According to the RIPS Model, an ethical decision making guide for physical therapists, an ethical dilemma is when, “Two alternative courses of action may be taken, both of which fulfill an important duty, and it is not possible to fulfill both obligations.” In the field of physical therapy, like other healthcare fields, ethical decisions are made daily. There is a variety of situations that put physical therapists in uncomfortable positions. These range from confidentiality codes to more complex situations involving health insurance and billing. Ultimately, the physical therapist must use their own judgment, but the Physical Therapy Code of Ethics and RIPS Model of Ethical Decision Making both serve as a guide for determining the best course …show more content…
The Realm-Individual Process-Situation (RIPS) Model of Ethical Decision Making is another guide for physical therapists to use when assessing an ethical dilemma. The RIPS Model is composed of four steps: (1) Recognize and Define ethical issues, (2) Reflect, (3) Decide the right thing to do, and finally (4) Implement, Evaluate, and Re-assess. First, the physical therapist should recognize that there is an ethical decision to be made. Also, they categorize the problem into a “realm.” There are three realms: the individual realm (concerned with the good of the patient), the organizational/institutional realm (concerned with the good of the organization), and the societal realm (concerned with the common good). The physical therapist decides which realm is the most important in the particular ethical dilemma and then bases their actions on the decided realm. Next, the physical therapist reflects on the options. Then, they decide what to do. The RIPS Model offers a series of questions that helps decide whether an action is appropriate or not. They include: Does this action break any laws? Does it break the APTA Code of Ethics? Does the situation feel wrong? Will you feel discomfort if the information becomes public? What would your parents do? After answering these questions, the solution to the ethical dilemma should become more clear. Finally, the last step is to implement the plan and be flexible enough to change it if need be. With the combined use of the APTA Code of Ethics and the RIPS Model, physical therapists have the tools required to make sound ethical
The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care
Each of the policies were created as a record of the ethics in the profession and as a manual for molding clinical decisions. Using the NAADC gives the professional a foundation to use when working with a client whose morals are different than your own. A behavioral health professional
It is the professional duty of the physical therapist to maintain confidentiality and was evident when another patient began questioning why the individuals were in the hospital. An additional aspect presented
Witnessing these two ethical issues have increased my awareness of the legal and ethical standards of the counseling field. I understand the difference between legal and ethical standards and how some situation may not always result to legal involvement. I was able to observe how the staff handled each situation and how the decision/issue affected the patient in numerous ways. During supervision, I practiced using ethical decision making skills and explored how I would have handled each ethical issue differently. I have learned how to appropriately handle situation such as informing an anxious patient of later discharge dates in a way that would decrease the chances of an intense crises.
The main function of the healthcare ethics committee is to resolve ethical conflicts by providing consultations and conflict resolution, answer ethical questions, promote patient rights and shared decision making between patients, surrogates, and their clinicians, promote fair policies and procedures that increases the probability of attaining good and patient-centered outcomes, and provide education (Ethics Committees, Programs, and Consultants, 2013). The committee reviews cases on a case-by-case basis and assists patients, family, and staff with coming to an agreement on the options that best met their needs (Healthcare Ethics Committee, 2013). The healthcare ethics committee is structured to include a broad span of community leaders in positions of political stature, respect, and diversity (Healthcare Ethics Committee, 2013). The healthcare ethics committee should include a multifaceted team, consisting of physicians,
Nelson, William A. Healthcare Executive Column. July/August 2005; Making Ethical Decisions: A Six-Step Process Should Guide Ethical Decision Making in Healthcare; Healthcare Management Ethics. July/August
My core values have improved because I have been more focused and understanding to my patient's desire or achieve in receiving physical therapy treatment. As a clinician, I take more responsibilities of accepting errors and consequences and self-correct without taking in a negative manner or revenge. I became more flexible with changes of the style of treatment, such as new advanced technologies based on evidenced based practice, linked to excellence (core value). The physical therapy code of ethics has impacted my career of being more aware in preventing liabilities, such as performing activities beyond the scope of my practice. There is a professional consideration of each other's limitations, by engaging in exploration to add to the discovery of facts recognized in the scope of practice (APTA, 2003).
The study of ethics, moral conduct and decision making regarding ethical issues in nursing is a vital component of nursing education. Nurses may be confronted almost on a daily basis with the need to make nursing decisions when there is no right or wrong answer. Nurses will at times feel caught in the middle (Pavlish et. al, 2011). This dilemma demonstrates how easily ones nursing practice can be significantly altered.
Profession Code of Ethics Comparison As a social work student, we are provided with the foundational education necessary to succeed in our profession. The National Association of Social Work (NASW) Code of Ethics is the most significant publication because it “is intended to serve as a guide to the everyday professional conduct of social workers” (NASW Code of Ethics, 2017). For this assignment, we are charged with exploring other professional codes of ethics to gain a better understanding of how they may be similar or differ from one another. Therefore, I choose to explore the American Counseling Association (ACA) Code of Ethics with the intention of conducting a comparison analysis of both documents.
When faced with an ethical problem or issue in any career affecting societal concerns, I would use moral reasoning and the knowledge about ethical principles I learned in my assignments and courses to make an informed and moral decision when presented with an issue. In my courses at Ashford, I learned a great deal about ethics in the SOC 120: Introduction to Ethics and Social Responsibility course. From the academic knowledge I’ve gained through this course, I am able to apply the four ethical principles, autonomy, beneficence, nonmaleficence, and justice, as guidelines when faced with clinical decisions working in the medical field. In SOC 120, I was able to learn and research how ethics applies to healthcare, health professionals, and hospitals, which is essential for my career in health informatics, and as a pharmacy
The Eight Step Ethical Decision-Making Model is about the collective effort between client and counselor and not about the counselor finding a solution for the client or making a decision for him (Corey, Corey & Haynes,1998). This model
Military Nurse’s Dilemma Chi Tiet University of Michigan - Flint Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them. In a military nurse’s dilemma, a military RN is ordered to force feeding a terrorist prisoner while he is undergoing interrogation, and the prisoner is on a hunger strike protesting. The nurse is torn, but fearing of reprisal if orders are disobeyed, so the nurse is appalled at the over-riding a patient’s wish by force feeding him agains his wish.
The Code reviews broad ethical principles that reflect the profession's center values and builds a set of particular ethical standards that should be used to manage social work practice. 3. The Code is meant to help social workers recognize relevant considerations when professional obligations conflict or ethical uncertainties arise. 4. The Code provides moral standards to which the general public can take the social work profession responsible.
From time to time, social work practitioners face different challenges and one of such example is being confronted with ethical dilemmas. An ethical dilemma is defined as “when the social worker sees himself or herself as facing a choice between two equally unwelcoming alternatives, which may involve a conflict of moral values, and it is not clear which choice will be the right one” (Banks, 2012). Ethical dilemmas can occur in the context of either client or organisational-related conflict situations at work. The first ethical dilemma is when the patient refuses medical treatment and services because he or she would not accept that there is any problem.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to