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Physical Therapist


Ethics for Professionals 103-105

The Analysis of Ethical Problems in Professional Life, Ethics of Confidential Information, Informed Consent


4.0

The Analysis of Ethical Problems in Professional life

  • Identify six steps in the analysis of ethical problems encountered in everyday professional life and how each plays a part in arriving at a caring response.
  • Describe the central role of narrative and virtue theories in gathering relevant information for a caring response.
  • List four areas of inquiry that will be useful when gathering relevant information to make sure you have the story straight.
  • Describe the role of conduct-related ethical theories and approaches in arriving at a caring response.
  • Describe why imagination is an essential aspect of seeking out the practical alternatives in an ethically challenging situation.
  • Discuss how courage assists you in a caring response.
  • Identify two benefits of taking time to reflect on and evaluate the action afterward.
  • Become familiar with AOTA and APTA Code of Ethics
  • Become familiar with the Guide to Professional Conduct for PT's

Ethics of Confidential Information

  • Define the terms confidential information and confidentiality.
  • Identify the relationship of a patient's legal right to privacy with his reasonable expectations regarding confidential information.
  • Describe how the telling and keeping of secrets is relevant to understanding the importance of confidentiality.
  • Discuss the ethical norms involved in keeping and breaking professional confidences.
  • Name five general legal exceptions to the professional standard of practice that confidences should not be broken.
  • Consider practical options that a professional can take when faced with the possibility of breaking a confidence.
  • Discuss some important aspects of documentation that affect confidentiality.
  • Compare ethical issues of confidentiality traditionally conceived with those that have arisen because of computerized medical records and patient care information systems.
  • Describe the key ethical strengths and challenges of the recent U.S. federal regulations related to privacy considerations (Health Insurance Portability and Accountability Act of 1996).
  • Become familiar with AOTA and APTA Code of Ethics
  • Review and become familiar with the TX PT Rules
  • Read case scenarios illustrating ethical decision making

Informed Consent

  • Describe three basic legal concepts that led to the doctrine of informed consent.
  • Describe three approaches to determining the disclosure standard for judging that a patient or client has been informed.
  • Discuss three major aspects of the process of obtaining informed consent.
  • Distinguish "general consent" from "special consent" documents.
  • Differentiate between the never-competent and once-competent patient or client and the challenges posed by each in regard to informed consent.
  • Compare informed consent as it is used in health care practice and in human studies research.
  • Describe some considerations one must always take into account to be sure one is being culturally competent and honoring cultural difference when informed consent is the standard.

Paul Powers, DC, DABCN

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