Ethics Flashcards
What is a major issue in healthcare ethics?
Allocation of scarce resources is a big thing.
Does the healthcare system better support the individual or greater good?
The system is set up to favor the majority and greater good and not necessarily the individual.
What do a lot of PTs get in trouble for?
PTs can get in trouble for failure to supervise or monitor a patient. Not giving enough assistance.
What does RIPS model stand for?
R - realm
IP - individual process
S - situation
What are the 4 steps to the RIPS model?
Step 1 - recognize and define the ethical issues
Step 2 - reflect
Step 3 - decide the right thing to do
Step 4 - implement, evaluate, re-assess
What are the three parts of step 1?
RIPS:
realm
individual process
situation
Describe an individual realm
Between the PT and the patient
Describe an organizational/institutional realm
Can affect other patients
Describe a societal realm
Affects many more people in society
What are the four types of individual process?
- Moral sensitivity
- Moral judgement
- Moral motivation
- Moral courage
Recognizing, interpreting, and framing the ethical situation
Moral sensitivity
What is moral judgment?
Deciding on right versus wrong actions
What is moral motivation?
Priority on ethical values over other values, such as self-interest, status, or financial gain. When the bad decision will benefit you, but you have a priority on ethical values
Implementing the chosen ethical action, including the development of a plan and perseverance in the face of barriers and adversity
Moral courage
What are the four types of ethical situations?
- Dilemma
- Distress
- Temptation
- Silence
What is dilemma?
Two alternative courses of action may be taken, both of which fulfill an important duty and it is not possible to fulfill both obligations. “Right versus right” decision.
What is it when you know the right course of action but are not authorized or empowered to perform it?
Distress
What is temptation?
Involves a choice between a “right” and a “wrong” and in which you may stand to benefit from doing the wrong thing
What is it when ethical values are challenged, but no one is speaking about this challenge to values, This may actually be the course taken by an individual who is experiencing moral distress?
Silence
What is step 2?
Reflect
While reflecting, what questions can you ask yourself?
- What are relevant facts and contextual information?
- Who are the major stakeholders?
- What are the possible consequences (intended and unintended)?
- What are the relevant laws, duties, obligations, and ethical principles?
- What professional resources (Code of ethics, guide for professional conduct, core values) speak to this situation?
What are the five tests?
- Legal test (Is it legal?)
- Stench test (Does it feel wrong or off?)
- Front page test (Would you want to see it on the front page?)
- Mom test (Would your mom do it?)
- Professional ethics test
If any of these are true, skip step 3
What kind of decisions is step 3 for?
It is for decisions that aren’t just right and wrong. It could be between two right decisions. It is deciding to do the right thing.
Describe the three options for ethical dilemmas
Rule-Based - follow the rules, duties, obligations, or ethical principles already in place
Ends-Based - determine the consequences or outcomes of alternative actions and the good or harm that will result for all of the stakeholders
Care-Based - Resolve dilemmas according to relationships and concern for others
