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Intro 2 PT final
Module 9- malpractice/abuse/honesty
| Question | Answer |
|---|---|
| name some ethical principles that drive our approach to care? | "BANJO" Beneficience, Autonomy, NonMaleficence, Justice. (no O, just used it to make an acrynomn) |
| Define Beneficence | doing good, what’s best for our patients. Actions that we do to demonstrate care. (Beneficence=Benefits/positive things) |
| define Nonmaleficence | do NO harm (ex. don’t withhold info from our patients) (NOnmaleficence=NO) |
| Define Autonmy (WRT our approach with our patients) | degree to which an individual can decide for themselves (question to think of though- how much should we coerce?) |
| Define Justice | concept of culturally appropriate fairness when treating all patients. Not everyone should be treated the same, treat according to their needs |
| what 2 aspects need to be in alignment when caring for our patients? | DEMONSTRATION of care (our actions/beneficence) & MOTIVE of care (benevolent character/attitude towards what we are doing) |
| difference btwn malady vs. illness | Malady: negative medical condition Ex. Pain, disability, injury, loss of freedom/pleasure. Illness: how malady is perceived or experienced by individual, Subjectively defined. ex) malady=ankle sprain, illness= way worse for NBA player vs. secretary) |
| what is a determinant of intensity and duration of PT treatment | Pain |
| what needs to be taken into account with a patient who has a high pain tolerance? | Patients who have chronic pain, have a higher threshold of pain, but accompanied by underreporting of pain. Know that pain could exist. Don’t overtreat or overpush |
| what needs to be taken into account with a patient who has a low pain tolerance? | Pateints with low pain tolerance, undertreating can be harmful or delay condition or not be cost effective. |
| Explain the strategy to reduce pain and suffering: | try hARD. A: Acknowledge (presence of pain/suffering) R: Respect (that the patient is experiencing it). D: Demonstrate (concern for individual: Empathy, Sympathy, Caring, Compassion) |
| Empathy vs. Sympathy | •Empathy: cognitive understanding of what another is feeling. “vicarious” (I could be you/in ur shoes)but not necessarily w/a sympathetic response. •Sympathy: is an emotion of concern, sharing of an individual’s sorrow or suffering. |
| Caring vs. Compassion | Caring: doing something for another's well being. Compassion is what you want to do, deep sympathy in response to suffering with the desire to relieve it. |
| Name some of the problems with caring too much? (6 total) | Invades patient privacy, Threatens patients’ autonomy (can create dependency),Invite bias + favoritism (threaten justice principle), Create inefficiencies (create admin probs, scheduling issues,) Compromise objectivity, Carry over to personal life of PT |
| Total Good vs Medical Good | medical good- well being measure in terms of health. total good is their overall, unified well being including health, happiness, valuable personal relationships, meaningful work, etc. |
| what are Common patterns 4 physical abuse bruising patterns? | • Central injuries: head, neck, chest & abdomen • Defensive posturing- forearms |
| what are some red flags when screening for domestic violence? | • Injuries inconsistent w/explanation • Injuries during pregnancy • Perpetrator will not leave the individual alone with med provider |
| as a health professional, when MUST you report child abuse? | Knowledge of REASONABLE SUSPICION of child abuse, abandonment or neglect by parent or person responsible for child’s welfare. (your name will be kept confidential, NOT anyonmous) |
| when MUST you report abuse of an adult? | gun shot, life-threatening, or adult is considered "vulnerable" (ex. nursing home) |
| what do you need to report abuse for an adult in general ( who do not meet the "must-have" requirements)? | informed consent (in Florida) |
| What do you need to do if abuse is identified (what is your behavior and clinical actions)? | behavior- show SUPPORT & CONCERN. ("you are not alone, i believe you, no one deserves to be..). Clinically: document OBJECTIVELY, describe deamanor of patient (crying, upset, calm), use quotes, photograph if possible. |
| patient Over 18, non life threatening injuries, can you report it? | no, need informed consent in FL |
| you have reasonable suspicion of child abuse, do you need to report it? | you MUST report it |
| patient is 55+ and is being abused (bad bruising but not life threatening), non vulnerable, - can u report it? | no, need consent. |
| T/F: o Male same sex partners are more violent than female same sex partners, who are then more violent then heterosexuals toward one another. | True |
| Define Conflict of Interest | situations in which individuals have interests that signif threaten their role responsibilities or that would do so for a typical person in their role |
| When disecting COI: "Situation in which individuals have interests that significantly threaten their role responsibilities or that would do so for a typical person in their role" define: Interest, role responsibilities and Typical person | Interest: and all potential benefits to the PT Role respon: well delineated duties attached to formal assignment Typical person: not a particular individual but the ‘typical’ person |
| Episodic vs Systemic COI (and examples of each) | Episodic: arise from choices made voluntarily (covering for a supervisor on a holiday to get a better review) Systemic: arise frm the very structure of the practice or profession (FFS reimbursement- over treat patient to get more $$, physican referral |
| what COI has been more problematic for PTs? | Systemic COI for Physician referral/vendors. vendors push their products/gifts and physican example with "you scratch my back, if I scratch yours" |
| What is Quid Pro Quo | getting something for something (doesn’t have to be sexual in nature) • Threats of harm or offers of benefit at the workplace • Ex. Student brings in cupcakes, get an A |
| Fraud vs. Abuse (in Health care) | Fraud is the INTENTIONAL MISREPRESENTATION of goods/services being delivered/not delivered (billing). and Abuse is when you IMPROPERLY MISUSE something (ex- wrong info 2 insurance co/data error, they pay you too much, you keep it.) |
| what is whistleblowing? | o Reporting problems to the appropriate authorities when you suspect something is not being performed or done according to law or protocol |
| what are the 2 types of WB? | • Permissible: serious harm to public is at stake • Obligatory: documented evidence that would convince authority that the situation does exist. And good reason that WB will rectify the problem! |
Created by:
tpostrel
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