This document discusses ethics in physiotherapy. It outlines seven principles of ethics: selflessness, integrity, objectivity, accountability, openness, honesty, and leadership. It also discusses moving from an "ethics of trust" to an "ethics of rights" approach. Some ethical issues in physiotherapy are discussed like using uncalibrated equipment or treating certain patients. The four main principles of ethics - nonmaleficence, beneficence, justice, and respect for autonomy - are also outlined. The document concludes with guidelines for ethical behavior and sources for further information on physiotherapy ethics.

1. By
DR.M.SELVAM.,MPT(ORTHO)
In charge & Senior Physiotherapist
Physiotherapy Department
CGHS Medical Centre
PARLIAMENT HOUSE ANNNEXE
New Delhi.

2. Greek word
Ethos = custom, habit, character.
 Not same as following the law
 Not just accepting “whatsoever society accepts”.
 Definition:well-founded standards of right and
wrong that prescribe what humans ought to do.
in terms of rights, obligations, benefits to society,
fairness, or specific virtues.
 It is a core of every day life

4. 1. Selflessness –Public interest
2. Integrity- Do not come under any obligation
3. Objectivity-Decisions based on merit & evidence
4. Accountability-Accountable for actions & ready for
skepticism
5. Openness- Open & transparent
6. Honesty- Truthful
7. Leadership-Proactive in implementing the principle
MNEMOINICS: HAILOOS

6. ETHICS OF TRUST
TO
ETHICS OF RIGHTS

7.  Using uncaliberated equipments?
 wax therapy for coccydynea ?
 SWD for six month old infant?
 Prescribing medicines ?
 Reluctance to provide service to HIV+ individuals?
 Sexual assault/harassment
 Favourtism

8. 1 • Responsibility to patient
2
• Responsibilities to societies
3
• Responsibilities to profession.

9.  Nonmaleficence =Do no harm
 Beneficence = Benevolence ,Compassion,
Kindness
 Justice = Treat fairly without violation of
rights
 Resolve dilemmas
 Trustworthiness

11. WHO &
ETHICS
INTEGRITY
ACCOUNTA
BILITYY
IMPARTIALITY
PROFESSIONAL
COMMITMENT
RESPECT

12. Accountability
Professional
duty
Social
Responsibility
Compassion /
caring
Excellence
Integrity
Altruism

13. 1.Integrity –Professional, Personal,
Protect patient Bodily integrity,
Ensure confidentiality
Informed consent,
Involving patient in decision making
Paternalistic view – “Doctor knows best”-negated
2. Empathy
3.Respect for autonomy
4.Respect other professionals
5.Professional commitment
6.Social responsibility

14. • Respect the Right and dignity of all individuals.
• Being trustworthy.
• Obeying the laws and regulations.
• Exercise sound professional judgment.
• Maintain professional competence.
• Promote high standards in practice ,education and
research.

15. • Seek desirable and reasonable remuneration.
• Provide accurate & available information.
• Protect the public &profession from unethical,
incompetence illegal acts.
• Shall Endeavour to address the needs of society.
• Respect rights, knowledge and skills of colleagues and
other health care professional.

16.  Use ethical framework to guide decision making
 Address real, potential& perceived conflict of interest
 Promote service in an ethical manner
 Embrace Social Responsibility
 Behave in a manner that values diversity.
 Accept accountability for decisions and actions

17.  Behave with honesty and respect for others.
 Maintain professional deportment.
 Respond constructively to changes affecting the
workplace.
 Balance personal and professional demands.
 Address physical, emotional and psychological factors
negatively impacting workplace performance.
 Work within physiotherapy scope of practice and
personal level of competence.

19. THE FOUR PRINCIPLES

20. He who practice
not for money
nor for caprice
but
out of compassion
for living being is the
“best among all”
----Charak Samhita

21.  Physiotherapy Ethics by Donald L Gabard and Mike
W.Martin.
 www.physiotherapyalberta.ca
 www.physio-pedia.com/ethics
 www.bioethics.msu.edu
 www.bbc.co.uk/ethics
 www.ethics.org.au
 www.apta.org