You patient, Jerry, is a 67 year old male who recently had a cerebral vascular attack (CVA) affecting the right side of his body. You have been working with Jerry for the past six weeks on strength, ROM, balance, and coordination and he has been progressively gaining more function. In the past few sessions however, you have noticed that he has plateaued. The insurance company needs to see that the patient’s status is improving in order to continue paying for their therapy. It is noted that studies have shown that it is normal for a patient to see a plateau in the middle of their therapy timeframe, but if therapy is continued a positive progression can be seen; conversely if therapy is stopped then a loss of gains and function can occur. As …show more content…
As a therapist you know that falsifying your documentation is illegal, but would ensure that the insurance company would pay for more sessions so Jerry could continue to elicit gains. You would not particularly benefit, but your patient would. It challenges the integrity of the therapist and the integrity of the profession. 2.) Identify which Ethical Principles and/or specific principles within the Code of Ethics are involved. • APTA Principle #3d of the code of ethics: Physical therapists shall not engage in conflicts of interest that interfere with professional judgement • Non-Maleficence • Beneficence • APTA Principle #5A of the code of ethics: Physical Therapists shall comply with applicable local, state, and federal laws and …show more content…
I would let him know that over the past week his progress has plateaued and there is really nothing else I can do for him right now. The insurance company needs to see progress and since he has plateaued, he would have to be discharged. I would not falsify my documentation because that is illegal, and goes against every principle that this profession stands for, and it could lead to the end of my practice and licensure. I could discuss with Jerry what kind of options he has to get more therapy, such as showing evidence to insurance companies that more therapy sessions would be beneficial. Additionally I could refer him to a social worker, or someone who can help guide him towards the next plan of action. Before I go to discharge Jerry, I would set up a home exercise plan with him, and express that it is vital to continue exercise, so hopefully he can hold onto some of the gains gained through
Evidently everything that took place at Willowbrook was extremely unethical all around. All ten of the principles in the ATRA code of ethics were violated. Willowbrook is a perfect example of how ethics change over time. Even though today you hear stories about abuse and neglect that takes place in nursing homes this type of treatment and this amount of widespread neglect would never happen today. Today there are strict protocols and guidelines in every facility that as a professional you are required to follow.
In doing so, doctors also disregarded the patients’ autonomy in their decision to have themselves committed for their altered mental state. Invalidating the patients claim and affecting their trust, which is the pinnacle of the patient-doctor relationship. With psychiatric patient even more so because there must be a level of trust in the person’s claim and in their determination, that they might be having a breakdown. A beneficial scenario for the parties involves would have been if the doctors’ actions promoted more good, or beneficence, and gave Jessie better tools to cope with his PTSD. Instead, of taking an inactive approach, which allowed the situation to escalate to the point he became a danger to himself and others.
Every state in the US has an affiliated chapter branching from the national organization that advocates for all Physician Assistants, known as the American Academy of Physician Assistants (AAPA). The American Academy of Physician Assistants handles licensing requirements, networking opportunities, job resources, and provides tools to improve PA practice and patient care for each state and federal service chapter. These individual state affiliations branching from the AAPA are pertinent to the Physician Assistant profession because they allow for more direct and local resources for Physician Assistants. Having an individual state chapter makes it easier to find local jobs in the area and get answers to questions about each state law requirement.
Sexual and/or romantic relationships prohibited because according to the ACA (2014), the therapist sexual and/or romantic interactions or relationship with current client, romantic partners, or family members are prohibited. For example, the romantic relationship between Paul and Laura will cause harm to the patient, because is at a very vulnerable frame of mind at that point in time because she was looking for someone who can listen to her and not taking advantage of her. Therefore, is an I.2.b.ethical violation: is to refer the matter to the state or national committees on professional ethics, voluntary national certification bodies, state licensing boards and other appropriate institutional authorities. Also, the situation should be revealed to his wife that he was engaged in a romantic relationship with a vulnerable client and if he is working for a company he should terminated immediately for
If lying was the best thing to do at a particular moment would that be acceptable? Moreover, sometimes a counselor will have to interpret part of the code and make the best informed decision that he can. But what if the results are less than perfect and a client has a complaint.
A therapist may do this once again in order to continue to receive reimbursement from Medicare for their services in order to generate more revenue for the clinic. Prior to the Jimmo versus Sebelius case in 2013, Medicare would deny coverage to patients receiving maintenance care for their condition due to their inability to demonstrate improvement from the skilled therapy services that they received (“Jimmo v Sebelius Settlement Agreement Factsheet,” 2013). However after the Jimmo versus Sebelius case, the Centers for Medicare & Medicaid Services revised portions of the manual which now states that coverage “does not turn on the presence or absence of a beneficiary’s potential for improvement, but rather on the beneficiary’s need for skilled care” (“CMS Manual System,” 2014). The correct action for the therapist to take in order to be in compliance with the rules is to provide adequate documentation as to why the patient would need and benefit from maintenance care services in order to prevent or slow the deterioration of their condition. An alternative would be to discharge the patient if they no longer require skilled and medically necessary services (“Jimmo v Sebelius Settlement Agreement Factsheet,” 2013) (“CMS Manual System,”
CMA (AAMA) Core Values, American Medical Association Assistants maintains this living code of ethics document in order to help medical assistants best evolve with the changing landscape of healthcare. Medical Assisting Code of Ethics of the AAMA sets forth principles of ethical and moral conduct as they relate to the medical profession and the particular practice of medical assisting. The Medical Assisting Creed of the AAMA sets forth medical assisting statements of belief. Medical Codes of Ethics Numerous other professional organizations catering to healthcare workers also promote ethical behavior in the workplace by publishing standards of behavior.”
In regards to the scenario of the patient Cindy who had an affair while being married, one of the red flags that I noticed was AACC Code 1-143 counseling with family, friends and acquaintances. According to the scenario, Cindy, as well as her family, attend the same church as the counselor, but also know the counselor very well. This was a breach in ethics on the counselor’s part, because in the AACC code, it states in Code 1-143, “Christian counselors do not provide counseling to close family or friends.” (Clinton, Ohlschlager, and Hart; pg. 269). The counselor has already broken the ethics code by giving Cindy counseling advice, which is part of the AACC code 1-145 (pg.269).
It’s the responsibility of the mental health counselor to apply the five major ethical practices into their daily activities when seeing a client. Accordingly to the ACA Code of Ethics are ethical guidelines that assist the mental health counselor when an issue occurred that needs clarification. The five ethical principles, in today counseling profession are: autonomy, fidelity, beneficence, and non-malfeasance and justice. Constant aware of these ethical principles assist in making it achievable for mental health counselor to better function in this profession.
The consumer was able to see the doctor and therapist. The consumer did have a psych eval and was prescribe cogentin for the side effect from the shot he was given at BCA Stronecrest. The consumer was not given any other prescription and was advise to continue to take clonazepam as prescribed. The consumer was not very cooperative with his therapist unable to stay focus on the questions and he became angry and irritable. The writer was able to clam him down to finish his treatment and crisis plan.
I write to report a violation of principles number 2, section B, C, D, I, and J of the American Occupational Therapy Association code of ethics by Lucy Jackson. During my Fieldwork in fall semester (September-November) of last year, I noticed a pattern of behavior by my supervisor, Lucy Jackson at Mannor Care Center in Washington. The supervisor has been verbal abusive to Maryann Smith, a 68 years old woman with acute kidney injury and obesity. The verbal abuse started on my first day (09/7/2016) working with Lucy Jackson and ended when the patient was discharged on 9/27/2016. My supervisor always conducted treatment sessions in Maryann Smith’s room and since the other therapists aren’t around, she used the opportunity to verbally abuse Maryann
Code Of Ethics Regardless of any personal beliefs, Surgical Technologist have several professional standards to maintain when it comes to personal conduct and high patient care to uphold at all times. The entire medical team is responsible for keeping patient information confidential at all times, unless instructed not to by the patient. As part of the care team we need to respect and protect any legal, moral rights the patient may have.
NAADAC Code of Ethics and the ACA Code of Ethics both serve as guide for the counseling professionals. Although, they may work from different angels, their common goals are for the well-fare of clients. Further, The ACA and NAADAC provide professionals guidelines for counselors to prepare them when providing treatment to clients. Both ethical codes can and will help you and provide you with the necessary information of what are ethical and what is not ethical behavior, it is essential in the counseling relationships (NAADAC, 2013). These codes help counselors to understand how their own values can interfere with the counseling interventions and how this can affect their patients.
Adherence to professional ethics is a foundational aspect of counseling practice. As students, we are trained to be ethically competent, providing the most principled treatment for our clients. Yet, ethical issues are not just encountered by novice counselors, experienced practitioners face ethical dilemmas throughout their career, as well. The American Counseling Association (ACA) Code of Ethics (2014) sets ethical obligations and provides guidance for how to manage ethical dilemmas. The code considers professional values that counselors should be aware of, but also ethical principles that guide practice (ACA, 2014).