Ethical Issues in Private Practice Settings: Difference between revisions
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== Description == | == Description == | ||
Ethics is a systematic reflection on morality. Systematic because it is a discipline that uses special methods and approaches to examine moral situations and reflection because it consciously calls into question assumptions about existing components of moralities that fall into the category of habits, customs, or traditions.<ref> | Ethics is a systematic reflection on morality. Systematic because it is a discipline that uses special methods and approaches to examine moral situations and reflection because it consciously calls into question assumptions about existing components of moralities that fall into the category of habits, customs, or traditions.<ref>Purtillo RB 1999 Ethical Dimensions In The Health Professions, p 12. Philadelphia, PA, WB Saunders</ref> The term moral refers to a group of notions about what is right or wrong in connection with one's own or others' action.<ref name=":0">Aadland E 2000 Etik, dilemma og valg. København, Dansk psyko-logisk Forlag</ref> Physiotherapy in private practice must be considered both within an organizational frame and a frame of meaning.<ref>Thornquist E 2010 Klinik, Kommunikation, Information, 2 udg. København, Hans Reitzels Forlag</ref> The nature of the physiotherapy process includes examination, diagnostic assessment, evaluation, prognosis, plan of treatment, and re-examination in close interaction with the patient. From this follows that physiotherapy is relational.<ref>Schriver NB 2004 Patienten som medskaber af egen genoptræning –betydning af relationer, rum, refleksion og dialog. Tidsskrift for Sygeplejeforskning 2: 18–26 | ||
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== Ethics in Physiotherapy == | == Ethics in Physiotherapy == | ||
Within the last four decades, the physiotherapy profession has experienced an increase in professional autonomy. An important aspect of professional autonomy is to have a prominent ethical dimension<ref>Carr 2000</ref> both collectively and for the individual members of the profession. The growing autonomy thereby increases the need for formal ethical considerations for physiotherapists and serves to focus more clearly on the individual physiotherapist's ethical competence: the ability to identify; to examine; to assess; and to decide in relation to the ethical issues in daily practice. The increased interest in ethical issues and dilemmas facing physiotherapists is, on one hand, reflected in the recent years of formal codifications of and guidelines for professional morality: The World Confederation of Physical Therapy has had a Code of Ethics since 1995 (WCPT, 2007); on the other hand, it is reflected in the increased amount of articles on the subject.<ref>Carpenter | Within the last four decades, the physiotherapy profession has experienced an increase in professional autonomy. An important aspect of professional autonomy is to have a prominent ethical dimension<ref>Carr D 2000 Professionalism and Ethics in Teaching, p 23. London, Routledge</ref> both collectively and for the individual members of the profession. The growing autonomy thereby increases the need for formal ethical considerations for physiotherapists and serves to focus more clearly on the individual physiotherapist's ethical competence: the ability to identify; to examine; to assess; and to decide in relation to the ethical issues in daily practice. The increased interest in ethical issues and dilemmas facing physiotherapists is, on one hand, reflected in the recent years of formal codifications of and guidelines for professional morality: The World Confederation of Physical Therapy has had a Code of Ethics since 1995 (WCPT, 2007); on the other hand, it is reflected in the increased amount of articles on the subject.<ref>Carpenter C, Richardson B. 2008. Ethics knowledge in physical therapy: A narrative review of the literature since 2000. Physical Therapy Reviews 13: 366–374 | ||
</ref><ref>Swisher LL 2002 A retrospective analysis of ethics knowledge in physical therapy (1970–2000). Physical Therapy 82: 692–706</ref> | |||
Ethical issues in physiotherapy can be : | Ethical issues in physiotherapy can be : | ||
* about how to maintain a professional proximity in the close and, mostly, continued relationship between physiotherapist and patient where both physiotherapist and patient are being touched by one another, bodily, mentally, and emotionally<ref>Poulis | * about how to maintain a professional proximity in the close and, mostly, continued relationship between physiotherapist and patient where both physiotherapist and patient are being touched by one another, bodily, mentally, and emotionally<ref>Poulis I 2007b The end of physiotherapy. Australian Journal of Physiotherapy 53: 71–72</ref> without entering the personal sphere in which friendships occur. | ||
* about how to manage the given power asymmetry; the patient comes to the physiotherapist in a vulnerable state and since imbalance in knowledge, power, and authority is a condition, the physiotherapist must constantly be aware of the inherent vulnerability of the patient, even when there is a need to engage in a process of mutual partnership. | * about how to manage the given power asymmetry; the patient comes to the physiotherapist in a vulnerable state and since imbalance in knowledge, power, and authority is a condition, the physiotherapist must constantly be aware of the inherent vulnerability of the patient, even when there is a need to engage in a process of mutual partnership. | ||
* about how to communicate in a respectful manner with all clients regardless of age, level of education, ethnicity, or how to live up to the patients' right to self-determination and privacy during all aspects of the course<ref>Praestegaard, | * about how to communicate in a respectful manner with all clients regardless of age, level of education, ethnicity, or how to live up to the patients' right to self-determination and privacy during all aspects of the course<ref>Praestegaard J 2001 Etik i fysioterapi (Master thesis). Lund, Lunds University</ref><ref>Potter M, Gordon S, Hamer P 2003c The difficult patient in private practice physiotherapy: A qualitative study. Australian Journal of Physiotherapy 49: 53–61 | ||
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* about ethical dilemmas- relational situations, filled with doubt and ambivalence; where the physiotherapist has to choose between action alternatives that will have negative consequences for the patient<ref name=":0" /> | * about ethical dilemmas- relational situations, filled with doubt and ambivalence; where the physiotherapist has to choose between action alternatives that will have negative consequences for the patient<ref name=":0" /> | ||
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Description[edit | edit source]
Ethics is a systematic reflection on morality. Systematic because it is a discipline that uses special methods and approaches to examine moral situations and reflection because it consciously calls into question assumptions about existing components of moralities that fall into the category of habits, customs, or traditions.[1] The term moral refers to a group of notions about what is right or wrong in connection with one's own or others' action.[2] Physiotherapy in private practice must be considered both within an organizational frame and a frame of meaning.[3] The nature of the physiotherapy process includes examination, diagnostic assessment, evaluation, prognosis, plan of treatment, and re-examination in close interaction with the patient. From this follows that physiotherapy is relational.[4]
Ethics in Physiotherapy[edit | edit source]
Within the last four decades, the physiotherapy profession has experienced an increase in professional autonomy. An important aspect of professional autonomy is to have a prominent ethical dimension[5] both collectively and for the individual members of the profession. The growing autonomy thereby increases the need for formal ethical considerations for physiotherapists and serves to focus more clearly on the individual physiotherapist's ethical competence: the ability to identify; to examine; to assess; and to decide in relation to the ethical issues in daily practice. The increased interest in ethical issues and dilemmas facing physiotherapists is, on one hand, reflected in the recent years of formal codifications of and guidelines for professional morality: The World Confederation of Physical Therapy has had a Code of Ethics since 1995 (WCPT, 2007); on the other hand, it is reflected in the increased amount of articles on the subject.[6][7]
Ethical issues in physiotherapy can be :
- about how to maintain a professional proximity in the close and, mostly, continued relationship between physiotherapist and patient where both physiotherapist and patient are being touched by one another, bodily, mentally, and emotionally[8] without entering the personal sphere in which friendships occur.
- about how to manage the given power asymmetry; the patient comes to the physiotherapist in a vulnerable state and since imbalance in knowledge, power, and authority is a condition, the physiotherapist must constantly be aware of the inherent vulnerability of the patient, even when there is a need to engage in a process of mutual partnership.
- about how to communicate in a respectful manner with all clients regardless of age, level of education, ethnicity, or how to live up to the patients' right to self-determination and privacy during all aspects of the course[9][10]
- about ethical dilemmas- relational situations, filled with doubt and ambivalence; where the physiotherapist has to choose between action alternatives that will have negative consequences for the patient[2]
Sub Heading 3[edit | edit source]
References[edit | edit source]
- ↑ Purtillo RB 1999 Ethical Dimensions In The Health Professions, p 12. Philadelphia, PA, WB Saunders
- ↑ 2.0 2.1 Aadland E 2000 Etik, dilemma og valg. København, Dansk psyko-logisk Forlag
- ↑ Thornquist E 2010 Klinik, Kommunikation, Information, 2 udg. København, Hans Reitzels Forlag
- ↑ Schriver NB 2004 Patienten som medskaber af egen genoptræning –betydning af relationer, rum, refleksion og dialog. Tidsskrift for Sygeplejeforskning 2: 18–26
- ↑ Carr D 2000 Professionalism and Ethics in Teaching, p 23. London, Routledge
- ↑ Carpenter C, Richardson B. 2008. Ethics knowledge in physical therapy: A narrative review of the literature since 2000. Physical Therapy Reviews 13: 366–374
- ↑ Swisher LL 2002 A retrospective analysis of ethics knowledge in physical therapy (1970–2000). Physical Therapy 82: 692–706
- ↑ Poulis I 2007b The end of physiotherapy. Australian Journal of Physiotherapy 53: 71–72
- ↑ Praestegaard J 2001 Etik i fysioterapi (Master thesis). Lund, Lunds University
- ↑ Potter M, Gordon S, Hamer P 2003c The difficult patient in private practice physiotherapy: A qualitative study. Australian Journal of Physiotherapy 49: 53–61
