Final Exam Flashcards by Mercedes Stein

What four things control the practice of Physical Therapy?

State practice acts
Federal Rules and Regulations
Civil and Criminal Law
Code of ethics

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What represents the law in your particular state?

State Practice Act

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What sets the qualifications to hold a license to practice?

State Practice Act

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What are enforced by state licensure boards?

State Practice Act

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what are four types of Sanctions?

reprimand
probation
suspend
Revoke

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What is it when a PT has done something wrong and are told not to do it again?

Reprimand

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Is a reprimand private or public?

can be either

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What type of sanction has terms and conditions?

Probation

ex: 6 months, 12 months, documentation review

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What sanction is when you can be removed from practice for a certain period of time that can range from 6 months to 2 years?

Suspension

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What sanction is when you can no longer practice in a state?

Revoke

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How an individual conducts themselves in their personal and professional endeavors?

Ethics

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_____ is also a systematic analysis of morals and conduct

Ethics

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Beliefs, principles, and values, grounded in religions, culture based

Morals

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Identification, analysis and resolution of ethical problems, issues, and dilemmas associated with biological sciences

Bioethics

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Four types of biomedical ethical principles

nonmaleficence
beneficence
Justice
Autonomy

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What means to “do no harm” and relates to intentional actions and applies to omissions as well as affirmative acts?

Nonmaleficence

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“do good”

Beneficence

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To conduct in the patients best interest and manifest of duty to patient

Beneficence

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equality or fair treatment

justice

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Individual self determination; exists regardless of non payment for care and irrespective amount of payment

Autonomy

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Relate to the legal and ethical obligation of the health care provider to obtain informed consent

Autonomy

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clearly describing the proposed intervention and delineates the expected benefits and material risks as known with the proposed intervention is what responsibility of the a physical therapist?

Informed consent

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Comparing the known benefits and risks with and without proposed intervention and explains reasonable alternatives to the intervention is also part of what by the PT?

Informed Consent

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Qualification of informed consent?

consent of competent adult
consent of a parent or legal guardian if patient is a minor
patient/gaurdian/client must understand intervention and to give consent before it occurs

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5 disclosures that make an informed consent legal:

- diagnosis - long tern and short term goals - risks of harm or complication associated with recommended intervention - reasonable alternatives

a duty to act for someone else's benefit while subordinating one's personal interests to that of the other person

Fiduciary duty or altruism

What is put fourth by the APTA House of Delegates, enforced by the associations Ethics and Judicial Committee

Code Of Ethics *only code for PTS

How many principles are in the code of ethics?

Principle 1

physical therapists shall respect the inherent dignity and rights of individuals

Principle 2

they shall be trustworthy and compassionate in addressing rights and needs

Principle 3

Shall be accountable for making sound professional choices

Principle 4

shall demonstrate integrity in their relationships with patients, families, colleagues, students, ect

Principle 5

shall fulfill their legal and professional obligations

Principle 6

shall enhance their expertise through life long acquisition and refinement of knowledge, skills, abilities, and behaviors

Principle 7

promote organizational behaviors and business practices to benefit patient and society

Principle 8

participate in efforts to meet health needs of all people locally, nationally, and globally

How many steps are in the process of ethical decision making?

6 | gather, identify, analyze, alternatives, complete, evaluate

Step 1 (decision making)

Gather information

step 2 (decision making)

identify type of ethical problem

Step 3 (decision making)

use ethical theories to analyze problem

step 4 (decision making)

explore practical alternatives

step 5 (decisions making)

complete action

step 6 (decision making)

evaluate process and outcome

what is the model of ethical decision making called?

RIPS

What does RIPS stand for

Realm Individual Process Situation

What are the 3 realms?

1. Individual 2. Organizational/Institutional 3. Societal

What is the individual realm?

rights, duties, relationships and behaviors between individuals

What is the Organizational realm?

structures and systems between you and an organizations

What is the societal realm?

relation between you and society | ex: laws, reguations

4 moral behaviors of Individual process?

Moral: sensitivity, judgement, motivation, and courage

What is moral sensitivity?

recognizing and framing ethical situattions

What is moral judgement?

deciding right vs. wrong; generating options | applying ethical principle

Moral Motivations:

priority on ethical value over other values (money, self interest)

What is moral courage?

implementing chosen ethical action: plan

Five parts of Situation in the RIPS model

``` Issue Dilemma Distress Temptation Silence ```

When important values are present or may be challeneged

Problem

Two alternative courses of action may be taken both of which are good "Right vs right"

Dilemma

You know the right course of action but are not authorized or empowered to perform it

Distress

involves a choice between a right and wrong

Temptation

values are challenged but no one is speaking about it

Silence

ABCDEF of Goals

``` Audience Behavior Condition (degree) Emphasize Function Time ```

Ten professional Behaviors

1. Critical Thinking 2. Communication 3. problem solving 4. interpersonal skills 5. responsibility 6. professionalism 7. use of constructive feedback 8. effective use of time and resources 9. stress management 10. commitment to learning

ability to think logicalling

1. Critical THinking

ability to communicate effectivelty

2. communication

recognize and define problems, analyze data an develop solutions

3. problem solving

4. effectively interact with patients, families

4.interpersonal skills

account for outcomes of personal and professional actions

5. responsibility

represent profession effectively while growing

6. professionalism

ability to seek out and identify quality sources of feedback, reflect on and interrogate feedback

7. constructive feedback

manage time and resources

8. effective use of time and resources

ability to identify sources of stress and to develop and implement effective coping behaviors

9. stress management

ability to self direct learning to include the identification of needs and sources of learning

10. commitment to learning

Five tests for right verse wrong

1. legal test 2. mom test 3. Front Page test 4. stench test 5. professional article

If any of the five tests (legal, mom, front page, stench, professional) test positive this may be an issue of moral temptation instead of an

ethical dilemma

what are four suggested steps for ethical decision? | Which step implements RIPS?

1. Recognize and define ethical issue - RIPS 2. Reflect 3. Decide the right thing to do (make a decision) 4. implement, evaluate and re-assess

If you find yourself testing positive for one of the five right vs wrong tests you are probably faced with "moral temptation" in which you should bypass step three (decide the right thing to do) and implement moral ____?

Moral Courage-Focus on implementing a plan rather than decision

Step 3: Decide the right thing to do: involves what type of situations?

right vs right or dilemma

3 approaches to solving a dilemma

1. care based 2. rule based 3. ends based

follow the rules, obligations, duties and ethical principles already in place

rule based

determine the consequences or outcomes of alternative actions and the good or harm that will result

ends based

resolve dilemmas based on relationships and concern of others

care based

Things to consider in Step 1: recognize and define ethical issue:

- are the conflicting issues values or virtues? | - if so, are they autonomy vs. beneficence?

Things to consider in "R" of RIPS:

- does the problem seem to be individual, organizational, or societal realms?

Things to consider in IP of RIPS:

- does this appear to be more a problem of moral sensitivity, judgement, motivation or courage?

Things to consider in S of RIPS:

- is this an ethical issue, dilemma, ethical distress, ethical temptation or moral silence?

Components of A in SOAP

``` Problem List LTG (Following PT intervention, ) STG Impression Prognosis ```

What year was the first Code of Ethics published for PT?**********

1935

Final Exam Flashcards

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