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249 - Professional Practice in Rehab > Week 3 > Flashcards

Week 3 Flashcards

1
Q

ETHICS

A

The term ‘ethics’ broadly describes the way in which we look at and understand life, in terms of good and bad or right and wrong.

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2
Q

MORAL THEORIES

A

Are the frameworks we use to justify or clarify our position when we ask ourselves “what should I do in this situation?” or “what is right or wrong for me?”

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3
Q

BIOETHICS

A

ethics of biology, biological research and the applications of that research. It is an ethical theory that brings together medicine, the law, social sciences, philosophy, theology, politics and other disciplines to address questions related to clinical decision making and medical research

Deontology
 Consequentialism

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4
Q

Deontology

A

Fulfilling one’s duty by following the rules without focusing on the consequences of conduct.

 “Follow the rules / Duty”
 Means count
 “Act morally regardless of the consequences”
 Obligation-based theory
 Emphasis is on action rather than the consequences of that action

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5
Q

Consequentialism

A

Tailoring of one’s conduct to bring about the greatest good with the minimum of consequences.

 Greater good/ Goal driven theory.
 Ends count
 ‘the greatest happiness for the greatest number.’
 Consequence of an action justifies the moral acceptability of the means taken to reach that end. The more people who benefit from a particular action, the greater its good

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6
Q

MORALITY

A

Foundation of ethical behavior, what we expect people to do so we can live together in peace and harmony.

 Types of morality
1) Personal (brush teeth once a day instead of twice)
2) Group (everyone agrees on brushing twice)
3) Societal (dentist tells you to brush twice)

Moral conflict: when one of these 3 sub-groups don’t agree with one another

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7
Q

Moral conflict:

A

when one of these 3 sub-groups don’t agree with one another

Types of morality (3)
1) Personal (brush teeth once a day instead of twice)
2) Group (everyone agrees on brushing twice)
3) Societal (dentist tells you to brush twice)

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8
Q

4 Ethical principles which form this framework for moral reasoning in ‘Bioethics’

A

1) Autonomy
2) Non-maleficence
3) Beneficence
4) Justice

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9
Q

AUTONOMY

A

Respect the right of individuals to make their own decisions

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10
Q

BENIFICENCE

A

The duty to “do only good”, care is provided in the best interest of the patient

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11
Q

NON-MALEFICENCE

A

Avoid causing harm, It is the idea that we will “do no harm”

 Example: pain after surgery is not from prior condition, it is from surgery, need to do some harm but you are doing it in best intentions of the patient

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12
Q

JUSTICE:

A

 Comparative - Equal or fair treatment to all
- Related to individual
- Ex: different services offered in rural vs urban places

 Distributive - Resources are equally available and equally distributed
- Related to resources
- Ex: someone with disease such as Parkinson’s has less resources as someone with a stroke patient (more resources on stroke)

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13
Q

Comparative justice

A

Equal or fair treatment to all
- Related to individual
- Ex: different services offered in rural vs urban places

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14
Q

Distributive justice

A

Resources are equally available and equally distributed
- Related to resources
- Ex: someone with disease such as Parkinson’s has less resources as someone with a stroke patient (more resources on stroke)

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15
Q

Mr. Smith is a 68 year old male who had a total knee replacement yesterday. Carole, the OTA PTA, went to his room to get him up. Carole makes sure that he is informed and explains the difficulties that he may experience if he des not participate in therapy. Mr. Smith says that he is in too much pain and could not possibly participate in therapy now. Carole does not go ahead with treatment.

1) What ethical principle is Mr. Smith exercising?

2) What ethical principle is Carole exercising?

3) Do you have any suggestions for this situation

A

1) What ethical principle is Mr. Smith exercising?
 Autonomy

2) What ethical principle is Carole exercising?
 Beneficence

3) Do you have any suggestions for this situation?
 Consult with nurse on pain management

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16
Q

A 26 year old patient, George, is under the influence of alcohol when he arrives for his treatment. While he insists he is fine and wants to drive home, Joanne, the PTA, arranges a ride for him and will not let him drive.

1) What ethical principle is George exercising?

2) What are the potential consequences of George driving home?

3) What ethical principle is Carole exercising?

A

1) What ethical principle is George exercising?
 Autonomy

2) What are the potential consequences of George driving home?
 Hurting himself/others
 DUI

3) What ethical principle is Carole exercising?
 Beneficence
 Non-maleficence

17
Q

Ethical Values:

A

R: Respect
E: Excellence
A: Autonomy and Well-being
C: Communication, Collaboration and Advocacy
H: Honesty and Integrity

Respect (R)
 Respect is closely aligned with the ethical principle of JUSTICE
 Respect the differing needs of each individual

Excellence (E)
 Associated with BENEFICENCE and NON-MALEFICENCE
 Competent practitioner is more likely to do only good and less likely to do harm

Autonomy (A) & Well Being:
 Expression of the ethical principle of AUTONOMY
 Guided by a concern for the patient’s well-being
 Patients have the right to self-determination and are empowered to participate in the decision-making process
 Concern and caring are related to the ethical principle of beneficence. Practitioners accept the responsibility to do what is in the best interest of the patient.

Communication, Collaboration and Advocacy (C):
 This value does not have a specific principle associated with it
 Represents the respect for colleagues, other health care professionals, caregivers, families, as well as for the patient

Honesty and Integrity (H):
 Honesty and integrity are essential elements of the ethical principle of VERACITY.
 Patients can always expect that services will be delivered in a professional manner (honesty & integrity)

18
Q

Ethical value - Respect

A

 Respect is closely aligned with the ethical principle of JUSTICE

 Respect the differing needs of each individual

19
Q

Ethical value - Excellence

A

 Associated with BENEFICENCE and NON-MALEFICENCE

 Competent practitioner is more likely to do only good and less likely to do harm

20
Q

Ethical value - Autonomy (A) & Well Being:

A

 Expression of the ethical principle of AUTONOMY

 Guided by a concern for the patient’s well-being

 Patients have the right to self-determination and are empowered to participate in the decision-making process

 Concern and caring are related to the ethical principle of beneficence. Practitioners accept the responsibility to do what is in the best interest of the patient.

21
Q

Ethical value - Communication, Collaboration and Advocacy (C):

A

 This value does not have a specific principle associated with it

 Represents the respect for colleagues, other health care professionals, caregivers, families, as well as for the patient

22
Q

Ethical value: Honesty and Integrity (H):

A

 Honesty and integrity are essential elements of the ethical principle of VERACITY.

 Patients can always expect that services will be delivered in a professional manner (honesty & integrity)

23
Q

Veracity

A

ability to tell the truth and not hide something from your pt, being transparent with your patient

24
Q

A. Respect
B. Excellence
C. Autonomy and wellbeing
D. Communication, collaboration and advocacy
E. Honesty and integrity

1) Primary concern is for the patient’s needs

2) No discrimination against the patients in your care

3) Truthful and honest in your interactions

4) Make every effort not to cause harm with your actions

5) Work with other healthcare providers to ensure the best patient outcomes

A

A = 2)

B = 4)

C) = 1)

D = 5)

E = 3)

25
Q

Match the provided terms below with the appropriate definitions.

Allowing personal bias to shape professional judgement.

Means by which the therapist and patient engage with each other.

Ability to interact effectively with people of different cultures and backgrounds.

The limit that allows for safe interaction between the patient and healthcare professional.

  1. Boundary
  2. Cultural Competence
  3. Harm
  4. Therapeutic relationship
A

__3__
Allowing personal bias to shape professional judgement.

__4__

Means by which the therapist and patient engage with each other.

__2__

Ability to interact effectively with people of different cultures and backgrounds.

__1__

The limit that allows for safe interaction between the patient and healthcare professional.

26
Q

Mrs. Smith is a long term patient in a private practice you work in. You often work closely with Mrs. Smith for prolonged periods and have formed a good relationship with her. Mrs. Smith is aware of your upcoming wedding and is sensitive to the financial challenges you may be facing. As she is a lovely and generous lady, she offers you and your partner to be the use of her winter home in Mexico for your honeymoon. How do you handle the situation?

Explain that although this is extremely kind of her, you must decline as it inappropriate given your professional relationship.

You say absolutely. What’s the address?

Tell Mrs. Smith you would be love to but make up a story why you cannot.

Discuss it with your soon to be partner to determine their comfort level and to decide if you can afford the cost of travel.

A

Explain that although this is extremely kind of her, you must decline as it inappropriate given your professional relationship.

27
Q

Boundaries exist to prevent me from:

Being compassionate and caring

Being myself

Having fun with my patient

Gaining personally from my patient

A

Gaining personally from my patient

28
Q

In therapeutic relationships, there is an equal amount of power between the healthcare professional and the patient.

True

False
A

False

29
Q

Sharing details of your personal life can be acceptable in a therapeutic relationship?

True

False
A

True

30
Q

Boundaries are key because they:

Help me to be professional

Protect my patient

Put my patient’s needs first

All of the above

A

All of the above

31
Q

When faced with a boundary issue:

I follow my heart

I do what the patient wants

I ignore it and hope that it goes away

I seek consultation

A

I seek consultation

32
Q

Harm is a relative term, meaning that it can be real, potential and perceived.

True
 	False
A

True

33
Q

Who is responsible for keeping boundaries in place?

Myself

Myself and my patient

My supervisor

My patient

A

Myself

249 - Professional Practice in Rehab (7 decks)

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