Goals for Today: Ethical and Legal Considerations Examine ethical issues related to physical therapy care Describe the values/attributes of professionalism listed by the APTA as Core Values for the PT Summarize patient confidentiality related to physical therapy care Analyze legal issues related to physical therapy care
Reflective Thinking Think of a time when you had to make a difficult decision. What were some of the factors that made the decision difficult to make? How did the process of making this decision affect your emotions? Did it affect you physically? Who or what helped you to make the decision?
Morals and Ethics What does the word MORAL(s) mean? of or relating to principles of right and wrong in behavior What does the word ETHICS mean? a set of moral principles : a theory or system of moral values What’s the difference between morals and ethics? Morals define personal character, while ethics stress a social system in which those morals are applied.
Are all ethical decisions black andwhite?An Ethical Dilemma as defined byRuth Purtilo is: a type of ethicalsituation in which two courses ofaction can be equally appropriate.
Terminology Beneficence “doing good” for others Nonmaleficence The concept of doing no harm (Hippocratic Oath) Justice Dealing with all people in the same fair manner Veracity The obligation to be truthful in words and actions Confidentiality HIPPA (Health Insurance Portability and Accountability Act of 1996) Autonomy The right of people to have choices and to make their own decisions (Patient’s Bill of Rights)
Figure 3.1: American Physical Therapy Association Standards of Ethical Conduct for PTAsCourtesy of the APTA
Small Group Question #1 A patient is attracted to you, and you are attracted to the patient. The patient inquires about making your relationship personal as well as professional. What would you do? What Standards of Ethical Conduct could you use to help shape your ethical obligations to the profession of physical therapy?
Small Group Question #2 A patient is being treated for knee pain with a hot pack and enters the clinic with complaints of shoulder pain. The patient wants you to treat her shoulder with a hot pack also. What would you do? If you gave the patient a hot pack to her shoulder, would you be in violation of any laws or guidelines?
Small Group Question #3 You are working with another PTA and notice that he has asked the PT aide to give an ultrasound to one of his patients. The aide says yes and performs the ultrasound without any problems. What would you do?
Small Group Question #4 You ask a patient how he is feeling. He says he is feeling pretty good. However, the patient tells you to make sure you explain just how poorly his knee is feeling and how poor his ROM is on the progress note that will go to the worker’s comp board. You think the patient could RUN out of the room if needed. What would you do? What would you tell the patient?
Small Group Question #5 Do you believe ethical behavior can be taught? Why or why not? Up to this point in your life, what influences have had the greatest effect on the development of your ethical behavior?