Transcript Ethical Dx of Therapy Practice

Ethical Dx of Therapy Practice
Sheri L. Bjork, PT, MBA
Current Events
Patient Scenarios Disclaimer
The scenarios in this course are a work of
fiction. Names, characters, places, and
incidents either are the product of this
author’s imagination or are used
fictitiously. Any resemblance to actual
patients, therapists, business
establishments, events or location is
entirely coincidental.
Making an Ethical Decision
• Is it Legal?
• Is it Balanced?
• How does it make you feel?
Nickels, McHugh, McHugh.
Is It Legal?
• Statutory Law
• Administrative Agencies
Statutory Law
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Written law
Federal & State
Legislative enactments
Texas Physical Therapy Practice Act
Title 3, Subtitle H, Chapter 453, Occupations
Code
• August 2006
• http://www.ecptote.state.tx.us/_private/PT_
Act_2006.pdf
Administrative Agencies
• Branches of the government created by
Congress
• Power to issue rules, regulations, & orders
• Texas Board of Physical Therapy Examiners
Rules
• Last publication June 2007
• http://www.ecptote.state.tx.us/_private/PT_
currentrules.pdf
ECPTPTE
• http://www.ecptote.state.tx.us/
• Physical Therapy Act
– http://www.ecptote.state.tx.us/_private/PT_Act
_2006.pdf
• Physical Therapy Rules
– http://www.ecptote.state.tx.us/_private/PT_cur
rentrules.pdf
Is It Balanced?
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Professional Ethics Codes
Professional Standards
Facility Policies & Procedures
Facility Mission Statement
Others
CRITERIA FOR STANDARDS OF
PRACTICE FOR PHYSICAL THERAPY
• http://www.apta.org/AM/PrinterTemplate.cf
m?Section=Marketing_Programs&TEMPL
ATE=/CM/ContentDisplay.cfm&CONTENTI
D=29748
APTA Guide for Professional
Conduct
• http://www.apta.org/AM/Template.cfm?Sec
tion=Ethics_and_Legal_Issues1&TEMPLA
TE=/CM/ContentDisplay.cfm&CONTENTI
D=41221
APTA Guide for Conduct of the
Physical Therapist Assistant
• http://www.apta.org/AM/Template.cfm?Sec
tion=Ethics_and_Legal_Issues1&TEMPLA
TE=/CM/ContentDisplay.cfm&CONTENTI
D=41220
Code of Ethics
• http://www.apta.org/AM/Template.cfm?Sec
tion=Ethics_and_Legal_Issues1&TEMPLA
TE=/CM/ContentDisplay.cfm&CONTENTI
D=40904
APTA Standards of Ethical Conduct
for the Physical Therapist Assistant
• http://www.apta.org/AM/Template.cfm?Sec
tion=Ethics_and_Legal_Issues1&TEMPLA
TE=/CM/ContentDisplay.cfm&CONTENTI
D=40903
Professional Code of Ethics
• Not all therapists are members of the
professional association.
• Are the ethical codes binding even if a
therapist is not a member?
• Does each member agree with the Code
of Ethics?
• What happens when professional codes
conflict?
Moral Judgment--Balancing
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Patient rights & goals
Physician orders/professional evaluation
Values
Religious/philosophical perception
Patient Rights
• Informed consent
• Respect for privacy
• Protect confidential information
Physician Order(s)
• Looking out for the patient’s well being
• Physician duty to uphold the Hippocratic
Oath
• Professional Standard/Practice
Values/Religion/Philosophical
Perceptions
• Quality
• Goals
• How?
Balancing?
• Am I acting fairly?
• Would I want to be treated this way?
• Is it a win-win situation?
Decision Making
• Legal documents
– PT Practice Act & Rules
• Professional documents
– Code of Ethics
– Standards of Practice
• Moral judgment
– Patient rights & values
– Your values & philosophies
– Others values & philosophies
How does it make you feel?
• Would I be able to discuss my actions with
an immediate supervisor? Company
client?
• How would I feel if my decision was
announced on the evening news?