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Ethics and My Naked Patient

Ari Ginsberg, PT, DPT, MSIOP

A topic that is often overlooked but is of the utmost importance is ethics
for physical and occupational therapists. This humorous story illustrates why
ethics is so important for physical and occupational therapists. When I was a
home care physical therapist, I was assigned a patient with a diagnosis of
morbid obesity and severe arthritis. The evaluation was typical, and I decided
to prescribe him several more visits to improve his functional mobility. The
patient was primarily bed bound and required assistance with mobility and
self-care. On the second or third visit I entered the apartment, and the
patient was lying in bed on his back completely naked. I respectfully asked the
patient if he could cover up and he responded by asking me if I was
uncomfortable. I said that I was, and he covered himself.

Afterward, I told my colleague, the nurse covering the case, and she
responded that she had heard from the patient that he had a crush on me. I was
not personally offended; I actually found the incident to be humorous. When
analyzing that situation, there are many different ethical questions that
emerged. Should I have continued to see the patient or found another therapist?
What if the patient’s sexual orientation was different? What if the patient was
the opposite gender? Is there any principle in the APTA/AOTA Code of Ethics
that could help resolve this dilemma? How in general do you resolve grey areas
in ethics for physical and occupational therapists?

In my ethics webinar, Let’s Get Ethical: Ethical Boundaries for PTs/OTs,
approved for CEUs by the NJ Board of PT, NY Board of PT, Ohio Physical Therapy
Association, and the AOTA, I discuss the use of moral psychology as a method of
answering these ethical grey areas. The APTA Code of Ethics does not address
this case, nor does it mention many other grey areas in ethics. Moral
psychology is founded on the concept that intuition comes first in moral
judgement and reasoning second. What does you intuition tell you about how you
would have responded? What is your reasoning? Verbalize your thoughts or write
them down. Try to clarify your conception of ethics for physical and
occupational therapists.

There are many ethically charged situations which demand the use of intuition.
The best example of when intuition is necessary is when 2 ethical principles
collide. For example, putting a patient’s best interest first is an ethical
principle. Telling the truth is also an ethical principle. What happens when
there is conflict. For example, your patient needs more physical or
occupational therapy visits, but the insurance company won’t give the patient
more visits. What do you do? Do you fudge the truth on a note to get the
patient more visits or is that ethically wrong? How do you decide what takes
priority, the patient’s best interest or telling the truth? This is a common
case that deals with ethics for physical and occupational therapists. Perhaps
that is why ethics for physical therapists in many states is required. Ethical
dilemmas occur daily. Figuring out how to deal with these ambiguous situations
is essential to professional practice.

Many states have different CEU requirements involving ethics for either physical or occupational therapists.
For example, NJ requires 2.5 hours of ethics. So, if you are searching ethics
physical therapists NJ, you are in the right place. Ohio, Utah, South Carolina,
and Pennsylvania also have ethics CEU requirements. In addition to Let’s Get
Ethical: Ethical Boundaries for PTs/OTs, I also provide an ethics course that
is designed specifically for occupational therapists, Grey Ethics in Occupational
Therapy.

To learn more, check out: Ethical Boundaries for PTS OTS

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Let's Get Ethical: Ethical Boundaries for PTs/OTs

A 2.5 hour webinar approved for CEUs by the

AOTA – # 02517 

NY Board of Physical Therapy

The Ohio Physical Therapy Association # 21S2571

The NJ Board of PT # 2110-14

Meets Requirements for PTs/PTAs in:

AL, AR, AZ, CO, CT, DE, FL, GA, ID, IA, IL, KS, KY, MA, MD, ME, MI, MN, MO, MS,

MT, NC, ND, NH, OR, PA, RI, SC, SD, UT, VA, VT, WA, WI, WV, WY

due to recognition of approval from another state chapter of the APTA (Ohio PTA)

or another state board of PT (NY, NJ)

Objectives to facilitate clinician ethical practice

 

1. Define ethics and the Code of Ethics of the APTA/AOTA to practice in an ethical manner

2. Analyze the boundaries of ethical priniciples for PTs/OTs to solve ethical dilemmas

3. Apply APTA ethical principles to professional practice through case studies

4. Apply AOTA ethical principles to professional practice through case studies

A posttest/survey will be give after live and on-demand webinars. After purchasing an on-demand webinar you will be redirected to a webpage with the webinar and posttest links. A CE certificate will be emailed following posttest completion

Optimizing the Patient Experience

A 1 hour webinar approved for CEUs by the

AOTA – #02034

NY Board of Physical Therapy

Pending Approval by the NJ Board of PT – 2022 – 2024

Meets Requirements for PTs/PTAs in:

AL, AR, AZ CO, GA, IA, IL, KS, NC, NE, NH, ND, NM, OR, SC, WA, WI

Objectives related to professional development

1) Identify the components of bedside manner/ patient satisfaction and their link to healthcare outcomes

2) Apply strategies using social psychology to optimize the patient experience

3) Implement an organizational approach to improve patient satisfaction scores

A posttest/survey will be given following live and on-demand webinars. After purchasing the on-demand webinar you will be redirected to a webpage with the webinar and posttest links A CE certificate will be emailed following posttest completion

Improving Patient Adherence to Home Exercise Programs

 1 hour webinar approved for CEUs by the

AOTA – #02036

NY Board of Physical Therapy

The NJ Board of PT # 2111-80

Meets Requirements for PTs/PTAs in:

AL, AR, AZ CO, GA, IA, IL, KS, NC, NE, NH, ND, NM, OR, SC, UT, WA, WI

Objectives to facilitate patient/client goal achievement

1. Identify the benefits of home exercise programs

2) Define differing theories of motivation/influence

3) Apply social psychology to HEP prescription/plan

A posttest/survey will be given following live and on-demand webinars. After purchasing an on-demand webinar you will be redirected to a webpage with the webinar and posttest links. A CE certificate will be emailed following posttest completion

The Science of Bedside Manner and Patient Satisfaction

A 2 hour webinar approved for CEUs by the

AOTA – #02037

NY Board of Physical Therapy

Ohio Physical Therapy Association # 21S2565

The NJ Board of PT # 2110-15

Meets Requirements for PTs/PTAs in:

AL, AR, AZ, CO, CT, DE, FL, GA, ID, IA, IL, KS, KY, MA, MD, ME, MI, MN, MO, MS,

MT, NC, ND, NH, OR, PA, RI, SC, SD, UT, VA, VT, WA, WI, WV, WY

due to recognition of approval from another state chapter of the APTA (Ohio PTA)

or another state board of PT (NJ, NY)

Objectives to facilitate patient/client goal achievement

1. Develop and improve empathy skills

2. Identify the link between bedside manner/patient satisfaction and health outcomes

3. Measure patient satisfaction in a valid/reliable manner

4. Apply social psychology techniques to improve patient satisfaction

5) Integrate organizational strategies to improve patient satisfaction scores

A posttest/survey will be give after live and on-demand webinars. After purchasing an on-demand webinar you will be redirected to a webpage with the webinar and posttest links. A CE certificate will be emailed following posttest completion

Effective Leadership and Communication in Rehab

A 1 hour webinar approved for CEUs by the

AOTA – #02299

NY Board of Physical Therapy

Meets Requirements for PTs/PTAs in:

AL, AR, AZ CO, GA, IA, IL, KS, NC, NE, NH, ND, NM, OR, SC, WA, WI

Objectives related to professional development

 

1. Define leadership and various leadership styles

2. Identify successful leadership styles in healthcare/rehab

3. Implement effective leadership communication strategies in rehab

A posttest/survey will be given after live and on-demand webinars. After purchasing an on-demand webinar you will be redirected to a webpage with the webinar and posttest links. A CE certificate will be emailed following posttest completion

The New World of Rehab: Addressing Burnout

A 1-hour webinar approved for CEUs by the

AOTA – #02035

NY Board of Physical Therapy

Meets Requirements for PTs/PTAs in:

AL, AR, AZ, CO, CT, DE, FL, GA, ID, IA, IL, KS, KY, MA, MD, ME, MI, MN, MO, MS,

MT, NC, ND, NH, OR, RI, SC, SD, UT, VA, VT, WA, WI, WV, WY

due to recognition by another state board of PT (NY)

Objectives related to professional development

 

1. Identify the causes of rehab burnout

2. Recognize the signs of rehab burnout

3. Apply strategies to prevent/reduce rehab burnout

A posttest/survey will be given after live and on-demand webinars. After on-demand purchase you will be redirected to a webpage with the video link/posttest link. A CEU certificate will be emailed following post-test completion