Lecture One Flashcards

1
Q

Describe the ICF model.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name the seven essential competencies.

A

Expertise

Communication

Collaboration

Management

Leadership

Scholarship

Professionalism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an essential competencie?

A

Essential competencies: A required ability of a physiotherapist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Whats is an entry-to-practice milestone?

A

Entry-to-practice milestone: An ability (related to an essential competency) that is expected of a physiotherapist at entry-to-practice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is an entry-to-practice proficiency?

A

Entry-to-practice proficiency: the expected level of performance associated with entry-to-practice milestones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name the components of the essential competencie: physiotherapy expertise.

A

Physiotherapy expertise: experts in mobility and function. Use clinical reasoning that integrates unique knowledge, skills, attitudes to provide quality care and enhance the health and well being of their clients.

Employ a client-centered approach

Ensure the physical and emotional safety of the client

Conduct client assessment

Establish a diagnosis and prognosis

Develop, implement, monitor and evaluate an intervention plan

Complete or transition care (ex. Learning how to discharge a patient or when to discharge)

Plan, deliver and evaluate programs (collecting outcome measures to see how patients respond)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name the components of the essential competencie: communication.

A

Communication:

Communicators

Use effective strategies to exchange information and to enhance therapeutic and professional relationships (body language, eye contact, etc.)

Use oral and non-verbal communication effectively

Use written communication effectively (SUPER IMPORTANT)

Adapt communication approach to context

Use communication tools and technologies effectively

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name the components of the essential competencie: collaboration.

A

Collaboration:

Collaborators

Work effectively with others to provide inter- and intra-professional care.

Promote an integrated approach to client services

Facilitate collaborative relationships

Contribute to effective teamwork (ex. Discharge planning)

Contribute to conflict resolution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name the components of the essential competencie: management.

A

Management:

Managers

Manage self, time, resources and priorities to ensure safe, effective and sustainable services

Support organizational excellence

Utilize resources efficiently and effectively

Ensure a safe practice environment (safety for patient but you as a therapist as well)

Engage in quality improvement activities

Supervise others (ex. Clinical placements, you might become someone to supervise a placement for students like us)

Manage practice information safely and effectively

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name the components of the essential competencie: leadership.

A

Leadership

Leaders

Envision and advocate for a health system that enhances the well-being of society (ex. Advocating for your patient that the hospital wants to discharge but you know they won’t be safe if they go home)

Champion the health needs of your clients

Promote innovation in health care

Contribute to leadership in the profession (ex: getting involved in your associations)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name the components of the essential competencie: scholarship.

A

Scholarship:

Scholars

Demonstrate a commitment to excellence in practice through continuous learning, the education of others, the evaluation of evidence, and contributions to scholarship.

Use an evidence-informed approach in practice

Engage in scholarly inquiry

Integrate self-reflection and external feedback to improve personal practice

Maintain currency with developments relevant to area of practice

Contribute to the learning of others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Name the components of the essential competencie: professionalism.

A

Professionalism

Autonomous, self-regulated professionals

Committed to working in the best interest of clients and society, and maintaining high standards of behavior.

Comply with legal and regulatory requirements

Behave ethically

Embrace social responsibility as a health professional

Act with professional integrity

Maintain personal wellness consistent with the needs of practice (includes taking care of yourself)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are “ethics”?

A

Ethics

*The science of morals in human conduct and sub-discipline of philosophy

*The study of: Good and Bad, Authentic and Non-authentic Obligations, Rules of Conduct, Right and Wrong Morality, Duties

*Manifested in behaviours and assessed through ethical inquiry and critical moral reasoning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the steps to ethical decision making?

A

Recognize there is an issue
Identify the problem / Who is involved
Consider the facts, laws, principles, values
Establish and analyze potential options
Choose a course of action and implement
Evaluate the outcome and determine additional action needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How can ethical dilemmas occur? What are they?

A

The best course of action is unclear

Strong moral reasons support each decision

Must choose between the most right and least wrong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the main differences between ethics and morals?

A
17
Q

What are obligations and duties?

A

A commitment to act in a specific way

Keeping a promise

18
Q

What are the five overarching principles?

A

Personal Values: guide our daily activities (e.g., protect/promote safety)

Integrity: ability to determine our actions (e.g., honest, objective)

Justice: public utility is maximized (e.g., equal access)

Respect: dignity of people as individuals (e.g., rights, traditions, culture)

Threats: poor policy/rules (e.g., bad standards)
Inability to identify the truth (e.g., conflict, ethical dilemma)

19
Q

a) Give an example of a boundary. b) Why are boundaries fluid?

A

a) Personal space that one considers to be appropriately under her/his control

Crossed in a relationship when one does or says something

b) What we define as boundaries do not stay constant and may change:

With time

In different situations

From one person to another

20
Q

Describe the continuum of professional boundaries.

A
21
Q

How are therapeutic relationships different than other ones?

A

Differs from other relationships because it focuses on the needs, experiences, feelings and ideas of the patient only

Provider and patient agree about the areas to communicate, work on and evaluate

Always present and forms the foundation of the physiotherapist-patient interaction

Power, respect, trust, closeness

22
Q

What are the steps we can take to establish clear professional boundaries? IMPORTANT FOR OSCES

A
  • Introduce ourselves
  • Obtain informed consent
  • Adhere to privacy regulations
  • Maintain professional social media pagesseparate and distinct from personal social media
23
Q

Give examples of violated boundaries.

A

Should you date a patient? NEVER

What if a patient comes to you in the middle of december and they want to provide you something for your services: depends on what it is! (if there is a capacity to share it then it is usually acceptable)

Establishing dual relationships: no

Excessive self-disclosure

Giving or receiving significant gifts: blurry boundaries

Assuming the client’s values are the same as your own

Providing care to families or friends: avoid

Not unethical, not breaking a rule, but something we should try to avoid if we have the opportunity

Providing information to family or friends so they have the tools to advocate for themselves (ex: a scientific article)

Starting a social relationship with a former patient

What is a significant or appropriate amount of time to wait if you want to start a social relationship

Ignoring established conventions

  • Ex: not following the set protocol of your clinic
24
Q

What is the code of ethics’ purpose?

A

CANADIAN PHYSIOTHERAPY ASSOCIATION (CPA)

  • Sets out the ethical principles governing the conduct of members of the physiotherapy profession in Canada
  • A moral anchor that assures clients, the public, and other health care providers that members of the profession strive for the highest standards of ethical conduct
25
Q

How do you use the code of ethics?

A

Does not tell practitioners exactly how to act in every situation

Provides a benchmark against which to measure ethical decisions in every day practice and in highly complex situations

It is the duty of members of the profession to act in an ethically responsible manner, using the principles of the Code to guide ethical conduct.

As ethical decision-making is often an interdisciplinary issue, practitioners are encouraged to seek additional advice or consultation when ethical decisions are unclear

Members of the physiotherapy profession should be able to articulate their rationale for all ethical decisions and should take responsibility for their decision-making and actions

26
Q

Why are ethical principles important?

A

The foundation of ethical conduct and provide guidance along the pathway to ethical decision-making

Classical ethical principles as a basic guide to ethical conduct

The pursuit of excellence in all professional activities

The ability to act with (i) integrity, (ii) accountability and (iii) good judgment in the best interests of the client, the public, the individual (self) and the profession

27
Q

Name the four ethical principles.

A

Respect for autonomy (patient should take part in the decision-making process)

Beneficence (greatest benefit for the patient)

Least harm (two treatment options that have contradictions, do the one is most ideal for the patient)

Justice

28
Q

What are some professional values?

A

Responsibility, Excellence, Trustworthiness, Respect, Dignity, Communication, Honesty, Integrity, Professionalism, Citizenship, Collaboration, Advocacy, Transparency, Well-Being

29
Q

The code of ethics gives us responsibilities to… (four answers)

A

The client

The public

Yourself

The profession

30
Q

What is Nova Scotia’s College of Physiotherapy Code of Ethics?

A