Code of Ethics for physical therapist is the daily obligation of all physical therapist to abide the rules and regulation of your state physical therapy practice act. It is our obligation to empower, educate, and enabled those with impairments, activity limitations participation restrictions and disabilities to facilitate greater independence, health , wellness and enhanced quality of life. (apta, 2009)
How familiar are you with the APTA Code of Ethics and Standards for Practice? In rereading them now, are there any areas of either document that cause you to think differently about any experiences you have had?
One of my experience as a physical therapist that reminds me about was about receiving gifts which makes you feel special. However,
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according to the Principle #7C of code of ethics for physical therapist. Physical therapist shall not accept gifts or other considerations that influence or give an appearance of influencing their professional judgment(APTA,2009, June).How to handle it? I have this patient presented me with a bag of chocolate and I explained politely about our code of ethics regarding receiving gifts from patient. Despite the explanation that I provided she still insisted and felt insulted so I took this bag of chocolate and share it to my colleagues and made aware about no gift policy and patient finally understood about it. Receiving gifts from patients in my opinion could interfere physical therapy-patient relationship and it will interfere with boundaries of professionalism. Monetary gift is very inappropriate and can lead to distrusting the care that they received. Patients may think giving gifts to their therapist will help them receive a special care. How familiar are you with your State Practice Act? We would like each of you to find this document and post it for your peers (or at least the link to it). Take a look at each other's practice acts and comment on how they differ from your own. My state practice is in Maryland : the link is www.physicaltherapypracticeact.org/Maryland-physical-therapy... When we had our first orientation in Utica College I met all my peer group and one of them was from Georgia. During my in-depth research about this state practice act under examination requirement jurisprudence Exam. * I found out that in Maryland, the state board develops and administer the jurisprudence exam but in Georgia, the Federation of State Board of Physical Therapy (FSBPT) are providing this jurisprudence exam (FSBPT, 2012). *The jurisprudence format of exam: In Maryland is paper and pencil and open -book compared to Georgia, which is computer - based only (FSBPT, 2012 July) *Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: PTA Supervision Requirements.
Maryland –applies to different rehab settings.The supervising physical therapist maintains verbal and written contact with supportive personnel, including being on call, when physical therapy services are being provided.
*Georgia- applies to different rehab settings. General Supervision. The supervisor is available on a regularly scheduled basis to
review the practice of the PTA and support the PTA in the performance of his/her services. The supervising therapist is on call and readily available physically or through direct telecommunication for consultation, and written or oral instructions for treatment of the patient has been given. There
is predetermined plan for emergency situations, including the designation of an alternate PT in the absence of the regular licensed PT.
The RIPS model was introduced for analyzing ethical/moral situations in clinical practice. Choose an example from your clinical practice and apply the RIPS model as you understand it and then post it for discussion among your
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peers. RIPS stands for real-individual process- situation model of making ethical decision. Here are some scenarios that I have encountered as as physical therapist. Please see below. * My ethical dilemma was about my rehab manager who is a physical therapy assistant. She was pushing me to perform a Physical therapy evaluation and treatment to a patient who is a Medicare A. Although I already explained that this particular patient’s blood sugar level is more than 400mg/dl and blood pressure was 200/ 100 mmhg. She still insisted that I have to evaluate this patient. To resolve this situation, I gathered information of my patient’s baseline , current vital signs as well as current and past medical condition. So I presented to my rehab manager about it and discussed the normal versus abnormal values, indications and contraindications of providing physical therapy evaluation and treatment based on patient’s vital signs. I even communicated to her that I would not endanger my patient’s safety and this is beyond the scope of my practice as a physical therapist . The components of my RIPS Model: Realm – individual process .This represents my rehab manager Individual Process – moral judgement. I refused to perform an evaluation and treatment due to my patien’t medical status Situation- distress -empower to perform Physical therapy because this patient is under medicare A payor source. *Another ethical dilemma that I encountered. I was assigned to work in acute care and I received a physical therapy order from my patient’s attending doctor for gait training and to provide an appropriate assistive device. This patient is 54 year old female w/ s/p abdominal surgery and her doctor wrote in the patient’s chart that this patient is clear to go home for the next day and the social worker already setup a home health services. During my PT interview, this pt. lives alone, has a daughter who lives nearby but this patient has 5 steps to enter w/o railings and multiple steps inside the house. During my PT evaluation, this patient was very unsteady, Berg balance score was 34/ 56 which is medium risk of fall and pt. unable to negotiate 1 step. I contacted this physician and social worker and explained the situation that this patient is not safe to go home and needs further rehabilitation treatment. Realm – Individual process- represents the attending physician who was insisting to discharge this pt to her home - Institutional process.
The institution should have a routine policy of providing physical therapy
evaluation as appropriate prior to writing a discharge order to home.
Individual process- moral judgement. Patient is not safe to go home . Patient with multiple steps
-moral courage. I communicated to the physician and social worker that pt will need
benfit for short term rehab for patient’s safety prior to going home.
Ethical Situation- issue/problem . Patient with unsteady gait and with moderate risk of fall
In conclusion, physical therapist should always demonstrate an ethical determination by using this tool of model of ethical decision making to be able to provide a excellent quality of care to our
patients. My question is regarding this policy of receiving gifts from clients. Although I asked my administrator about this issue and explained it to me that “if its cash value or more than 50 dollars then it is a violation to our employees rule”. But as a physical therapist according to our scope of practice act are you agreeable about of what my administrator’s statement? why?
Which of the six principles in the AICPA Code of Conduct is most related to Article 1.5 of the California Accountancy Act? Explain your conclusion.
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
According to APTA,” PT should examine and evaluate the patient or client before delegating acts, tasks or functions be performed by an unlicensed individuals. In addition, PT should provide predetermined procedures and protocols for acts, tasks or function that have been delegated.”(7)
American Nurses Association (ANA), (2001), Code of Ethics for Nurses, American Nurses Association, Washington, D.C.
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
A code of ethics provides a standard by which nurses conduct themselves and their practice, observing ethical obligations of the profession and providing quality care. To achieve its purpose, a code of ethics must be understood, internalized, and used by nurses in all aspects of their work” (Aliakvari, 2015, p. 494).
The Code of Ethics can help us understand what our professional responsibilities are to the children in our care, to the families of the children, to co-workers, and to the community and society in general.
The APTA code of ethics clearly defines the goals and ethical principles of the organization. It provides an ethical guidance for all physical therapists, and prevents them from taking advantage of their patient/client. It encourages the physical therapist to seek additional advice or consultation in instances where the guidance of the Code of Ethics may not be definitive. This Code of Ethics is built upon the five roles of the physical therapist, which include management of patients/clients, consultation, education, research, and administration, and the multiple realms of ethical action, which include individual, organizational, and societal. Physical therapist practice is guided by a set of seven core values: accountability, altruism, compassion/caring, excellence, integrity, professional duty, and social responsibility. The physical therapists have a special obligation to empower, educate, and enable those with impairments, activity limitations, participation restrictions, and disabilities to facilitate greater independence, health, wellness, and enhanced quality of life. The eight princi...
In this article, the American Physical Therapy Association (2005) discusses the ethical conduct standards that a physical therapist assistant should follow. Within the preamble it states, “All physical therapist assistants are responsible for maintaining high standards of conduct while assisting physical therapists. The physical therapist assistant shall act in the best interest of the patient/client.” These standards of conduct must be followed by all physical therapist assistants. (American Physical Therapy Association, 2005)
The ACA code of ethics “reflects the counseling profession’s understanding of changes in the role of the professional or changes in the society counselors serve” (Ponton & Duba, 2009, p. 119). The ACA code of ethics discusses many things counselors need to keep in mind when counseling an individual or a group. Some topics addressed are informed consent, confidentiality, and group work (ACA code of ethics, 2006, pp. 236-238). All three of these topics are all issues counselors will encounter in counseling a group or an individual.
O’Conner pinpointed ( as cited in Chenoweth& McAuliffe, p. 78) that the code of ethics is clearly linked to the process of professionalization which establishes guideline for professional behavior, assist in establishing a professional identity, provide self-regulation measures, protect clients from incompetent practitioners and protect worker from malpractice lawsuits. The primary responsibility of worker is to promote the well-being of clients. As a disability worker, Code of ethics is intended to assist all workers collectively and individually to act in ethically accountable ways. It helps to identify the ideals and purpose of the social work profession. In instances when clients are not receiving services, the worker should provide information about nature and extent of services.. In the same way, in the field of disability, the code of ethics is the core document which informs and guides the ethical practice of disability worker (AAAW, 2010). The human services professional protects the integrity, safety, and security of clients records, and the professional should be aware that
Since ethical dilemmas are not always easily answered through the use of The Code of Ethics, ethical decision-making models are effective tools that can assist nurses in dealing with ethical issues. Ethical decision-making models provide a framework for working through difficult choices. They seek to define the limits of what is morally acceptable and help clarify the guidelines for making those difficult decisions. Ethical decision making models assist nurses in analyzing situations by focusing on understanding the patient needs, need for responsiveness to circumstantial considerations, and recognizing the uniqueness of each situation.
Physical therapy is the one that deals mostly with injuries and their rehabilitation. According to the Occupational Outlook Handbook, "Physical therapists provide services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease" (205). Disabling conditions such as lower-back pain, cerebral palsy, arthritis, heart disease, and fractures, as well as physical injuries, are among the cases physical therapists often evaluate and treat. This therapy often includes strength-building exercises. Therapists in this field work on the person's flexibility, endurance, strength, balance, and coordination. Most therapy is done in specializing clinics or hospitals by a licensed physical therapist who has a bachelor's degree ("Physical").
American Physical Therapy Association (APTA) is an individual membership professional organization which has set up certain rules and regulations for supervision and teamwork. 1 APTA has defined different types of supervision to be followed by professional personnel. It is important to know those laws to meet the professional standards. Each state has its own practice acts. Michigan’s Department of Licensing and Regulatory Affairs (LARA) has given certain rules which is explained in “Department Of Community Health Board Of Physical Therapy General Rules” 2,7,8 & 9
There are weaknesses in professional guidelines and rules because they are unable to provide the directives for moral reasoning and action is health care situations. Many people state that biomedical ethics provides a framework and emphasis on the person rather than the professional code and legal policy (Beauchamp and Childress, 2001). On the other hand they serve a purpose to provide some direction for professionals however codes of practise do not dismiss.