Lecture 1 Flashcards
What does GORP OMNI stand for?
G – Gait
O – Observation
R – range of Motion (Active/Passive/Resisted)
P – Palpation (Static and Motion)
O – Orthopaedic testing
M – Muscle Testing
N – Neurological Testing
I – Investigation/Chiropractic special tests
List the 11 principles of the AHPRA Code of Conduct?
- Put clients first – Safe, effective and collaborative practice.
- Aboriginal and Torres Strait Islander health and cultural safety.
- Respectful and culturally safe practice for all.
- Working with clients.
- Working with other practitioners.
- Working within the healthcare system.
- Minimising risk to clients.
- Professional behaviour.
- Maintaining practitioner health and wellbeing.
- Teaching, supervising and assessing.
- Ethical Research.
What are some of the elements of professionalism?
- AHPRA – Code of conduct
- Client handling and communication skills
- Recordkeeping
- Verbal/Written consent
- Good hygiene practices
- Safe, gentle care
- Professional behaviour
What are some examples of boundary violations?
- Start of the relationships: Personal disclosures – Being personable and oversharing can be a fine line at times.
- Middle Part: After you are familiar with the client – Gifts/favours.
- Slippery Slope: Time outside the office
- End of phase: Touching, emotional dependence, transference.
- Sexual misconduct: Sexual contact with client, former client is unethical.
- Sexual harassment: sexual comments, advances, sexual favours.
What are good hygiene practices within the clinical setting for you and the equipment you use?
- Keep clean and use non-fragrant deodorants.
- NO smoking or alcohol.
- Clean hands with trimmed fingernails.
- Use a little talcum powder to reduce clammy hands and friction.
- Fresh clothes, socks and shoes.
- Dental and oral hygiene with fresh breath.
When should the practitioner give the informed consent?
Should obtain consent from clients before carrying out ANY diagnostic or therapeutic procedure on clients.
What is the appropriate way or format to deliver an informed consent to your client?
- The diagnosis and likely outcome of the condition
- The explanation of the recommended care
- Risks of the procedure and common side effects
- Possible complications
- Specific details of the care
- Any other options for care ad their probability of success
- Cost of care
- Option to defer care, and
- Right to withdraw consent to care at any time
What information should be disclosed during the informed consent?
- Disclose all significant clinical information
- Client must receive sufficient information concerning:
- The proposed procedure
- The potential benefits and risks of the procedure
- Common alternatives to that procedure, including refusing care and the associated risks. - Explain to client that the “no care” option is a viable option
What are the five elements of an informed consent?
- Diagnosis/Clinical Impression
- Treatment Intervention
- Risks or complications associated with the care or with the diagnosis
- Alternative treatments, concurrent treatments, or additional diagnostic procedures.
- Successes and failures
What are parts of professionalism
- AHPRA Code of Conduct
- Client handling
- Record keeping
- Verbal/written consent
- Good hygiene practices
- Safe, gentle care
What is the chiropractors purpose in professional boundaries?
- Chiros responsibility to maintain boundaries
- Chiro should examine boundary crossing
What are the 3 principles that govern the relationship among boundaries?
- Boundary crossings
- Deviation from classical therapeutic activity that is harmless - Boundary violations
- Harmful crossing - Sexual misconduct
What is Informed Consent?
Valid consent of the client to proposed examination or treatment or procedure, after appropriate advice and information has been provided by the practitioner
General Purpose of Informed Consent
- Includes all diagnostic studies and chiro care
- Have some potential for causing injury to a client
- If client wishes to continue, they should give consent
What to disclose in consent?
- All clinical information
- Information concerning: Proposed procedure, benefits, risks and alternatives.
- “no care” is viable option
In order to provide informed consent a client has a right to sufficient information for his/her understanding of:
- The diagnosis and prognosis
- Explanation of the recommended care
- Risks and common side effects
- Possible complications
- Specific details of the care
- Any other options for care and their probability of success
- Cost of care
- Option to defer care, and
- Right to withdraw consent to care at any time
Informed Financial Consent
- Clients should be made aware of all the fees and charges involved prior to health service being provided
What are the 5 elements of informed consent?
- Diagnostic/Clinical Impression
- Treatment intervention
- Risks or complications associated with the care or with the diagnosis
- Alternative treatments, concurrent treatments, or additional diagnostic procedures
- Successes and failures
Clinical Posture
- “Fencer Stance” (saves your energy and back)
- Keep back straight as possible
- Don’t move yourself (move client and table)
Chirobics
- Activities performed to help develop some of the psychomotor skills required to deliver a manual chiro manipulation
- Genie flicks, speeder board, ball squeeze, triceps extensions
GORP OMNI
G - Gait
O - Observation
R - ROM
P - Palpation
O - Orthopaedic testing
M - Muscle testing
N - Neurological testing
I - Investigation/Chiropractic special tests
