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612: Legal and Ethical Issues in PT > Respectful and Trustworthy Interactions and Boundaries > Flashcards

Respectful and Trustworthy Interactions and Boundaries Flashcards

1
Q

What is respect?

A

When you approach a person or group with regard or esteem

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2
Q

What is a major factor of gaining respect?

A

Appearance

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3
Q

What are the 3 HCPs Values?

A

(1) self-respect
(2) respect for colleagues
(3) respect for patients

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4
Q

Why is respect difficult in institutional settings?

A

Privacy can be difficult to provide

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5
Q

6 Influencing Factors Of Respect

A
  • Socioeconomic status
  • Ethnic diversity
  • Language differences
  • Educational differences
  • Sexual orientation
  • Religious Beliefs
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6
Q

How do you demonstrate respect for your patient?

A

Help to preserve their modesty

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7
Q

What are the 3 Components of Respect?

A

(1) Communication
(2) Effective Listening
(3) Responding Appropriately

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8
Q

What percentage of communication is non-verbal?

A

55-97%

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9
Q

What is considered someone’s Personal Space?

A

1-4 ft

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10
Q

What is considered Social Space?

A

3-4 ft

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11
Q

What is considered Public Space?

A

12-25 ft

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12
Q

What is good therapeutic communication is associated with?

A
  • Increased Ability to make Informed Consent
  • Positive Clinical Outcomes
  • Higher Levels of Patient Satisfaction
  • Higher Patient Compliance with Treatment Programs
  • Lower Levels of Patient Frustration and Anger
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13
Q

Other than communication, effective listening, and responding accordingly, what are 2 other important components of trust?

A

Honesty and Reassurance

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14
Q

3 concepts to avoid when trying to build trust

A
  • “Thinging”
  • Transference
  • Countertransference
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15
Q

What does “thinging” mean?

A

When someone’s image is defined as a thing rather than a living being
for example “My TKR pt” vs. “Mrs. Smith the lady that had the TKR

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16
Q

What is Transference?

A

Occurs when you shift your feeling from a person of your past to a person you are treating

17
Q

What is countertransference?

A

The tendency to respond to a pt with association of others in one’s life

18
Q

3 Common qualities of Courteous Clinicians

A
  • Patients are greeted in a timely fashion
  • Proper and polite communication occurs throughout their time at the clinic/facility
  • The needs of the patient are addressed: from basic to complex
19
Q

3 Things to avoid (being too casual)

A
  • First name relationship is pushed too quickly or patient isn’t asked what they would like to be called
  • Inappropriate revelations about the clinician’s personal life such as letting the patient ‘in on a secret’
  • Spends extra time ‘socializing’ with a patient as compared to other patients
20
Q

What is Constructive Dependence?

A

HCP and Patient acknowledge the need for each other

 - The professional wants to apply their professional skill  
 - The patient desires the expertise of the professional  
 - The patient takes ownership for their part in accomplishing their goals
21
Q

What is detrimental dependence?

A

A relationship based on an intense sense of self depreciation and the desire to find personal identity in the relation of someone else

22
Q

How are boundaries created?

A

Boundaries are naturally created when respect is present

23
Q

Two Types of Boundaries

A

Physical and Emotional (Psychological)

24
Q

What are two examples of physical boundaries?

A

Unconsented Touching

- Sexual Touching  
- Sexual Harassment
25
Q

What is enmeshment?

A

A type of relationship in which you are unable to define boundaries

26
Q

3 Ways an enmeshment relationship forms

A

(1) Sympathy to Pity
(2) Overidentification
(3) Caring Too Much

27
Q

Sympathy vs. Pity

A

Sympathy is acknowledgment of the person’s problem, but also clarity that your professional role requires you to set boundaries.
Pity is a level of sympathy that distorts one’s objective perspective

28
Q

How does one overidentify?

A

Your experience is so similar to the patient’s that you believe the experience to be identical. This hinders the relationship because it does not allow for the pt to be heard

29
Q

What are some characteristics of respect at its best?

A

There is an optimal form of respectful interaction between a patient and a health professional.
You foster integrity which allows for a high level of consistency between what you say and what you do.

30
Q

What are the rules for receiving gifts?

A
  • Let the gift be fitting for the occasion
  • To accept or not to accept
  • Know your employer’s policies
31
Q

What do you do when you have made a mistake?

A

Always admit you made a mistake and apologize for it. The pt has a right to know a mistake was made.

32
Q

4 Respectful Interactions with infants

A

(1) Respect for the pt and the family
(2) Consistency in approach
(3) Constancy of presence
(4) Continuity of treatment

33
Q

3 Respectful Interactions with Toddlers

A

(1) Respect for the pt and the family
(2) security
(3) Autonomy

34
Q

4 Respectful Interactions with Children

A

(1) Try to establish a sense of independence while still maintaining dependence
(2) Introduce play and toys to establish relationships
(3) Importance of school related activity
(4) Respecting family and child’s input

35
Q

2 Respectful Interactions with Adolescents

A

(1) Understand that peer’s behavior can be of significant influence
(2) There is also a high need for respect, autonomy, and relating

36
Q

6 things to consider when treating older adults

A

(1) Patient’s view on aging
(2) Friendship and family ties
(3) Where home is
(4) Has their self-image changed?
(5) Mental changes: Competence
(6) Assessing a patient’s value system . . .so they don’t feel like a ‘thing’

37
Q

Describe Respectful Interaction When The Patient Is Dying

A

Understand the pt’s view of the dying process
-denial
-fear (of pain, isolation, dependence)
Set treatment priorities such as info sharing, treating losses and fears and help to main hope
Say Goodbye

38
Q

4 Tips for Showing respect when patients are angry, uncooperative, manipulative, or help-rejecting

A
  • Refuse to believe this is a character flaw
  • Set forth clear, consistent expectations in a non-defensive manner
  • Focus necessary critiques on patient’s behavior, as opposed to labeling the patient
  • Empathetic responses such as, “I know you must be frustrated . . .”
39
Q

3 tips for showing respect when a patient is aggressive or has a history of violence

A
  • Avoid threatening body language
  • Assure you and the patient both have an exit
  • Treat with a partner

612: Legal and Ethical Issues in PT (13 decks)

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