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Ethics dilemma in physical therapy
Physical therapy, ethics, referral
Physical Therapy Ethical Case Studies
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Ethics in Physical Therapy
One of the most rapidly growing occupations in the United States today is Physical Therapy. The United States Department of Labor has projected 23,000 unfilled physical therapist positions in the year 2000 and a lack of qualified physical therapists to fill them (www.apta.org). While Physical Therapy grows rapidly, questions of ethics in this field have also grown in large quantities. Physical therapy is the treatment of disease through physical means, including light, heat, sound waves, electricity, magnetic fields, and exercise (www.byu.edu). This means that therapists use many different forms to treat people, and treating people can be a large challenge because of all the different possibilities that could occur with the different treatments. Physical Therapy is a very rewarding and lucrative profession if the problems that come along with the job are dealt with in a capable manner.
The main problem with Physical Therapy is the problem of the ethics of the profession. There are many ethical conflicts such as how to charge based on your services, and what types of services to give to each individual patient. To guide physical therapists in their decision making the American Physical Therapy Association came up with a code of ethics for it’s members to set their standards to work by. Their members are required to work by this code and are also required to maintain ethical practices. The first principle in their code is to respect the rights and dignity of all individuals. This includes all patients, employees, and co-workers. The second principle is to comply with all of the laws and regulations governing the practice of physical therapy. Physical therapists learn these laws in school before becoming a therapist. The third principle is that they must accept responsibility for their actions and exercise sound judgment. Every therapist must own up to their mistakes, and take responsibility for their patients. The fourth principle is that they must maintain and promote high standards for physical therapy practice, education, and research. No therapist should ever compromise his or her beliefs for any reason. The fifth principle is that they must seek remuneration for their services that is deserved and reasonable. This means that they should be paid for the work that they do, but that the pay shoul...
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Hurricane Katrina was one of the most interesting and deadly hurricane to ever hit the United States. This hurricane devastated New Orleans and all of its inhabitants. This hurricane was especially devastating as New Orleans is 13 feet(3.9624 metres) below sea level. The government wasn’t prepared for the damage of New Orleans, and neither were the Levees. The Levee crash was one of the major causes of the flooding in New Orleans. The deaths and damages cost billions. After this storm many people didn’t want to move back to their home, New
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:
In many ways, Andrew’s story is a culmination of all of the influences mentioned so far. Andrew grew up in the projects with a lightly involved father, a drug addicted mother, ended up in a group home, and fell into a life of crime. Andrew is not exactly a model citizen, but may a perfect example of what is wrong with black America. He started out early with a variety of petty offences around the time his mother died, and worked his way up to dealing drugs, serving time for a stabbing, and spending a full year “in the hole” for giving verbal threats while in prison. After spending his entire youth living outside of the law, Andrew decided to clean up around age 25, and this is where his story stops making sense. He gave up selling drugs and committing crimes, but Andrew continued to be harassed by police officers because he “fits the description. (Taibbi 101)” It turns out that he fits the description because he is black, in a poor neighborhood full of black people. There is a law in the New York Penal Code that allows for officers to arrest or detain people for disorderly conduct, and this option is exercised regularly by the police to gain the opportunity to search African Americans in poor neighborhoods for drugs or guns. Disorderly conduct can be anything from “blocking pedestrian traffic (Taibbi 102),” which means standing on a sidewalk regardless of whether or not there actually is pedestrian traffic, to making an obscene gesture at a cop. Basically, anything a person does that a police officer doesn’t like can be interpreted in court as disorderly conduct. Overbearing police action and catch-all laws do not discourage poor behavior or encourage trust from the
137). On the other hand, family therapists working with Asian Americans have found the structural approach, combined with strategic interventions, to be helpful (Hays, 2008, p. 185). Sciarra (1999) found SFT was effective in helping immigrant families experiencing intrafamilial separation and reunion (para. 1). For example, parents, who arrive in the United States before their children often expect their reunited children will be immediately happy and grateful, and feel helpless and victimized by their children’s negative behavior, causing dysfunction in the family hierarchy (para. 4). Bicultural effectiveness training, used in the context of SFT, reframes the conflict between reunited immigrant parents and children as a conflict between cultures, and the result of this training is the “transition from intergenerational dysfunction to bicultural effectiveness” (para.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
In times of emergency, life and death, and tragic despair, people often are reminded of the umbrella of stress that hangs over us. With such a world people live in today, at times its common to be caught up in the minor details of life; rather than enjoying the beauty of it all. Almost everyday, we live in a sheltered life, hidden away in our communities, just trying to skate by. But there are sometimes moments that occur in a lifetime, where that sheltered routine, that is so ingrained in our minds, is taken upon differently. August 29, 2005, day one of hurricane Katrina; this date, is one that is permanently ingrained in thousands of citizens of New Orleans. On this day, people have seen family members drown, houses destroyed, as well as the memories of such a beautiful city float by them. Because of this one day, that umbrella of stress hanging over these people is present for a life time. The enormous amount of stress that hurricane Katrina victims have gone through have not only resulted in physical health issues, but a psychological sickness no other than post-traumatic stress disorder. But who is to blame for such an event? Some might say it is just natures course, but this blame should be put on no one other than the United States government. Due to the poorly planned evacuation process of the United States government, as well as post hurricane Katrina living conditions, the citizens of New Orleans who underwent intense psychological stress have a significantly increased likelihood of being diagnosed with post-traumatic stress disorder.
Trethewey, Natasha. Beyond Katrina: A Meditation on the Mississippi Gulf Coast. Athens: U of Georgia, 2010. 83-125. Print.
The staff is committed to their school and they are trying to improve it as possible.
Physical therapy is always full of surprises, from new advancements in technology to new and improved therapeutic techniques. Although there are fun games and new technology that physical therapists can do with patients, the main struggle for physical therapists is to motivate their patients to complete their therapy exercises both in the clinic and in the outside world. This problem is very frustrating because the doctors who work at the clinic constantly push patients to complete their therapy so that they can heal; however, when patients are stubborn and reluctant to their treatment, yet constantly complain of pain, doctors must spend more time convincing them to do the therapy rather than completing the therapy itself.
Currently, government required every import and export food products to have a nutrition label on to let the customer know the nutrition fact of products. This gives us the ideas to know what the sources are contained in the products. However, the U.S still has the highest percentage of obesity and diseases that relate to nutritional. I have read one of the articles Why Schools Need a Mandatory Nutrition Curriculum by Puccini and Romero and this article explained us how being obese effect today’s lives, especially the children and youth. According to this research, they predicted that “youth today will be the generation of American to love shorter live than their parents as a direct result of the food they eat.” I did the research on this topic at website like Chalkbeat New York and see how providing MNE in school would prevent from obesity and type II diabetes and so on. For example, MNE program taught the student how to read the nutrition facts, how to choose and prepare healthier meals at home or restaurant. Moreover, they showed the video of Food, Inc. to give the students the idea of where the fast food restaurants got their meats from. The percentage of students likely to become vegetarian are increased after seeing that video and gained the knowledge from MNE. In addition, there are many other resources on the website that I can look up to find the advantages and disadvantages of
The continuing Federal response—the largest disaster relief and recovery effort in our Nation’s history—likewise has been unprecedented and extraordinary. But what we owe the people of the Gulf Coast, and all Americans, is the best possible response”.
(“Hurricane Katrina anniversary: New Orleans ten years after storm, in pictures,” 2015) New Orleans has struggled with the economy, race, and social issues for years. This natural disaster took this city into full desperate measures. New reports of the storm exposed racial issues in New Orleans to the whole world. Many African Americans did not have the resources to protect their families and homes. Africans American did not have the resources to leave the city before the storm hit. The lack resources shows the importance of charities, donations and the
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.
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.
Physical therapists are health care professionals that provide therapeutic services to their patients who have temporary or chronic physical conditions that were caused from injury or disease. Physical therapist also provided therapeutic services to patients after they have gone through surgery to help them gain back mobility and manage their pain. They can also work in preventive care by promoting healthy life styles and instructing individual patients or groups on preventing injury by using exercises that stretch and strengthen muscles. To help their patients try to recover they use massage techniques, wellness plans, and different types of equipment. When a physical therapist sees a patient for the very first time they must do an examination, evaluation, diagnosis, and then put together a physical intervention to start the rehabilitation process. They also work as a team with other health care professionals to help with their patients needs. Physical therapist can really make a difference in their patient’s lives by not only providing therapeutic services but also encouraging and motivating them so they can get better. The main goals of physical therapist are to help their patients retain or gain back lost physical mobility, eliminate or reduce pain, increase productivity and help promote a healthy life style so patients can have a better quality of life and become more independent.