Unit 4 Flashcards

1
Q

Burnout

A

A state of physical or emotional exhaustion resulting from intense and longstanding professional stress.
Dynamic
Fed by negative self-concept and job attitudes

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2
Q

How stress affects the body

A
Physical stress activates endocrine system:
Headaches
Diarrhea
Nausea
Palpitations
Diabetes
HBP
Ulcers
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3
Q

How stress affects perceptions

A

Out of control w anxiety
Misread/distort situations
Blow things out of proportion
Take on unrealistic guilt/personalize things
Distorted perception–anxiety–stress–distorted perception

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4
Q

External factors–burnout

A

Work overload
Role ambiguity
Role conflict
Environment

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5
Q

Internal factors–burnout

A

Self esteem
Unclear boundaries between personal and professional life
Unrealistic goals for patients and inability to meet them

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6
Q

General burnout prevention strategies

A

Cultivate ability to stay present/be here now
Ask clarification questions/employ active listening skills
Recognize burnout is occurring
Examine needs in becoming a health care provider/curtail need to overwork

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7
Q

External prevention–burnout

A
Lower staff/patient ratios
Require use of vacation time
Mix patient loads
Regular staff rotation
Support groups
Goals aiming for realism, not a cure
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8
Q

Internal strategies–burnout prevention

A

Regular exercise
Lunch break
Daydreaming/imagery

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9
Q

General strategies: burnout prevention

A
Set goals that are attainable
Establish clear contract with patient
Don't over promise
Be aware of patient feelings; dependency, loneliness, fears of abandonment
Consider assertiveness training
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10
Q

Action

A

Case or lawsuit

Legal demand for enforcement of ones rights against another party in court of justice

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11
Q

Affadavit

A

Written statement
Confirmed by path or affirmation
For use as evidence in court

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12
Q

Answer

A

Defendants first pleading in a case

Addresses the dispute on merit and presents defenses and counter claims

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13
Q

Appeal

A
Apply to a higher court for reversal of the decision of a lower court.
Decision may be:
Affirmed (upheld)
Reversed
Remanded (retried)
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14
Q

Assault

A

Apprehension of imminent threat.

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15
Q

Battery

A

Offensive bodily contact.

Not necessarily injury

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16
Q

Common law

A

Part of American law derived from court decisions
Judge made
Case law

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17
Q

Civil law

A

Law emanating from legislative bodies.

Increase in number every year

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18
Q

Due care

A

Absence of negligence.
Legal duty one owes another.
Care which an ordinary/prudent person would have exercised in the given situation

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19
Q

Deposition

A

Pre trial statement of a witness under oath
Question/answer format as in court
Adversary can be present and cross examine

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20
Q

Libel

A

Written defamatory statement.

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21
Q

Malpractice

A

Professional negligence

Failure to meet professional standard of care resulting in harm

22
Q

Stress

A
Negative stress results from:
Inability to meet goals that  are believed or feared to be unattainable.
Not always negative
Can keep us safe
Needed to live/grow/mature
23
Q

Hierarchy of Law

A
  • Constitution: federal over state.
  • Treaties: agreements between president/foreign govt
  • Executive Orders: rule-making power given to president or governor
  • Statutes: laws passed by congress, state legislatures, county, or city govt
  • Administrative Rules: legislative powers delegated by Congress to government agency
  • Court decisions:
24
Q

Substantiative law

A

Determined rights and privileges for people

25
Procedural law
Procedure for enforcing legal rights
26
Criminal law
Duties owed To society
27
Civil law
Duties owed to other person. Ex: slip on wet floor in Walmart, Walmart is answerable to that person
28
Good Samaritan Law
If you help provide care in an urgent situation (car wreck) you are protected from being sued of things don't turn out well for the victim.
29
Workers compensation act
Injury arise out of and in the course of employment. If so, employer is responsible.
30
Americans with disabilities act
Guarantees equal rights for persons with disabilities
31
National labor relations act
``` 1935 Foundational statute of US labor law. Guarantees basic rights of private sector employees to: Organize trade unions Engage in collective bargaining To take collective action/ strike ```
32
Civil Rights Act
Prevents discrimination bc of race, color, sex, religion, national origin
33
PL 94-142 | Education of all Handicapped Children act
Free and appropriate education for all children regardless of disability
34
Fair labor standards act
Establishes minimum wage Max hours worked wo overtime Prohibits wage discrimination based on sex Prohibits child labor
35
HIPPA
Health Insurance Portability And Accountability Act Guidelines for maintaining privacy and security of health information Controls fraud/abuse within healthcare Increase the efficiency of the health care system by creating standards for the use and dissemination of Heath care info
36
PL 105-17 IDEA | Individuals with Disabilities Education Act 1997
Extended education of all Handicapped children
37
Rehabilitation Act 1973
Prevents discrimination because of physical or mental disability
38
Family Medical Leave Act | 1993
``` Requires covered employees to receive job protected and unpaid leave for qualified medical and family reasons: Personal/family illness Family military leave Pregnancy Adoption Foster care placement of a child ```
39
Age discrimination in employment act | 1970
Prevents forced retirement before age 70, unless aging limits ability to perform duties
40
Occupational safety health act | 1970
``` Employers are to provide an environment free from recognized hazards: Exposure to toxic chemicals Excessive noise levels Heat, cold, stress Unsanitary conditions ```
41
``` APTA ethical standards #1 ```
Respect the inherent dignity and rights of all Act in respectful manner Recognize biases, don't discriminate
42
``` APTA ethical standards #2 ```
Be trustworthy and compassionate addressing needs and rights of clients. Best interests of patients over own Provide interventions w compassionate behavior, respecting cultural differences. Info regarding interventions Protect confidential info
43
``` APTA ethical standards #3 ```
Make sound decisions with PT within boundaries established by law Objective decisions in patients best interest in all settings Guided by info about best practice for interventions Make decisions based on competence level, consistent w patient values Don't engage in conflicts of interest Provide care under supervision of PT and communicate changes needed to POC
44
``` APTA ethical standards #4 ```
Demonstrate integrity in all relationships Truthful info, no misleading reps Don't exploit anyone you have supervisory authority Discourage misconduct, report illegal/unethical acts Report abuse No sexual relationships with clients
45
``` APTA ethical standards #5 ```
Fulfill legal and ethical obligations Comply w laws and regs Support supervisory role of PT, quality care and safety Abide by rules/regs in research Encourage co-workers to seek help or counsel Report to authorities when colleague is unable to perform duties
46
``` APTA ethical standards #6 ```
Enhance competence through lifelong learning Achieve/maintain clinical competence Lifelong learning consistent w changes in roles/responsibilities Support practice environments that support learning
47
``` APTA ethical standards #7 ```
Support organizational behaviors practices that benefit patients/society ``` Promote work environments that support ethical/accountable decision making Don't accept gifts Disclose financial interest Proper documentation Avoid unethical employment arrangements ```
48
``` APTA ethical standards #8 ```
Participate in efforts to meet health needs of everyone Support organizations that help poor, uninsured/underinsured Advocate for people w disabilities Be responsible stewards-avoid over/underutilization of services Educate public on benefits of PT
49
Strategies to avoid legal recourse
``` Documentation Rapport/Consent Learning Style Scope of Practice Safeguard rights/welfare Maintain pro relationship Tact Instruct carefully Condition of equipment Supervise ```
50
3 rights from Patient Bill of Rights
Selection of a PT of ones choosing to the extent that is reasonable/possible Access to info regarding practice policies and charges for services Refusal of PT services