Final Flashcards
Osteopathic philosphy
goal is to treat the cause of a medical problem rather than symtpoms
who presented on osteopathic medicine
Dr. Shoup
4 fundamental principles of Osteopathic philosophy
human body is a dynamic unit of mind body and spirit
body possess self-regulatory mechanisms which are self healing in nature
structure and function are interrelated at all levels
rational treatment is based on an understanding of the basic principles of body unity, self-regulation, and the interrelationship between structure and function… NOT JUST TREATING SYMPTOMS
who presented on OT
dr. story
what is the main purpose of OT
improve the skills that are needed to live life as independently as possible. This includes being able to take care of yourself and to work, for example – as well as being able to leave your home and meet other people
who presented for PT
robinson and hodges
goals of PT
movement experts
Transforming society by optimizing movement to improve the human experience.
what are the roles of PT’s
diagnose and manage (movement dysfunction and enhance physical and functional abilities)
restore, maintain and promote (physical function, wellness and fitness, quality of life as it relates to movement and health)
prevent (onset, symptoms and progression of impairments, functional limitations and disabilities that may result from diseases, disorders, conditions, injuries or inactivity)
what is a profession
Any type of work that needs special training or a particular skill, often one that is respected because it involves a high level of education
At the highest level, a profession is a set of people using
knowledge to engage in a set of activities
have ways to assess and assure the adequacy of
the education and training and competence of individual
professionals. This may involve accreditation of
educational programs, licensing and/or certification of
individuals.
elements of a profession
Education
* Training
* Experience
* Recognized framework of qualifications
* Accepted standards of practice
* Fiduciary Responsibility
Several elements of a profession can be identified from the definitions
what is the central focus of audiology
concerned with all auditory impairments and their relationship to disorders of communication
autonomous professionals who identify, assess and manage disorders of the auditory balance and other neural systems
list a few scopes of practice of audiology
assessment of candidacy of persons with hearing loss for cochlear implants, fitting programming and audiologic rehab to optimize use
dispensing, evaluating, fitting and adjusting amplification devices
otoscopic examination and cerumen management
does ASHA or AAA define permissible activities allowed in a state for our scope of practice
NO the state licensing law defines our legal scope of practice
give examples of an audiology license
business, audiologist, hearing aid dispenser
give examples of certification in audiology
certificate of clinical competence (CCC-A)
American Board of Audiology (ABA)
mandatory
regulated by state of legislation
defines scope of practice
licensure
voluntary
qualifications
grants recognition to practicioners who have met standards
certification
principle of right or good conduct or a body of such principles
ethics
A series of statements setting forth the values of an
organization through listing of principles
Principles achieved when members comply with
rules that provide minimum standards and
behavioral expectations necessary to support the
rules
Carries an array of sanctions for violation
Designed to provide ethical guidance, not to define
legal liability
code of ethics
exactly what is specified in the code
subject to interpretation as to word meaning
letter of a code of ethics
what was intended by the writers
need to be specificed exactly in code
vague, subject to many interpretations
spirit of a code of ethics
An audiologist works at a private practice as an employee, without
commission. Although she received no pressure from the owner to sell
hearing aids, she frequently dispenses upwards of 20 hearing aids per
month and makes a good profit for the practice.
* One of the manufacturers the audiologist uses has noticed that she
purchases many hearing aids from them consistently. a representative of
the manufacturer has offered her a $500 gift card in appreciation for her
past business. Receiving this gift does not create any commitment for her
to continue doing business with this company; it is presented as a thank
you gift.
* Should the audiologist accept the gift card?
NOOOO
The ability of an individual or group to make
independent decisions regarding behavior
* Individuals within a profession have the
authority to define qualifications for practice,
ethical standards, scopes of practice and
preferred practice patterns
autonomy
Define what you may legally do
Define all activities included in the profession
* ASHA
* AAA
what can audiologists do legally
Determine which tests to administer
Interpret results
Make communication diagnosis
Provide intervention
Working with a wide range of professionals
from health care, education and community
services as well as members of the patient’s
individual support network
professional collaboration
Teams are synergistic—each member contributes
to a whole that is better than the sum of its parts
interdisciplinary teams
rhe right of self governance, e.g.,
establishing codes of ethics and licensure laws
autonomy
Practitioners are able to freely
exercise their self-determined professional
judgements and clinical decisions
independent
Refers to
the persons or business entities who own or
control (make the business decisions) audiology
services
ownership of audiology profession
synonymous with practice
ownership
self employment
Working for a wage and
without an equity position in the practice
setting
wage employment
the experience of earning
academic credit and receiving clinical training
in varied types of clinical settings
clinic rotations
The process by
which individuals acquire, through the
educational and the post-graduate
professional environments, specific
characteristics, knowledge, skills, attitudes,
values and norm regarding their professional
roles
professional socialization
what are external challenges of private practice
Medical media reports: Audiology listed as “ancillary
service” to boost physician bottom line
* Physicians: Largest single practice setting for wage
employed audiologists is ENT physicians
* Coalition for Hearing and Balance (AAO-HNS, etc)
otologic technician training program to train personnel
to perform basic audiometric and vestibular testing
under supervision of physicians
* Hearing Aid Dispensers: some hire audiologists to
provide audiologic care in their businesses, although
some audiologists hire hearing aid dispensers
what are the benefits of owning a practice
Increased public recognition of audiology
– Increased public education by audiologists should
encourage more patients to see audiologic care from
independent practitioners
* Improved inter-professional relationships with
other healthcare providers
* Maintenance of independent clinical decision-
making and responsibility for the audiology care
provided to patients
ndependence: be your own boss
* Decision Making: Professional care is
directed by practitioner choices, not employer
mandates
* Autonomy: As the percentage of practice
owners grows, the availability of equity
positions in practices will likewise increase
challenges of owning a practice
aud programs/faculty
certification and accreditation
student debt
financial risk
a civil wrong committed against a person or property which a court provides a remedy in the form of an action for damages
tort
the purpose of tort law is:
Preservation of peace
– Culpability (find fault for wrongdoing)
– Deterrence (discourage wrong doer from
committing future torts)
– Compensation (indemnify the injured person of
wrongdoing)
give an example of commision of an act (negligence)
puncturing a TM during cerumen removal
impacting impression material in a PT’s ear
performing procedure on the wrong PT
give an example of ommision of an act (negligence)
failing to refer for significant test results
failing to administer adequate test procedures
negligence or carelessness of a
professional person
malpractice
the reckless disregard for
the safety of another
criminal negligence
What is the difference in goals between PT and OT?
PT focuses on improving the patient’s ability to move their body whereas an OT focuses on improving the patient’s ability to perform activities of daily living.
Define ethics
The behavior of individuals in a society.
explain the differences between ASHA and AAA
One difference between ASHA and AAA organizations is the characteristics of its members. ASHA is open to both speech-language pathologists and audiologists; AAA is limited to certified audiologists.
