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Lecture 7 Professional Autonomy & Accountability


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Professional Autonomy & Accountability

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Lecture 7 Professional Autonomy & Accountability

  1. 1. Avanianban Chakkarapani 27.2.2015; 9.30-10.30 am LT2 PROFESSIONAL AUTONOMY & ACCOUNTABILITY
  2. 2. o Able to discuss 1. Standards, requirements and code of practice; 2. professional code of conduct, values, beliefs; 3. legal and ethical responsibilities of professional practice; 4. clinical governance, clinical guidelines, professional standards; 5. health and safety legislation; and 6. continuing professional development & life long learning. Learning Outcome:
  4. 4. 9 Standards
  5. 5. STANDARDS ELEMENTS Standard 1: Demonstrate professional behaviour appropriate to physiotherapy 1.1 Demonstrate practice that is ethical and in accordance with relevant legal and regulatory requirements. 1.2 Demonstrate strategies to maintain and extend. professional competence 1.3 Operate within individual and professional strengths and limitations.
  6. 6. STANDARDS ELEMENTS Standard 2 Communicate effectively 2.1 Communicate effectively with the client. 2.2 Adapt communication style recognising cultural safety, and cultural and linguistic diversity. 2.3 Communicate effectively with other service providers. 2.4 Prepare and deliver presentations to groups. 2.5 Prepare and provide documentation according to legal requirements and accepted procedures and standards.
  7. 7. STANDARDS ELEMENTS Standard 3 Access, interpret and apply information to continuously improve practice. 3.1 Demonstrate a working knowledge and understanding of theoretical concepts and principles relevant to physiotherapy practice. 3.2 Apply contemporary forms of information management to relevant areas of practice. 3.3 Apply an evidence-based approach to own practice. 3.4 Acquire and apply new knowledge to continuously improve own practice.
  8. 8. STANDARDS ELEMENTS Standard 4 Assess the client 4.1 Collect client information. 4.2 Form a preliminary hypothesis. 4.3 Design and conduct an assessment. 4.4 Conduct assessment safely. Standard 5 Interpret and analyse the assessment findings 5.1 Compare findings with ‘normal’ 5.2 Compare findings with what is expected for the condition, and include or exclude alternative diagnoses. 5.3 Prioritise client needs. 5.4 Re-evaluate as required, to develop a justifiable and sustainable hypothesis. 5.5 Identify areas that are outside skills and expertise and refer client appropriately.
  9. 9. STANDARDS ELEMENTS Standard 6 Develop a physiotherapy intervention plan 6.1Develop rationale for physiotherapy intervention. 6.2 Set realistic short and long term goals with the client. 6.3 Select appropriate intervention. 6.4 Plan for possible contingencies that may affect intervention plan. 6.5 Prioritise intervention plan in collaboration with the client. 6.6 Determine plan of evaluation that uses valid and reliable outcome measures.
  10. 10. STANDARDS ELEMENTS Standard 7 Implement safe and effective physiotherapy intervention(s) 7.1 Obtain informed consent for the intervention. 7.2 Prepare equipment and treatment area appropriate to the intervention. 7.3 Implement intervention safely and effectively. 7.4 Manage adverse events. 7.5 Provide strategies for client self management. 7.6 Implement health promotion activities.
  11. 11. STANDARDS ELEMENTS Standard 8 Evaluate the effectiveness and efficiency of physiotherapy intervention(s) 8.1 Monitor the outcomes of the intervention. 8.2 Evaluate the outcomes of the intervention. 8.3 Determine modifications to intervention.
  12. 12. STANDARDS ELEMENTS Standard 9 Operate effectively across a range of settings 9.1 Use a model of service delivery relevant to the practice setting. 9.2 Work effectively within a team. 9.3 Manage own work schedule to maximise safety, efficiency and effectiveness. 9.4 Operate within own role and according to responsibilities. 9.5 Participate in quality improvement processes.
  14. 14. o Respect for the patient as an individual is central to all aspects of the physiotherapeutic relationship and should be demonstrated at all times, ensuring that professional responsibilities and standards of practice are not influenced by age, gender, religion, sexual preference, nationality, party politics, social or economic status or nature of a patient’s health problems. CODE OF PRACTICE - PHYSIOTHERAPY
  15. 15. o Patients are given information about the proposed physiotherapy procedure, taking into account their age, emotional state and cognitive ability, to allow informed consent. o Information which the patient gives to the physiotherapist is to be treated in the strictest confidence. No information may be disclosed without the consent (preferably written) of the patient, except when compelled by law. CODE OF PRACTICE - PHYSIOTHERAPY
  16. 16. o In order to deliver effective care, information relating to treatment options is identified, based on the best available evidence. o Information relating to the patient and his/her presenting problem is collected via the assessment and recorded. o Taking account of the patient’s problems, continual re-assessment is done to evaluate the change in the patient’s health status. This is recorded. CODE OF PRACTICE - PHYSIOTHERAPY
  17. 17. o Following information gathering and assessment, analysis will be undertaken in order to formulate a treatment plan. This is to be recorded. o Every patient who receives physiotherapy must have a record which includes information associated with each episode of care. Patient records are signed and retained in accordance with existing policies. o A treatment plan is formulated in partnership with the patient/ relatives/ carers/ guardian. CODE OF PRACTICE - PHYSIOTHERAPY
  18. 18. o The treatment plan is delivered in a way that benefits the patient, ensuring that it is effective and relevant to the patient’s circumstances and health status. o On completion of treatment plan, arrangements are made for the transfer of care/ discharge. o Physiotherapists should communicate effectively with registered medical practitioners, other health professionals and relevant outside agencies to provide effective and efficient service to the patient. CODE OF PRACTICE - PHYSIOTHERAPY
  19. 19. o Patients are treated in an environment that is safe for patients, physiotherapists and relatives/ carers, ensuring that actual and/or potential risks (equipment, environment, actual treatment) are eliminated. o Physiotherapists are obliged to take all reasonable measures to eliminate or minimize the risks of working alone. o The physiotherapist assesses his/ her learning needs, plans his/ her continuing professional development and implements the plan. CODE OF PRACTICE - PHYSIOTHERAPY