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