Unit 4 Flashcards
Burnout
A state of physical or emotional exhaustion resulting from intense and longstanding professional stress.
Dynamic
Fed by negative self-concept and job attitudes
How stress affects the body
Physical stress activates endocrine system: Headaches Diarrhea Nausea Palpitations Diabetes HBP Ulcers
How stress affects perceptions
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
External factors–burnout
Work overload
Role ambiguity
Role conflict
Environment
Internal factors–burnout
Self esteem
Unclear boundaries between personal and professional life
Unrealistic goals for patients and inability to meet them
General burnout prevention strategies
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
External prevention–burnout
Lower staff/patient ratios Require use of vacation time Mix patient loads Regular staff rotation Support groups Goals aiming for realism, not a cure
Internal strategies–burnout prevention
Regular exercise
Lunch break
Daydreaming/imagery
General strategies: burnout prevention
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
Action
Case or lawsuit
Legal demand for enforcement of ones rights against another party in court of justice
Affadavit
Written statement
Confirmed by path or affirmation
For use as evidence in court
Answer
Defendants first pleading in a case
Addresses the dispute on merit and presents defenses and counter claims
Appeal
Apply to a higher court for reversal of the decision of a lower court. Decision may be: Affirmed (upheld) Reversed Remanded (retried)
Assault
Apprehension of imminent threat.
Battery
Offensive bodily contact.
Not necessarily injury
Common law
Part of American law derived from court decisions
Judge made
Case law
Civil law
Law emanating from legislative bodies.
Increase in number every year
Due care
Absence of negligence.
Legal duty one owes another.
Care which an ordinary/prudent person would have exercised in the given situation
Deposition
Pre trial statement of a witness under oath
Question/answer format as in court
Adversary can be present and cross examine
Libel
Written defamatory statement.
Malpractice
Professional negligence
Failure to meet professional standard of care resulting in harm
Stress
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
Hierarchy of Law
- 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:
Substantiative law
Determined rights and privileges for people
Procedural law
Procedure for enforcing legal rights
Criminal law
Duties owed To society
Civil law
Duties owed to other person. Ex: slip on wet floor in Walmart, Walmart is answerable to that person
Good Samaritan Law
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.
Workers compensation act
Injury arise out of and in the course of employment. If so, employer is responsible.
Americans with disabilities act
Guarantees equal rights for persons with disabilities
National labor relations act
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
Civil Rights Act
Prevents discrimination bc of race, color, sex, religion, national origin
PL 94-142
Education of all Handicapped Children act
Free and appropriate education for all children regardless of disability
Fair labor standards act
Establishes minimum wage
Max hours worked wo overtime
Prohibits wage discrimination based on sex
Prohibits child labor
HIPPA
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
PL 105-17 IDEA
Individuals with Disabilities Education Act 1997
Extended education of all Handicapped children
Rehabilitation Act 1973
Prevents discrimination because of physical or mental disability
Family Medical Leave Act
1993
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
Age discrimination in employment act
1970
Prevents forced retirement before age 70, unless aging limits ability to perform duties
Occupational safety health act
1970
Employers are to provide an environment free from recognized hazards: Exposure to toxic chemicals Excessive noise levels Heat, cold, stress Unsanitary conditions
APTA ethical standards #1
Respect the inherent dignity and rights of all
Act in respectful manner
Recognize biases, don’t discriminate
APTA ethical standards #2
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
APTA ethical standards #3
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
APTA ethical standards #4
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
APTA ethical standards #5
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
APTA ethical standards #6
Enhance competence through lifelong learning
Achieve/maintain clinical competence
Lifelong learning consistent w changes in roles/responsibilities
Support practice environments that support learning
APTA ethical standards #7
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
APTA ethical standards #8
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
Strategies to avoid legal recourse
Documentation Rapport/Consent Learning Style Scope of Practice Safeguard rights/welfare Maintain pro relationship Tact Instruct carefully Condition of equipment Supervise
3 rights from Patient Bill of Rights
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
