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Ethical issues in physical therapy
Ethical issues in physical therapy
Ethical issues in physical therapy
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Regulatory and Ethical Issues That Raise Patient Care Problems for Physical Therapists
I have dreamed of becoming a physical therapist since I was a child. A few of my family friends are physical therapists and it was just something that really interested me. Although some would think that a Physical Therapists career is smooth sailing, healthcare professionals challenge a series of regulatory and ethical issues in the modern varying practice settings. I grew up wanting to help people in some type of way, but after researching more about physical therapy I found out that doing what’s best for someone such as a patient is often manipulated and, at times, compromised. Clients are manipulated by other factors, including rules or guidelines linked
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All of these stakeholders in physical therapy have different and sometimes conflicting values and priorities. Physical therapists often identify high-quality patient care, professional values and self-fulfillment as motivators in professional growth and satisfaction. Conversely, an organization managing or paying for healthcare services may prioritize fiscal viability, institutional efficiency and competitive positioning in the marketplace. These differences and potential loyalties may cause dilemmas in arriving at acceptable patient care outcomes based on evidence-based practice …show more content…
The Code of Ethics adopted by the American Physical Therapy Association (APTA). It states, in part, “Physical therapists shall … act in the best interests of patients/clients over the interests of the physical therapist.” Once again, with companies putting payment caps on the patients, this is not in the best interests of them to get the proper help they
It is important as a professional health care provider to have guidelines, regulations, and ethical standards to obey when providing care to the public. The ACA is to improve the quality of professional counselors in the community with education, knowledge, and guidelines by providing an ACA Code of Ethics standard when delivering treatment toward a clientele (American Counseling Association, 2015). One particular part of the ACA mission that is essential, is the ACA Code of Ethics. The purpose of the ACA Code of Ethics is a guide to ensure counselors in training and professional counselors understand the ethical obligations toward clients, possible grievances for conduct unbecoming, and professional responsibilities, which supports the ACA
A year and three months ago, I was at football practice. I was on the defensive line. I tripped up the running back, but the running back landed on my left ankle. The result was a fracture on my left tibia. I played on my injury for two weeks. At that moment, I was not able to play football for the rest of the year. During this summer, I injured my back. I began to accumulate information about how to treat my injuries. While I was researching, the words physical therapy popped up. I clicked on them, and the article discussed what a physical therapist does. When I was halfway down the article, it stated that a physical therapist helps people with injuries like mine. After researching, I decided to be a physical therapist.
Entering my first year of college I didn’t have any idea of what I wanted to do. I still didn’t choose a major let alone a career. I was stuck in between wanting to make enough money that my family would be taken care of financially and choosing a career that I wouldn’t mind going in to work every day. The one thing that I was certain of was that I wanted to be able to help people in whatever I chose to do. After careful consideration and exploring the options available to me, I have come to the conclusion that I want to have a career in physical therapy. Physical therapy is the treatment of disease, injury or deformity through physical methods rather than through drugs or surgery.
“Your job as an aide is to make sure all the patients are attended to without compromise, maintaining the flow of the clinic, and that you represent not just yourself anymore, but the entire physical therapy staff”. I was told these words on my first day as a physical therapy aide. Since this was my first experience in a Physical therapy setting, it made me afraid of the therapist who spoke the words to me, and of the job requirements ahead of me. Overtime, these words set me on the path to learning the important values necessary to be a successful physical therapist. Values such as professional demeanor, accountability, and striving to give the best effort to help the patients were the main points the therapist emphasized in his words to me. All these values had one main goal, and that was so the patient can receive the best possible care. These values stuck
This case involved a 53 year old man who sustained a significant tear of his rotator cuff while playing baseball. He underwent surgical repair and was given a referral for physical therapy. The referral was to begin passive ROM 3 times per week for 2 weeks then initiate a supervised home program of active exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month. 2 weeks after surgery, he had his first PT visit in a sports medicine clinic that was managed by an athletic trainer (ATC).”
Shaul’s Individualized Physical Therapy is a full-service physical therapy clinic that is located in Commerce Township, Michigan. Shaul’s Individualized Physical Therapy is a privately owned practice. The treatment conditions they offer include orthopedic and sport injuries, knee problems including total knee replacement, ligament and cartilage injuries, shoulder injuries including rotator cuff tears and frozen shoulders, foot and ankle conditions including plantar fasciitis and fractures/strains/sprains, joint replacements, neck and back problems, etc. Their physical therapy methods include joint mobilizations/manipulations, massage/soft tissue mobilization, strengthening/stretching, ultrasound, cold/heat therapy, balance/coordination treatment,
Have you ever just felt that your job is draining the life out? Do you just dread going to work in the morning? Many people experience burnout, which is mental or physical energy depletion after a period of chronic, unrelieved job-related stress (Elsevier, 2009). Physical therapists are just one of the victims out of numerous that experience burnouts. Given that health coverage has changed physical therapists (PT) are more likely to face burnout because of job stress resulting from overwork and not caring for their own well-being.
All athletes get injured right? So who exactly allows them to run the fields again? There is a specific person meant for just that, a Physical Therapist. A career that would be fit for someone who enjoys being active and being involved in sports. As a way to help people, Physical Therapy is a very important career to any individual who is looking to get better, Physically. They attend any person,it doesn’t matter what age or gender. Over all this career is most important to athletes, who may get injured and need someone to help them get back in shape. As you continue to read, you will learn about the conditions and requirements needed to be a Physical Therapist. You will read about how not everyone is fit
The physical therapy profession like many other health care professions is constantly evolving. The evolution is being followed by the growing pressure from the federal government, insurance companies, employers, and patients who are seeking high quality care to be cost effectively. Over the decades the roles of a physical therapist has been changing from dependence on physicians to independent practice under a self-governing professional model. Direct access allows patients to seek physical therapy interventions by going to them directly and not having to spend time and money in the doctor’s office to get a referral first. Some people may not recognize the term direct access since in most states it is consider something else like consumer’s choice. Direct access is not something new; it has been thought about for a very long time. Since 1957 the American Physical Therapy Association has been trying to change the law and practice acts so that physical therapists can obtain direct access to patients without referral at both the state and national level. Everyone in the profession has believed that physical therapy needs to become an autonomous profession. To become a physical therapist you know need a Doctorate of Physical Therapy instead of a Masters degree and for physical therapist assistants their education has been raised from a Certificate to an Associate degree. It was decided that in order to help pass state laws and practice autonomously the physical therapy profession needed to raise their education level from a Masters degree to a Doctorate degree. Direct access allows consumers the choice of health care providers, improve access to services that encourage prevention and wellness and it also helps ...
Doctors who work at physical therapy clinics consistently encourage their patients to complete their therapy so that they can heal—although physicians may push their patient to move towards a healthier life, it does not mean that the patient will be open to suggestion; it would be up to the patient to truly decide to motivate themselves towards a healthier lifestyle—and until that happens the main service that a physical therapist can provide includes: education on lifestyle choices, and the consequence for each choice—how therapy can help the patient/how the therapy suits their needs, and how to set up a cost effective way to complete therapy.
As the need for therapists surges, professionalism becomes increasingly important. Physical therapists follow professional values, outlined in the Guide to Physical Therapist Practice. The Guide outlines behaviors accepted for physical therapists critical in all settings of practice. These “core values” outlined include: “accountability, altruism, compassion/caring, excellence, professional duty, and social responsibility”. 3 In order to follow the core values of professionalism, physical therapists and physical therapy students must take responsibility for their actions in both clinical and classroom settings. Learning and understanding these core values throughout our time in physical therapy school are important for continuing on a professional
The subjective examination of the patient revealed a behavior of avoidance of activities. The balance and overall functional mobility were affected due to activity limitation. The history of depression further compounded the problem. Physical therapy examination revealed deficits in dynamic balance and gait deficits affecting the ability to perform safe ambulation, transfers, activities of daily living and self-care. The FRT score of 6 inches indicated limited mobility and decreased dynamic balance (Weiner et al., 1992). The TUG score of 20 secs was more than the normal cut off score (13.5 secs) for the age of the patient (Shumway-cook et al., 2008). The general cut- The MFES score of 4 indicates a significant fear of falling. The patient was
When brainstorming what comes to mind when one thinks of the word professionalism words and phrases such as being on time, communication, following policies, presentation, making deadlines, respect for superiors, addressing conflict, and cooperation may come to mind. All of these words and phrases can be put into the context of being a student in a doctor of physical therapist degree program. Each one is important and can contribute to the success of individual students in the program. Making the decision to pursue a doctorate in physical therapy is a major decision and will involve hours of dedication and commitment. Maintaining a professional mindset and attitude is a crucial part of being a student in a doctor of physical therapy program.
The various readings can be used to explain how physical therapy could prevent the use of opioids by the treatments that the physical therapists help the patient perform. “Examples include soft tissue and joint mobilization, dry needling, cold laser, electrotherapeutic modalities, and heat and cold modalities” as Deborah Lechner states in an interview (Professional Safety, 2017). This could teach individuals that physical therapy provides many pain relieving treatments that patients benefit from, such as overall wellbeing, including joint mobilization (2017). Imagine a scenario where anyone who experienced pain was first evaluated and treated by a physical therapist.
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.