Unit 4 Flashcards

1
Q

Burnout

A

A state of physical or emotional exhaustion resulting from intense and longstanding professional stress.
Dynamic
Fed by negative self-concept and job attitudes

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2
Q

How stress affects the body

A
Physical stress activates endocrine system:
Headaches
Diarrhea
Nausea
Palpitations
Diabetes
HBP
Ulcers
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3
Q

How stress affects perceptions

A

Out of control w anxiety
Misread/distort situations
Blow things out of proportion
Take on unrealistic guilt/personalize things
Distorted perception–anxiety–stress–distorted perception

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4
Q

External factors–burnout

A

Work overload
Role ambiguity
Role conflict
Environment

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5
Q

Internal factors–burnout

A

Self esteem
Unclear boundaries between personal and professional life
Unrealistic goals for patients and inability to meet them

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6
Q

General burnout prevention strategies

A

Cultivate ability to stay present/be here now
Ask clarification questions/employ active listening skills
Recognize burnout is occurring
Examine needs in becoming a health care provider/curtail need to overwork

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7
Q

External prevention–burnout

A
Lower staff/patient ratios
Require use of vacation time
Mix patient loads
Regular staff rotation
Support groups
Goals aiming for realism, not a cure
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8
Q

Internal strategies–burnout prevention

A

Regular exercise
Lunch break
Daydreaming/imagery

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9
Q

General strategies: burnout prevention

A
Set goals that are attainable
Establish clear contract with patient
Don't over promise
Be aware of patient feelings; dependency, loneliness, fears of abandonment
Consider assertiveness training
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10
Q

Action

A

Case or lawsuit

Legal demand for enforcement of ones rights against another party in court of justice

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11
Q

Affadavit

A

Written statement
Confirmed by path or affirmation
For use as evidence in court

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12
Q

Answer

A

Defendants first pleading in a case

Addresses the dispute on merit and presents defenses and counter claims

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13
Q

Appeal

A
Apply to a higher court for reversal of the decision of a lower court.
Decision may be:
Affirmed (upheld)
Reversed
Remanded (retried)
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14
Q

Assault

A

Apprehension of imminent threat.

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15
Q

Battery

A

Offensive bodily contact.

Not necessarily injury

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16
Q

Common law

A

Part of American law derived from court decisions
Judge made
Case law

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17
Q

Civil law

A

Law emanating from legislative bodies.

Increase in number every year

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18
Q

Due care

A

Absence of negligence.
Legal duty one owes another.
Care which an ordinary/prudent person would have exercised in the given situation

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19
Q

Deposition

A

Pre trial statement of a witness under oath
Question/answer format as in court
Adversary can be present and cross examine

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20
Q

Libel

A

Written defamatory statement.

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21
Q

Malpractice

A

Professional negligence

Failure to meet professional standard of care resulting in harm

22
Q

Stress

A
Negative stress results from:
Inability to meet goals that  are believed or feared to be unattainable.
Not always negative
Can keep us safe
Needed to live/grow/mature
23
Q

Hierarchy of Law

A
  • Constitution: federal over state.
  • Treaties: agreements between president/foreign govt
  • Executive Orders: rule-making power given to president or governor
  • Statutes: laws passed by congress, state legislatures, county, or city govt
  • Administrative Rules: legislative powers delegated by Congress to government agency
  • Court decisions:
24
Q

Substantiative law

A

Determined rights and privileges for people

25
Q

Procedural law

A

Procedure for enforcing legal rights

26
Q

Criminal law

A

Duties owed To society

27
Q

Civil law

A

Duties owed to other person. Ex: slip on wet floor in Walmart, Walmart is answerable to that person

28
Q

Good Samaritan Law

A

If you help provide care in an urgent situation (car wreck) you are protected from being sued of things don’t turn out well for the victim.

29
Q

Workers compensation act

A

Injury arise out of and in the course of employment. If so, employer is responsible.

30
Q

Americans with disabilities act

A

Guarantees equal rights for persons with disabilities

31
Q

National labor relations act

A
1935
Foundational statute of US labor law.
Guarantees basic rights of private sector employees to:
Organize trade unions
Engage in collective bargaining
To take collective action/ strike
32
Q

Civil Rights Act

A

Prevents discrimination bc of race, color, sex, religion, national origin

33
Q

PL 94-142

Education of all Handicapped Children act

A

Free and appropriate education for all children regardless of disability

34
Q

Fair labor standards act

A

Establishes minimum wage
Max hours worked wo overtime
Prohibits wage discrimination based on sex
Prohibits child labor

35
Q

HIPPA

A

Health Insurance Portability And Accountability Act
Guidelines for maintaining privacy and security of health information
Controls fraud/abuse within healthcare
Increase the efficiency of the health care system by creating standards for the use and dissemination of Heath care info

36
Q

PL 105-17 IDEA

Individuals with Disabilities Education Act 1997

A

Extended education of all Handicapped children

37
Q

Rehabilitation Act 1973

A

Prevents discrimination because of physical or mental disability

38
Q

Family Medical Leave Act

1993

A
Requires covered employees to receive job protected and unpaid leave for qualified medical and family reasons:
Personal/family illness
Family military leave
Pregnancy
Adoption
Foster care placement of a child
39
Q

Age discrimination in employment act

1970

A

Prevents forced retirement before age 70, unless aging limits ability to perform duties

40
Q

Occupational safety health act

1970

A
Employers are to provide an environment free from recognized hazards:
Exposure to toxic chemicals
Excessive noise levels
Heat, cold, stress
Unsanitary conditions
41
Q
APTA ethical standards
#1
A

Respect the inherent dignity and rights of all

Act in respectful manner
Recognize biases, don’t discriminate

42
Q
APTA ethical standards
#2
A

Be trustworthy and compassionate addressing needs and rights of clients.

Best interests of patients over own
Provide interventions w compassionate behavior, respecting cultural differences.
Info regarding interventions
Protect confidential info

43
Q
APTA ethical standards
#3
A

Make sound decisions with PT within boundaries established by law

Objective decisions in patients best interest in all settings
Guided by info about best practice for interventions
Make decisions based on competence level, consistent w patient values
Don’t engage in conflicts of interest
Provide care under supervision of PT and communicate changes needed to POC

44
Q
APTA ethical standards
#4
A

Demonstrate integrity in all relationships
Truthful info, no misleading reps
Don’t exploit anyone you have supervisory authority
Discourage misconduct, report illegal/unethical acts
Report abuse
No sexual relationships with clients

45
Q
APTA ethical standards
#5
A

Fulfill legal and ethical obligations

Comply w laws and regs
Support supervisory role of PT, quality care and safety
Abide by rules/regs in research
Encourage co-workers to seek help or counsel
Report to authorities when colleague is unable to perform duties

46
Q
APTA ethical standards
#6
A

Enhance competence through lifelong learning

Achieve/maintain clinical competence
Lifelong learning consistent w changes in roles/responsibilities
Support practice environments that support learning

47
Q
APTA ethical standards
#7
A

Support organizational behaviors practices that benefit patients/society

Promote work environments that support ethical/accountable decision making
Don't accept gifts
Disclose financial interest
Proper documentation
Avoid unethical employment arrangements
48
Q
APTA ethical standards
#8
A

Participate in efforts to meet health needs of everyone

Support organizations that help poor, uninsured/underinsured
Advocate for people w disabilities
Be responsible stewards-avoid over/underutilization of services
Educate public on benefits of PT

49
Q

Strategies to avoid legal recourse

A
Documentation
Rapport/Consent
Learning Style
Scope of Practice
Safeguard rights/welfare
Maintain pro relationship
Tact
Instruct carefully
Condition of equipment
Supervise
50
Q

3 rights from Patient Bill of Rights

A

Selection of a PT of ones choosing to the extent that is reasonable/possible

Access to info regarding practice policies and charges for services

Refusal of PT services