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Intro to Prof Quiz 2

RIPS, cultural competance, and legal issues

Rights of patients in PT practice Right to life, right to autonomy, right to health care
RIPS stands for Realm, individual process, situation
Kidder developed the RIPS model, and Tests for Right vs Wrong
4 steps of RIPS 1. define ethical issue, 2. reflect, 3. decide action, 4. implement and reassess
3 realms of ethics (RIPS) individual, organizational/instutional, society
Individual process What you/others are required to do to perform an action (ethical decision)
Individual process: Moral sensitivity recognizing the ethical situation
Individual process: Moral judgement determine right vs wrong
Individual process: Moral motivation moral values above other values
Individual process: Moral courage gaining the courage to act
Ethical situation: Issue/problem values are challenged
Ethical situation: Dilemma right vs right
Ethical situation: Distress Right action block by a barrier
Ethical situation: Temptation right vs tempting wrong
Ethical situation: Silence no one is addressing the wrong
LEARN Model of Cultural Competence: L Listen to patient
LEARN Model of Cultural Competence: E Explain and share your perspective
LEARN Model of Cultural Competence: A Acknowledge differences in perspective
LEARN Model of Cultural Competence: R Recommend care
LEARN Model of Cultural Competence: N Negotiate agreement (for POC)
# of states with a form of direct access 48
Does ignorance provide a defense in med. malpractice cases? no
Three sections of law in US courts Criminal, civil/tort law, administrative law
Criminal law involves punishment for a prohibited action
Tort/Civil law involves compensation for a wrong doing (e.g. negligence)
Fraud misrepresenting, concealing, misleading
Intentional tort (examples) assault, defamation, trespass, intentional infliction of emotional distress
Criminal law prosecution requires "proof beyond a reasonable doubt"
Tort/Civil law prosecution requires "a preponderance of evidence" or "clear and convincing evidence"
Medical malpractice via neglect is called Professional negligence
Ordinary negligence (example) patient slips on puddle in clinic
Medical malpractice (example) applies hotpack to someone with impaired circulation
Documentation can be used as a defense in ____ suits medical malpractice suits
Variables in state practice acts direct access, cont. ed. requirements, interventions allowed for PTs/PTAs
Things you must disclose to a patient diagnosis, purpose of treatment, risks, prognosis, alternatives
Duty to breach confidentiality in cases involve the abuse of... elder, child, or disabled person
Core values of "Traditionalists" (1922-1943) conformity, delayed reward, hard work, respect for authority
Core values of "Baby Boomers" (1943-1960) team oriented, idealistic, opportunistic, focus on youth/health
Core values of "Generation X" (1960-1980) comfortable with technology, informal, self-reliant, nontraditional
Core values of "Generation Y" (1980-2000) achievement, confidence, diversity, sociability, "street smarts"
Cultural competence awareness and acceptance of differences
5 ways cultural competence are essential to PT practice 1. develop RAPPORT w/ pt, 2. recognize pt. CONCERNS, 3. collecting DATA, 4. developing a plan of care (POC), 5. pt EDUCATION
7 domains of cultural competence 1. values/attitudes, 2. communication, 3. community, 4. physical environment, 5. procedures, 6. population-based clinical practice, 7. training and prof development
Common cultural influences in PT (examples) health beliefs, gender roles, concepts of illness, aging, and death
Created by: cbaweiss