pro d midterm Flashcards

1
Q

accountability

A

acceptance of responsibility for roles and actions

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2
Q

altruism

A

primary regard for interests of pts
placing their needs above self interest

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3
Q

collaboration

A

working together

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4
Q

compassion and caring

A

desire to identify with another’s experience
concern for the needs and values of others

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5
Q

duty

A

commitment to meeting obligations to provide effective services and positively influence societal health

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6
Q

excellence

A

consistent use of current knowledge and skills
embracing advancement
challenging mediocrity

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7
Q

inclusion

A

creating a welcoming and equitable environment for all
committing to anti discrimination
acknowledging personal bias

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8
Q

integrity

A

steadfast adherence to high ethical principles
being truthful
ensuring fairness
following through on commitments

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9
Q

social responsibility

A

promotion of mutual trust
responding to societal health and wellness needs

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10
Q

define ethics

A

theory or system of moral values

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11
Q

RIPS model

A

realm - primary focus
individual process - behavior to address the issue
situation - classifies issue into category

designed by a PT for PT’s

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12
Q

why is the RIPS model unique?

A

profession specific
systematic and simple
focus on practical action

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13
Q

steps in RIPS model

A

recognize realm
identify individual process
clarify the situation
apply the principles
choose the best course of action

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14
Q

what are the three realms

A

individual - rights, duties, relationships
organizational - policies, procedures, system wide
societal - impact on community

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15
Q

four capacities of individual process

A

moral sensitivity - recognizing dilemma exists
moral judgement - deciding right course of action
moral motivation - prioritizing ethical values
moral courage - acting on decision despite adversity

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16
Q

5 categories of situation

A

problem/issue - no conflict
dilemma - two right courses
distress - know right action but face barriers
temptation - choice where personal benefit is at stake
silence - concerns are ignored

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17
Q

why use RIPS

A

structures framework
self reflection
balances conflicting responsibilities

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18
Q

respect

A

respectfully toward each person
avoid personal biases

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19
Q

altruism

A

prioritize pts interests over personal

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20
Q

professional judgement

A

sound judgement
avoid conflicts of interest

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21
Q

integrity on relationships

A

discourage misconduct

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22
Q

professional competence

A

lifelong learning

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23
Q

professional growth

A

contribute to the development of the profession

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24
Q

organizational and societal responsibilities

A

advocate for health and wellness in the community

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25
Q

meeting health needs

A

provide pro bono
advocate for reduced health disparities

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26
Q

rights ethics

A

human rights

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27
Q

duty ethics

A

acting based on universal prinicples

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28
Q

utilitarianism

A

maximizing benefits for the greatest number of people

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29
Q

virtue ethics

A

cultivating good habits and character traits

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30
Q

religious ethics

A

decisions guided by religious teachings and sacred values

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31
Q

pragmatism

A

practical and contextual decision-making

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32
Q

sources of legal obligations

A

federal law
state law
judicial precedent
administrative law

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33
Q

how to prevent malpractice

A

clear documentation
adhering to evidence based practices
transparent communication with pts

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34
Q

tort reform

A

first wave: expanded pt rights
second wave: limited pt access

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35
Q

ethical principles

A

autonomy
nonmaleficence
beneficence
justice

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36
Q

ethics vs law

A

ethical breaches often align with legal violations

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37
Q

bases for ethical conduct

A

morals - personal principles about right and wrong
ethics - rules about guiding professional and personal conduct

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38
Q

steps to ethical decision making

A

qidentify ethical issue
gather relevant facts
analyze viable options
implement course of action
monitor and adjust based on feedback

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39
Q

professional negligence

A

failure to meet standards of care

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40
Q

causation

A

injury caused by breach of duty

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41
Q

factors increasing liability

A

external:
litigious culture
regulations

internal:
direct access
specialization

42
Q

statute of limitations

A

time limit for filing a claim

43
Q

comparative fault

A

patient shares responsibility for injury

44
Q

assumption of risk

A

pts informed of risks and proceed knowingly

45
Q

strategies to minimize risks

A

thorough evals and communication
informed consent
follow guidelines

46
Q

what are intentional torts?

A

actions performed with intent to cause specific actions even if harm wasn’t primary motive

47
Q

what is assault?

A

actions causing reasonable apprehension of imminent harm

48
Q

what is battery?

A

physical contact without consent that is harmful or offensive

49
Q

what is slander?

A

spoken defamation

50
Q

what is libel?

A

written/published defamation

51
Q

what is false imprisonment?

A

restricting a pt’s freedom without legal justification

52
Q

what is fraud?

A

intentional misrepresentation for financial or personal gain

53
Q

what is intrusion?

A

entering private practices without permission

54
Q

what is disclosure?

A

sharing private pt information without consent

55
Q

what is consent?

A

written or verbal agreement from the pt

56
Q

what is self-defense?

A

acting to prevent imminent harm to oneself or others

57
Q

what is privilege?

A

good-faith reporting of abuse

58
Q

define advocacy

A

public support for particular cause of policy

59
Q

who appoints those on the board of healing arts?

A

governor

60
Q

key takeaway of legislative basics

A

republicans maintain 2/3 of both chambers

61
Q

what is the legislative process to pass a bill?

A

research your idea
discuss with board
find sponsor
find revisor to write the bill
submit bill
bill gets number and assigned to either senate or house

62
Q

what is the PT licensure compact?

A

allows privileges to practice in another state that also have the compact agreement

63
Q

key committees of the senate

A

ways & means
public health & welfare
new senate government efficiency committee
fed & state
judiciary

64
Q

key committees of the house

A

elections
fed & state
education
health & humans
k-12 education budget

65
Q

legislative issues to watch

A

education
medicaid expansion
tax cuts
social issues
cannabis reform

66
Q

senate bill 82

A

require schools to prevent and manage concussion within school
return to play/return protocol

67
Q

what are the elements of informed consent?

A

diagnosis and findings
nature of treatment
risks
benefits
alternatives

68
Q

what are the two types of euthanasia?

A

active: not legally or ethically sanctioned in most states
passive: withholding or withdrawing life support

69
Q

DNR orders

A

pts request
clear documentation and communication

70
Q

EMTALA

A

ensures emergency care for all pts regardless of ability to pay

71
Q

patient dumping

A

ethical and legal violations of pt dignity
homeless pts discharged due to ability to pay

72
Q

define pro bono

A

free or reduced cost care

challenges: fear of liability exposure, limited resources and time

73
Q

financial responsibility

A

providers must ensure transparent pricing
pts have duty to pay fair value

74
Q

gifts

A

small tokens ok when shared with team

75
Q

impaired providers

A

ethically obligated to report suspected impairments

76
Q

ethical issues in research

A

protect through IC
avoid conflicts of interest that could bias results
ensure accurate representation of findings

77
Q

relationship centered care

A

care-giving
due care - meeting standards
caring
virtue of caring - act in morally valuable ways

78
Q

kohlberg’s levels of moral development

A

preconventional - self-centered
conventional - expectation-meeting with concern for pleasing others
postconventional - autonomous recognition to social agreements and rules

79
Q

gilligan’s levels of moral development

A

preconventional - self-centered
conventional - self-sacrificing
postconventional - mature care ethic: reason between needs

80
Q

ethical egoism

A

people ought always and only to care about own self-interest

81
Q

psychological egoism

A

all humans are always and only motivated by desires to get what they believe are benefits for themselves

82
Q

predominant egosim

A

differs from psych egoism by acknowledging a significant, albeit, limited role for caring about other people

83
Q

craft motives

A

seeking creative solutions to technical problems

84
Q

compensation motives

A

desire to earn living, have job stability, exercise power and authority

85
Q

moral concern

A

integrity - desires to meet one’s responsibilities and maintain moral integrity
caring - desires to promote the good of others, for their sake

86
Q

moral autonomy

A

right to make one’s own decisions

87
Q

psychological autonomy

A

competency to make own decisions and ability to reason and act rationally

88
Q

medical care standard

A

what providers agree is important for pt to know

89
Q

reasonable person standard

A

information any reasonable person would want before making a decison

90
Q

voluntariness

A

free to make decisions without deception

91
Q

competence

A

legal competency

92
Q

confidentiality

A

maintain privacy of information concerning pts

93
Q

caring fatigue

A

physical and emotional exhaustion that arises from demands of providing care

94
Q

compassion fatigue

A

emotional strain of exposure to working with those suffering from traumatic events

95
Q

signs and symptoms of helpers fatigue

A

emotional exhaustion
fatigue
headaches
sleep disturbances
irritability
reduced sense of accomplishment
detachment
difficulty concentrating
neg thought about work

96
Q

causes of helpers fatigue

A

high pt load and admin responsibilities
witnessing suffering and loss regularly
limited time for personal care
feeling unappreciated or unsupported in workplace

97
Q

personal strategies to prevent and address fatigue

A

self-awareness
prioritize self care
set boundaries
celebrate successes

98
Q

workplace strategies to prevent and address fatigue

A

advocate for manageable workloads
peer support groups
seek mentorship for challenging cases

99
Q

malady

A

neg medical condition, such as pain, disability, injury, disorder

100
Q

illness

A

how malady is experienced

101
Q

pain

A

very important determinant used in therapist’s decision about intensity and duration

102
Q

spirituality in healthcare

A

initially a lot of healers were spiritual leaders