flashcards

1
Q

Why study ethics and legal in a PT program

A
  • Real practice is messy
  • Professional formation (HEART) is 1/3 of preparation expert PT practice; this makes professional formation non-negotiable
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2
Q

What is the hierarchy for physical therapy decisions

A
  • APTA policy & position statements
  • Guide to PT practice
  • Code of ethics for PT
  • Rules & regulations governing PT
  • Laws of the state (governing PT and other disciplines)
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3
Q

Who are we accountable to (PT)

A
  • the government
  • the public
  • the evidence
  • professional practice
  • your family
  • yourself
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4
Q

What is ethics

A
  • the branch of philosophy that seeks to understand the nature, purpose, justification & the founding principles of moral rules & the systems they comprise
  • ethics is nothing more than the reverence for life
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5
Q

Describe the deontological ethics model (Duty)

A
  • Utilitarianism: max the good to the greatest number
  • Kant: the categorical imperative - the right or wrong of an action does not matter as much as does it fulfill our duty
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6
Q

Describe teleological ethics modal (Consequences)

A
  • Justice: distributive vs. reparative
  • Virtue ethics: caring
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7
Q

What are the pillars of professional practice

A
  • Courage
  • Wisdom
  • Temperance
  • Commitment
  • Compassion
  • Consciousness
  • Discernment
  • Fairness
  • Fidelity
  • Freedom
  • Honesty
  • Integrity
  • Kindness
  • Respect
  • Hopefulness
  • Tolerance
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8
Q

What was the Enron scandal

A
  • it was a series of events involving dubious accounting practices that resulted in the >$60 billion bankruptcy of the energy, commodities, & services company Enron Corporation and the dissolution of the accounting firm Arthur Andersen
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9
Q

es in responsibilities with increasing autonomyDescribe the PT profession ethical evolution

A
  • 100+ years of PT professional growth
  • Changes in responsibilities with increasing autonomy
  • Changes in ethical principles with societal changes
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10
Q

Code of ethics for the physical therapist

A
  • Principle #1: Physical therapists shall respect the inherent dignity and rights of all individuals
  • Principle #2: Physical therapists shall be trustworthy and compassionate in addressing the rights and needs of patients/clients.
  • Principle #3: Physical therapists shall be accountable for making sound professional judgments.
  • Principle #4: Physical therapists shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, research participants, other health care providers, employers, payers, and the public.
  • Principle #5: Physical therapists shall fulfill their legal and professional obligations.
  • Principle #6: Physical therapists shall enhance their expertise through the lifelong acquisition and refinement of knowledge, skills, abilities, and professional behaviors.
  • Principle #7: Physical therapists shall promote organizational behaviors and business practices that benefit patients/clients and society.
  • Principle #8: Physical therapists shall participate in efforts to meet the health needs of people locally, nationally, or globally.
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11
Q

Standards of ethical conduct for the physical therapy assistant

A
  • Standard #1: Physical therapist assistants shall respect the inherent dignity, and rights, of all individuals.
  • Standard #2: Physical therapist assistants shall be trustworthy and compassionate in addressing the rights and needs of patients/clients.
  • Standard #3: Physical therapist assistants shall make sound decisions in collaboration with the physical therapist and within the boundaries established bylaws and regulations.
  • Standard #4: Physical therapist assistants shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, other health care providers, employers, payers, and the public.
  • Standard #5: Physical therapist assistants shall fulfill their legal and ethical obligations.
  • Standard #6: Physical therapist assistants shall enhance their competence through the lifelong acquisition and refinement of knowledge, skills, and abilities.
  • Standard #7: Physical therapist assistants shall support organizational behaviors and business practices that benefit patients/clients and society.
  • Standard #8: Physical therapist assistants shall participate in efforts to meet the health needs of people locally, nationally, or globally.
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12
Q

Ethical situations of conflicting situations

A
  • Interpersonal relationships
  • Managed care & reimbursement
  • Mandatory reporting
  • Dilemmas - 2 COE’s conflict each other
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13
Q

What is RIPS

A
  • Realm: individual; organization/institutional societal
  • Individual Process: moral sensitivity, moral judgment, moral motivation, moral courage
  • Situation: issues or problem, dilemma, distress, temptation, silence
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14
Q

Describe the RIPS model

A
  • Recognize and define the ethical issue(s)
  • Reflect
  • Decide on a course of action
  • Implement, evaluate, and re-assess
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15
Q

What does the ethical situation require of me (ethical judgement)

A
  • Moral sensitivity: simply to recognize the ethical question
  • Moral judgement: make a decision about the ethical situation
  • Moral motivation: example placing professionalism over other values including self-interest, status, or financial gain
  • Moral courage: implementation of the chosen ethical action including deciding ahead of time what to do when barriers become apparent
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16
Q

Describe the Situation

A
  • Issue or problem: important values are present or may be challenged
  • Dilemma: two alternative courses of action may be taken, both of which fulfill an important duty, and not possible to fulfill both obligations (Right vs Right)
  • Distress: you know the right course of action but are not authorized to take it
  • Temptation: involves the choice between a right and a wrong
  • Silence: ethical values are challenged but no one is currently speaking out about the values. Possible course of action from someone in moral distress
17
Q

Tests of right vs wrong positive

A
  • Legal test: know your practice act and state regulations
  • Stench test: does it feel wrong as a gut reaction
  • Front Page test: how would you like this to be on newspaper
  • Mom test: if I were your mother would I do this