Service Delivery Components

Question 1

If a client were to refuse an intervention, it is the OTR’s responsibility to…

Answer 1

allow the patient to refuse intervention and to find an alternative, client-approved intervention to meet the client’s needs.

Question 2

By allowing a client the right to refuse specific interventions and treatments, which ethical principle is upheld?

Answer 2

Autonomy

Question 3

Responding to a medical emergency

Answer 3

Clients who experience sudden onset of pain that is out of proportion to the injury can sometimes mean a “medical emergency”-type response is appropriate from the OTR.

Medical emergices require either:
★ Immediate action in attaining assistance from a medical professional
OR
★ Adminstering an appropriate assessment

Question 4

How to respond to sudden onset of pain during transfer

Answer 4

Appropriate assessments include:
★ Vital signs (e.g. if client had a diagnosis consistent with a breathing issue, cardiac concerns, or a history of fluctuating vital signs)

★ Pain scale measurement
- If pain level is 6/10 of more, OTR can get further assistance to safely transfer the client to the appropriate surface and allow a medical professional (nurse, doctor) to make an assessment

Question 5

Which ethical principle should be consirdered if a client’s autonomy includes unhealthy choices (potentially partaking in a hazardous or dangerous decision)?

Answer 5

Nonmaleficence

Question 6

Before initiating an interdisciplinary meeting to address a client’s change in motivation and awareness of the established goals, what should the OT do FIRST?

Answer 6

It is essential to gain additional information from the client first