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Relationships between client and therapist
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Analyzing an Ethical Dilemma and Relating it to a Student Physical Therapist Assistant's Personal Experience
Jordan Cantu SPTA
SUNY Orange, Middletown, NY
Contemporary Practice - Spring 2014
Dr. M. Masker & Dr. E. Leonard
April 14th, 2014
For over 75 years the profession of physical therapy has required it's members to adhere to a standard of ethical behavior.17 The first Code of Ethics adopted by the American Physiotherapy Association (APA) in 1935 was a brief document that placed a great deal of emphasis on the relationship between the physical therapist (PT) and referring physician, and the disciplinary actions of violating that relationship.3(p.4) Since 1935 the Code of Ethics has been revised and ammended several times evolving into two in depth documents that the American Physical Therapy Association (APTA) refers to as the Code of Ethics for the Physical Therapist (Code), and the Standards of Ethical Conduct for the Physical Therapist Assistant (Standards).3(p.5),4,11 In an ideal world the Code and Standards would leave no room for question of what is th...
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
Sim, J (1997). Ethical Decision Making in Therapy Practice. Oxford: Reed Educational and Professional Publishing Ltd. p.16.
American Counseling Association (2005). ACA Code of Ethics. Alexandria, VA: Author. - See more at: http://www.counseling.org/knowledge-center/ethics#sthash.13ImD8Lb.dpuf
An ethical issue or dilemma is a situation that is usually complex and it often involves an apparent mental conflict between moral imperatives. The moral imperatives must be obeyed resulting in transgressing another. When it comes to medical assisting, ethical issues frequently arise in health care according to the article on the ANM healthcare website. A medical assistant is an unlicensed support person who must work under the direction of a licensed professional and also may come upon ethical issues related to the field of practice. Ethical codes in the health care often derive from medical ethics in which they include expectations such as compassion, competency, and professionalism. “The AAMA Medical Assistant Code of Ethics requires medical
When I think of the word autonomy, I think of the words control and independence. Autonomy is important in the professional field of physical therapy and can also be thought of as a “social contract” 1(98) professionally based on public confidence. As doctors and primary care physicians are becoming less influential in the medical field, physical therapists are gaining more autonomy in practice. It is important to always remember professionalism and service to patients as autonomy in physical therapy grows. 1(99) There are still many challenges therapists will face to gain more autonomy, but the idea is continuing to progress. As autonomy in physical therapist practice grows, so does the expectation of increasing knowledge and professional behavior and practice. Professionalism can have many definitions and meanings, but I feel the most strongly connected with a specific definition:
Physical Therapist (PT), are skilled health care practitioners that aim to improve movement, reduce pain and increase patient enjoyment of life. All while providing moral, legal and ethical care to patients. However, each of these requirements of practice are dictated by different entities. Meaning, that the requirements sometimes may or may not correlate with one another. Legally, therapist must abide by both state and national laws that are put in place for all health care professionals, in addition to those specific to the field of Physical Therapy. Whereas, ethical responsibilities may be dictated by the professional organizations and society norms. While morals vary according to different cultures and subcultures, making them specific
The code of conduct consists of three key principles. “Principle 1; Responsibility to Patients” (AOPA, 2012, Pg 2) Orthotists/Prosthetists are health care professionals and must uphold their obligation and responsibilities to their patients care. Principle one ensures that professionals respect patient rights and recognise and uphold the autonomy of patients. “Principle 2; Professional responsibility” (AOPA, 2012, Pg 2), Industry professional have a responsibility to abide by the AOPA by-laws for the appropriate professional practise. Orthotists/Prosthetist are health care professionals and as such have a responsibility to their colleagues, associates and their profession to uphold. They must aim to build a reputation upon their integrity and ability. Professionals must have an understanding that personal misconduct will affect their reputation as a professional, their employer and the industry in a negative light. “Principle 3; Professional competency and standards (AOPA, 2012, Pg 3). AOPA has a set of competency standards that industry professionals must maintain and uphold. They also have an obligation to patients to acknowledge the boundaries of their competency. Professionals will maintain competency and standards by Following AOPA competency standards, completing annual ‘AOPA continuing professional development’ requirements, acknowledging their scope of practise for which they are qualified for and promoting current research, development and knowledge that the AOPA deems appropriate. The three key principles outlined by the APOPA provide patients with adequate and secure care, ensuring that clinicians provide the best available service for prosthetic/orthotic
This type of ethical dilemma is common in physical therapy since many of the treatments involve patients to actively participate in the treatment instead of just passively receiving treatments as in surgery or massage therapy. According to a study done by UK National Health service, out of 361 physical and occupational therapists, only around one- third of them reported no ethical dilemma in the past six months (Barnitt, 1998). I...
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.
Professional standards are defined as the legal or ethical duty of a professional in a particular field to exercise the level of diligence, skill, and care as stipulated in the code of practice. Normally, an individual is expected to be consistent with what other professionals in the practice are engaging in to comply with the expectation of the profession. On the other hand, institutional ethics is defined as the application, evaluation and articulation of values and moral principles that are related to the organization’s procedures, practices, and policies (Holloway & Wheeler, 2013). Perhaps, in the case studies below, health care institutions and professionals are involved thus prompting the need to examine their
As with every code of ethics the Physician Assistant profession has revised its code of ethics to keep with the changing times in the medical field. Four main bioethical principles broadly guided the development of these guidelines: autonomy, beneficence, no maleficence, and justice.3This Physician Assistant (PA) should follow the do no harm rule, understand the patient has the right to make decisions about their care, always act in the best interest of the patient, and treat all the patients the same and make sure care is consistent for every
The primary weakness of the APA is that it only applies to professional conduct and not private life. According to Pipes, Holstein, and Aguirre (2005), "APA codes apply within their role as psychologists...they may, with impunity from the Code, demean individuals of a particular gender or a particular religion with whom they interact only on a personal basis" (p. 326). While the APA has enforceable standards, the preamble and general principles are aspirational and seek to create individuals whose professional character will successfully integrate into their personal lives. For example, Jenny 's consultation with Rhonda went from a professional consultation to a gossip session on other issues within organization; when they failed "to guard against personal, financial, social, organizational or political factors" (APA, 2010) that might influence their ability to objectively resolve the present ethical dilemma. While the APA provide ethical principles and a professional code of conduct provide a foundation for resolving ethical dilemmas, it is not exhaustive and individuals should seek and use other models to help them resolve their ethical dilemmas, such as the eight-step decision
Professionalism in the context of being a student in a doctor of physical therapist degree program begins with a basic understanding of physical therapy. In order for a student to be professional they must remember what their responsibilities are as a future treating professional. By this part of the application process most Doctorate of physical therapy (DPT) applicants have become aware of fundamental necessities that treating patients entails. The first major hurdle, they have a hard time asking for help when it is needed, honesty is a very important trait to understanding professionalism. Continuing education is one that comes a little easier for students because it has become all we know, studying day in and day out however it is also a trait that can be lost in the blink of an eye when you are not held accountable. Furthermore, the notion that everyone should be treated equal is not foreign for most students however unfortunately for some the same thing cannot be said.
Professionalism is a term used in a wide variety of settings. Every job requires their employees to act professionally but the understanding of what the term “professionalism” means can be interpreted in many ways. As a student in a doctor of physical therapy program, it is important to possess the most important aspects of professionalism.
Code of ethics act as a promise to protect and support the safety of individuals in society, supports as a leading light it help the supporters of an occupation, resolve ethical problems and act as a protector the community. A code of ethics discloses and conserves the current viewpoint professionals on in what way to make ethical decisions. It stresses importance on obligation to moral values and vital beliefs. Application of a code of ethics helps us to guarantee that members of the profession will be accountable for their actions. It helps us to learn about the responsibility we have for ourselves, our colleagues and to the social structure of the profession. It is essential that the present and future psychologist should be aware of the formal ethical codes of practices in psychology. The American Psychological Association (APA) developed this formal Ethics Code which demonstrates the approaches to the psychologist about logical, educational, and clinical behaviors to be followed while working as a licensed person. By applying the ethical code a psychologist can identify ethical issues, interrelate with others professionally. This can inhibit and solve ethical dilemmas, and he /she will be able achieve their professional protagonists and responsibilities.