Professional Boundaries Flashcards Preview

Intro. to clinic > Professional Boundaries > Flashcards

Flashcards in Professional Boundaries Deck (16):
1

professional boundaries

doctor-patient relationship
physical and emotional limitations
patient vulnerabilities
doctor vulnerabilities

2

boundaries

define the expected and accepted psychological, physical and social distance between practitioners and patients

3

boundary violation

represents a harmful crossing or transgression of a boundary

4

what are the personal space in feet?

4ft- business relationship
3ft- social relationship
1ft- intimate, can be threatening

5

who sets the boundaries of personal space?

THE PATIENT

6

typical situations patients feel vulnerable

requests for intimate details/personal information
owing doctor money
not questioning doctor's decisions
due to personal circumstances

7

personal circumstances a patient might feel vulnerable

low education or income level
emotional difficulties
financial problemsmarital trouble
disrobing/gowning
exposure of sexual organs

8

how can you reduce the risk of vulnerability

communication
explain all tests
always ask permission
explain types of treatment performed
consent papers

9

how can you be aware of physical interactions

1. perform all exams whenever possible, during normal business hours
2. consider perfomring exams in a room near the front of the office
3. consider chaperone when examining private areas
4. exam gowns when necessary
5.drape for privacy
6. avoid removal of patient undergarments
7. parent or guardian of same gender when treating a minor

10

what are the types of people who don't establish boundaries?

flirtatious patient
predatory patient
patients with unrealistic expectations

11

flirtatious patients

may want a relationship

12

predatory patient

may be scheming (last patient of the day, blatant and intimidating with staff, disregard staff instructions, attempt to appeal to ego)

13

unrealistic patient

unconsciously idolize or see doctor as replacemnt for another important person from their past or present

14

how do you prepare for high risk situations?

establish a policy
train staff to be aware
recognize, respond and deal with aggressive patents
listen to staff even if it is against your ego
check with past doctors
understand diversity
comunicate effectively
chaperone in treatment room
concent for photography, medical or otherwise

15

further action to take for boundary crossing

seek help from a peer or your state's association
document carefully and precisely as possible
terminate doctor/patient relationship
call malpractice carrier

16

behaviors to avoid

seeking emotional support from patients
ask patients to perform personal services for you
avoid seeing patients afterward
recognize problem and stop in its tracks