Code Of Ethics 4 (Dr. Kelly) Flashcards
Principle 3 of code of ethics
Autonomy
Occupational therapy personnel shall respect the right of the individual to self-determination, privacy, confidentiality, and consent.
Autonomy
Autonomy if referred to as….
self-determination principle
Autonomy Expresses the concept that practitioners have a duty to:
Treat the client according to their desires within the bounds of accepted standards of care
Protect the client’s confidential information.
Acknowledges a person’s right ”to hold views, to make choices, and to take actions based on his/her values and beliefs”
Have the right to make a determination regarding care decisions that directly affect their lives
Autonomy should be respected even when a client lacks the decision making capacity
Standards of conduct for autonomy
- Respect and honor wishes of client
- Fully disclose the benefits, risks, potential outcomes of any intervention
- Obtain consent
- Establish a collaborative relationship
- Respect the client’s right to refuse
- Refrain from threatening, coercing, or deceiving clients
- Respect a research participant’s rights to withdraw
- Maintain confidentiality
- Display responsible conduct and discretion
- Facilitate comprehension and address barriers to communication w/ all parties
Autonomy is defined to provide a foundation for the exploration of four related ethical issues that support Principle 3:
Confidentiality
Communication
Consent
Collaboration
refers to keeping private all information about a person (patient) and not disclosing it to a third party without the patient’s written consent…Information such as test results, patient histories, and even the fact that a person is a patient cannot be passed on to another person without the patient’s consent
Confidentiality
is a dialog (written, spoken, electronic, nonverbal) that exchanges ideas between the occupational therapy practitioner and client, student, or community.
Communication
Assent or approval
Consent
is a dynamic process between the occupational therapy practitioner and the client, and as appropriate, their families or significant others and caregivers; to work jointly with others.
Collaboration
Occupational therapy practitioners develop a collaborative relationship with clients in order to understand their experiences and desires for intervention.
Is an example of…
Collaboration
Principle 4 of code of ethics
Justice
Occupational therapy personnel shall promote fairness and objectivity in the provision of occupational therapy services.
●Relates to the fair, equitable, and appropriate treatment of persons
Justice
Standards of conduct for justice
Respond to requests for occupational therapy services in a timely manner
Assist those in need of services
Address barriers
Advocate for change
Maintain awareness of current laws
Inform parties of applicable policies, laws, and official documents
Hold requisite credentials
Provide appropriate supervision
Obtain necessary approvals
Refrain from accepting gifts
Report if needed
Collaborate
Bill and collect fees legally
Ensure compliance
Ensure documentation
Refrain from misconduct of actions
3 types of justice
Social justice
Procedural justice
Occupational justice
includes ethical concepts related to fair opportunity, unfair discrimination, and whether there is a right to healthcare, as well as appropriate criteria for rationing care when there are limits to availability.
Social justice
is ensuring that policies and laws are implemented, adhered to, and enforced in a fair and equitable manner
Procedural justice
reflects the desire for full inclusion in everyday meaningful activities for individuals, groups, or communities regardless of age, sex, gender identity, race, socioeconomic status, or degree of ability
Occupational justice
To meet the ethical obligation of justice, occupational therapy practitioners are required to
●Provide timely service
●Advocate for access
●Maintain knowledge of regulation and AOTA official documents
●Comply with relevant laws, standards, policies and procedures
●Abide by requirements established by third-party payers
●Refrain from cheating in any form
There are five obligations that govern the practice of occupational therapy as directed by the Principle of Justice
Access
Credentialing and Supervisory Duties
Knowledge of Regulations and AOTA Official Documents
Develop and Adhere to Institutional Policies
Financial and Business Relationships
promoting access to services is consistent with the occupational therapy profession’s roots in social activism. Occupational therapy practitioners need to continue the commitment of the profession to those who need services regardless of personal attributes or ability to pay.
Access
Occupational therapy practitioners are obligated to have the appropriate credentials to practice in a particular state or jurisdiction and to keep these credential current. In providing adequate supervision, practitioners both adhere to regulations and fulfill the public trust.
Credentialing and Supervisory Duties
Occupational therapy practitioners must not only maintain current knowledge regarding regulations governing occupational therapy practice, but also inform employers and occupational therapy employees, students and other about those regulations and any changes to them.
Knowledge of Regulations and AOTA Official Documents
Occupational therapists have a duty to comply with documentation requirements of third party payers and their employers’ policies. Occupational therapy documentation should accurately reflect the services delivered. Inaccurate documentation is a violation of this code.
Develop and Adhere to Institutional Policies
accountability extends to all work roles and contexts involving the delivery of occupational therapy services as well as in all types of facilities. It is the responsibility of the occupational therapy practitioner to follow established policies and procedures to accurately document and bill.
Financial and Business Relationships
