OT ethics Flashcards

1
Q

Ethical dilemma vs. Ethical distress

A
  • Ethical dilemma: argument could be made for both choices; conflict between two different paths and there is an argument to, for, and against both paths
  • Ethical distress: discomfort experienced when the OT is prevented from doing what is believed to be right
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2
Q

Overseeing bodies for ethics

A
  • AOTA ethics committee
  • Institutional state review board
  • State review boards
  • Company ethics committee
  • CARF: ethical committee for rehab facilities
  • JAYCO: ethical committees for SNFs
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3
Q

Levels of ethical reprimand (AOTA)

A
  1. Breech of ethics: warning, not issued publicly
  2. Censorship: formal letter, publicly reported
  3. Probation of membership, subject to terms: publicly reported, continued membership is condition, depending on fulfillment of specified terms.
  4. Suspension of membership: denies membership for a certain amount of time
  5. Total revocation: publicly reported- permanent denial of Association membership
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4
Q

7 OT core values

A
  1. Altruism
  2. Prudence
  3. Justice
  4. Equality
  5. Dignity
  6. Freedom
  7. Truth
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5
Q

Altruism

A

for the good of someone else

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6
Q

Prudence

A

voice of clinical judgement/reasoning; using your ethical reasoning

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7
Q

Justice

A

everyone is INCLUDED- we make it happen

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8
Q

Equality

A

everyone is treated THE SAME

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9
Q

Dignity

A

valuing inherent worth in every person

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10
Q

Freedom

A

CHOICE

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11
Q

Truth

A

provide accurate information

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12
Q

Six ethical principles

A
  1. Autonomy: patient’s rights- the right to choose
  2. Beneficence: doing well by the patient, for their own good
  3. Non-maleficence: do no harm, AVOID is the key work –> you’re choosing NOT to use this modality on a patient d/t pacemaker
  4. Justice: social (everybody has a right to therapy, and they all should be included) and procedural (maintain laws and policies)
  5. veracity: truthfulness
  6. Fidelity: keeping your promise, bringing honor to your profession, being competent in your field
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13
Q

Types of clinical reasoning

A
  1. Procedural reasoning
  2. Interactive reasoning
  3. Conditional reasoning
  4. Narrative reasoning
  5. Pragmatic reasoning
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14
Q

Procedural reasoning

A

getting things done, “what has to happen next”

  • closely related to medical form of problem solving
  • emphasis placed on patient factors and body functions/structures
  • finding connection between problems identified and the interventions provided
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15
Q

Interactive reasoning

A

concerned with the interactions between patient and Th
- used to engage with, to understand and to motivate the clt.

  • understanding disability from the clt’s point of view
  • used during eval to gather important information provided by the patient and to further explore the clt’s occupational needs.
  • connected to TUS
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16
Q

Conditional reasoning

A
  • concerned in the CONTEXT in which interventions occur, the CONTEXTS in which patients perform occupations, and the ways in which various factors might affect the outcomes and direction of therapy.
  • “WHAT IF?”
  • Th imagines possible scenarios and outcomes in various contexts
17
Q

Narrative reasoning

A
  • relies on story-telling in order to identify problem areas and solutions.
  • Requires interaction between the patient and Th to gain an understanding of the situation
  • Th use narrative reasoning to plan intervention session and to create a STORYLINE of what will happen to the patient as a result of therapy
  • TUS is critical
18
Q

Pragmatic reasoning

A
  • focuses on logistics such as time, cost, resources, therapist’s skills, patient wishes, and physical location.
  • looks at problems and focuses on developing practical and logical solutions