INTEGRATIVE CARE 10/22b Ethics Flashcards
rule based ethical tradition
Kant
- rules
- duties/responsibilities
- ethical principlse
- code of ethics
ends-based ethical tradition
Mill
- teleology
- CONSEQUENCES
- outcomes
- greatest good for greatest number
- utility = value
virtue based ethical tradition
aristotle
- virtues
- values
- core values
- professional identity
- moral agency
care-based ethical tradition
gilligan
- voice of care
- feminist ethics
- relationships
- life experience
duties of healthcare providers
fits with Kant’s brainscape
- autonomy (self determination/governance)
- beneficence (promote good)
- nonmaleficence (do no harm)
- justice (distribution with equity, support fair procedures)
- veracity ?
should truthfulness be a major qualifier for PT care?
Situations in PT practice where you don’t want to tell the truth
- With physician diagnosis
- How does it intersect with autonomy:
- Need to consider the individual’s background and motivation
how might utilitarian ethics affect decision making about PT practice?
Greatest good for a greater number
- May be an individual who needs more care, but we are just giving the highest quantity
- Equipment to buy
- If you look at the expenses vs the patient population
- There is give and take based on the majority vs the smaller population
ethical/moral reasoning
Less Moral Reasoning
- do what you’re told
- make deals
Medium Moral Reasoning
- people pleaser (be nice and people will like you)
- obey the law
High Moral Reasoning
- use due process
- be rational and impartial
ethical/moral reasoning developed more with ethics of care - gilligan
Low Moral Reasoning: self-concern
Medium Moral Reasoning: concern for others needs only
High Moral Reasoning: balance of self-needs and the needs of others
what does it mean to have fiduciary responsibility
trust/special relationship that you have with the patient
PT codes of ethics
links principles of the code of conducts with core values
- directive (guidance for mandatory behavior)
- non-directive (permitted or recommended)
- protective
- specific
- enforceable/enforced
principles and standards of APTA code of ethics
Principles: emphasis on PT as a unique profession; focus on autonomy, responsibility, and accountability
Standards: focus on core values (accountability, altruism, compassion, excellence, integrity, professional duty, and social responsibility)
what ethical traditions are the following statements
1. physical therapists shall be trustworthy and compassionate in addressing the rights and needs of patients/clients
- physical therapists shall fulfill their legal and professional obligations
- care based
rule based
virtue based - rule based
sources of law
Federal
State (practice act)
what are some federal laws that are promoted?
- anti fraud and abuse
1. false claims act
2. anti-kickback statute (physician referral for financial profit)
