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Intro to Prof Quiz 2
RIPS, cultural competance, and legal issues
Question | Answer |
---|---|
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 |