pro d midterm Flashcards

1
Q

accountability

A

acceptance of responsibility for roles and actions

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2
Q

altruism

A

primary regard for interests of pts
placing their needs above self interest

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3
Q

collaboration

A

working together

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4
Q

compassion and caring

A

desire to identify with another’s experience
concern for the needs and values of others

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5
Q

duty

A

commitment to meeting obligations to provide effective services and positively influence societal health

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6
Q

excellence

A

consistent use of current knowledge and skills
embracing advancement
challenging mediocrity

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7
Q

inclusion

A

creating a welcoming and equitable environment for all
committing to anti discrimination
acknowledging personal bias

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8
Q

integrity

A

steadfast adherence to high ethical principles
being truthful
ensuring fairness
following through on commitments

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9
Q

social responsibility

A

promotion of mutual trust
responding to societal health and wellness needs

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10
Q

define ethics

A

theory or system of moral values

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11
Q

RIPS model

A

realm - primary focus
individual process - behavior to address the issue
situation - classifies issue into category

designed by a PT for PT’s

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12
Q

why is the RIPS model unique?

A

profession specific
systematic and simple
focus on practical action

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13
Q

steps in RIPS model

A

recognize realm
identify individual process
clarify the situation
apply the principles
choose the best course of action

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14
Q

what are the three realms

A

individual - rights, duties, relationships
organizational - policies, procedures, system wide
societal - impact on community

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15
Q

four capacities of individual process

A

moral sensitivity - recognizing dilemma exists
moral judgement - deciding right course of action
moral motivation - prioritizing ethical values
moral courage - acting on decision despite adversity

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16
Q

5 categories of situation

A

problem/issue - no conflict
dilemma - two right courses
distress - know right action but face barriers
temptation - choice where personal benefit is at stake
silence - concerns are ignored

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17
Q

why use RIPS

A

structures framework
self reflection
balances conflicting responsibilities

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18
Q

respect

A

respectfully toward each person
avoid personal biases

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19
Q

altruism

A

prioritize pts interests over personal

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20
Q

professional judgement

A

sound judgement
avoid conflicts of interest

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21
Q

integrity on relationships

A

discourage misconduct

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22
Q

professional competence

A

lifelong learning

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23
Q

professional growth

A

contribute to the development of the profession

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24
Q

organizational and societal responsibilities

A

advocate for health and wellness in the community

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25
meeting health needs
provide pro bono advocate for reduced health disparities
26
rights ethics
human rights
27
duty ethics
acting based on universal prinicples
28
utilitarianism
maximizing benefits for the greatest number of people
29
virtue ethics
cultivating good habits and character traits
30
religious ethics
decisions guided by religious teachings and sacred values
31
pragmatism
practical and contextual decision-making
32
sources of legal obligations
federal law state law judicial precedent administrative law
33
how to prevent malpractice
clear documentation adhering to evidence based practices transparent communication with pts
34
tort reform
first wave: expanded pt rights second wave: limited pt access
35
ethical principles
autonomy nonmaleficence beneficence justice
36
ethics vs law
ethical breaches often align with legal violations
37
bases for ethical conduct
morals - personal principles about right and wrong ethics - rules about guiding professional and personal conduct
38
steps to ethical decision making
qidentify ethical issue gather relevant facts analyze viable options implement course of action monitor and adjust based on feedback
39
professional negligence
failure to meet standards of care
40
causation
injury caused by breach of duty
41
factors increasing liability
external: litigious culture regulations internal: direct access specialization
42
statute of limitations
time limit for filing a claim
43
comparative fault
patient shares responsibility for injury
44
assumption of risk
pts informed of risks and proceed knowingly
45
strategies to minimize risks
thorough evals and communication informed consent follow guidelines
46
what are intentional torts?
actions performed with intent to cause specific actions even if harm wasn't primary motive
47
what is assault?
actions causing reasonable apprehension of imminent harm
48
what is battery?
physical contact without consent that is harmful or offensive
49
what is slander?
spoken defamation
50
what is libel?
written/published defamation
51
what is false imprisonment?
restricting a pt's freedom without legal justification
52
what is fraud?
intentional misrepresentation for financial or personal gain
53
what is intrusion?
entering private practices without permission
54
what is disclosure?
sharing private pt information without consent
55
what is consent?
written or verbal agreement from the pt
56
what is self-defense?
acting to prevent imminent harm to oneself or others
57
what is privilege?
good-faith reporting of abuse
58
define advocacy
public support for particular cause of policy
59
who appoints those on the board of healing arts?
governor
60
key takeaway of legislative basics
republicans maintain 2/3 of both chambers
61
what is the legislative process to pass a bill?
research your idea discuss with board find sponsor find revisor to write the bill submit bill bill gets number and assigned to either senate or house
62
what is the PT licensure compact?
allows privileges to practice in another state that also have the compact agreement
63
key committees of the senate
ways & means public health & welfare new senate government efficiency committee fed & state judiciary
64
key committees of the house
elections fed & state education health & humans k-12 education budget
65
legislative issues to watch
education medicaid expansion tax cuts social issues cannabis reform
66
senate bill 82
require schools to prevent and manage concussion within school return to play/return protocol
67
what are the elements of informed consent?
diagnosis and findings nature of treatment risks benefits alternatives
68
what are the two types of euthanasia?
active: not legally or ethically sanctioned in most states passive: withholding or withdrawing life support
69
DNR orders
pts request clear documentation and communication
70
EMTALA
ensures emergency care for all pts regardless of ability to pay
71
patient dumping
ethical and legal violations of pt dignity homeless pts discharged due to ability to pay
72
define pro bono
free or reduced cost care challenges: fear of liability exposure, limited resources and time
73
financial responsibility
providers must ensure transparent pricing pts have duty to pay fair value
74
gifts
small tokens ok when shared with team
75
impaired providers
ethically obligated to report suspected impairments
76
ethical issues in research
protect through IC avoid conflicts of interest that could bias results ensure accurate representation of findings
77
relationship centered care
care-giving due care - meeting standards caring virtue of caring - act in morally valuable ways
78
kohlberg's levels of moral development
preconventional - self-centered conventional - expectation-meeting with concern for pleasing others postconventional - autonomous recognition to social agreements and rules
79
gilligan's levels of moral development
preconventional - self-centered conventional - self-sacrificing postconventional - mature care ethic: reason between needs
80
ethical egoism
people ought always and only to care about own self-interest
81
psychological egoism
all humans are always and only motivated by desires to get what they believe are benefits for themselves
82
predominant egosim
differs from psych egoism by acknowledging a significant, albeit, limited role for caring about other people
83
craft motives
seeking creative solutions to technical problems
84
compensation motives
desire to earn living, have job stability, exercise power and authority
85
moral concern
integrity - desires to meet one's responsibilities and maintain moral integrity caring - desires to promote the good of others, for their sake
86
moral autonomy
right to make one's own decisions
87
psychological autonomy
competency to make own decisions and ability to reason and act rationally
88
medical care standard
what providers agree is important for pt to know
89
reasonable person standard
information any reasonable person would want before making a decison
90
voluntariness
free to make decisions without deception
91
competence
legal competency
92
confidentiality
maintain privacy of information concerning pts
93
caring fatigue
physical and emotional exhaustion that arises from demands of providing care
94
compassion fatigue
emotional strain of exposure to working with those suffering from traumatic events
95
signs and symptoms of helpers fatigue
emotional exhaustion fatigue headaches sleep disturbances irritability reduced sense of accomplishment detachment difficulty concentrating neg thought about work
96
causes of helpers fatigue
high pt load and admin responsibilities witnessing suffering and loss regularly limited time for personal care feeling unappreciated or unsupported in workplace
97
personal strategies to prevent and address fatigue
self-awareness prioritize self care set boundaries celebrate successes
98
workplace strategies to prevent and address fatigue
advocate for manageable workloads peer support groups seek mentorship for challenging cases
99
malady
neg medical condition, such as pain, disability, injury, disorder
100
illness
how malady is experienced
101
pain
very important determinant used in therapist's decision about intensity and duration
102
spirituality in healthcare
initially a lot of healers were spiritual leaders