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 United States Army is internally governed by a series of regulations and the Uniform Code of Military Justice. These regulations establish the rules and guidelines that direct daily standards of conduct and how special situations are approached. Some of these rules and regulations are punitive while others are not. The United States congress and the United States President both have the power to change the Uniform Code of Military Justice while the Army’s top brass has the ability to revise, create, or delete regulations. Among this body of law is the Uniform Code of Military Justice Article 91 “Insubordinate conduct toward warrant officer, noncommissioned officer, or petty officer”.
Relevant legal and ethical considerations, focusing on the 4 main ethical principles and how each of these apply to this case using research evidence.
If I tell you a secret would you keep it to yourself or would you tell someone else? Confidentiality is the act of keeping information you are told secret. This means that the doctors are told information in private, so they need to keep the information confidential. The opposition has two sides: they say that there shouldn't be confidentiality and others say that they shouldn't be able to tell anyone in any situation. It is the legal duty of medical professionals to keep the information they are told confidential, however it is ethical in some situations where the information can be shared if necessary.
Physician-assisted death is the practice in which a physician provides a mentally competent patient with the means to take his/her own life, usually in the form of prescribing death-dealing medications. It first became legal in the United States in Oregon in 1998. It is now legal in four other states: Washington, California, Montana, and Vermont. In order for one to exercise their right to die this way, the law states that the patient must be at least 18 years old, be mentally competent, be diagnosed with a terminal illness that will lead to death within six months, and must wait at least fifteen days before filling the death-dealing prescriptions. This controversial practice has raised the question of whether or not it is ethical for a physician
Confidentiality is an ethical value that remains deeply rooted in the nursing profession and has always been the cornerstone of the nurse-patient relationship. Since the days as nursing students, we were constantly reminded of the significance in maintaining patient’s confidentiality.
On April 16, 2007, America experienced its deadliest shooting by a single gunman. Seung-Hui Cho, a senior at Virginia Polytechnic Institute and State University, shot and killed 32 people and then turned the gun on himself (CNN). Cho had a history of mental health problems. Mental illnesses are defined as “diseases that causes mild to severe disturbances in thought and/or behavior, resulting in an inability to cope with life’s ordinary demands and routines” (Mental). Common mental health disorders include bipolar disorder, schizophrenia, depression, and dementia. Some signs and warnings that show that one might have a mental illness are: social withdrawal, suicidal thoughts, depression and anxiety, and trouble concentrating. Sadly, Cho
Our EMT refusing to perform the lifesaving procedures on the gay patient goes against our obligation to help mankind unselfishly. This case is a difficult one because there is no definite way to prove a person’s sexuality, especially if the person was unconscious. Even if the EMT was certain that the individual was gay, this act breaks the code of ethics of EMT’s which states that EMT’s will “provide services based on human need… unrestricted by consideration of nationality, race, creed, color, or status.” Although the EMT may claim that protection, there should be a form of disciplinary action taken by the EMT’s overseers, especially if his refusal was at the expense of a human life that relied on his
When it comes to medical necessity can often refers to the determination that is made for the insurance purposes. For example, If the patient has a condition that is chronic or terminal, the treatment could be considered medically necessary whether then the patient can afford the treatment or not.
The Health Insurance and Portability and Accountability Act ( HIPAA) of 1996 provides security provisions and data privacy for protecting a patient’s medical information. HIPAA has guidelines to ensure that a patient’s confidentiality is maintained while allowing the communication of a patient’s medical records between certain bodies or people or officials. Officials that a patient’s medical records can be shared with are other health care providers, health plans, business associates, and health care clearinghouses. HIPAA protects all “ individually identifiable health information”. There is a specific protocol to follow when sharing a patient’s medical information. Theses steps are imperative to maintaining the patient’s privacy.
Serving in the military can be a very traumatic experience. War entails a lot of conflict, shootings, and bombings. About twelve percent of all veterans suffer from Post Traumatic Stress Disorder. Also, twenty-three percent of women reported sexual assault while serving in the military, and fifty-five percent reported having experienced sexual harassment when in the military. Post Traumatic Stress Disorder is not the only mental illness that these conditions have caused. Plenty of veterans also suffer from depression, bipolar disorder, schizophrenia, and dissociative identity
Violent and sexual tendencies develop in those veterans who go untreated with PTSD. Violent offenders are more likely to have PTSD than those who are sexual offenders, but PTSD still remains relevant in both forms. Offenders with PTSD are also more likely to feel remorse for their violent or sexual offenses. This shows that the mental issue associated with untreated PTSD victims is more connected to actual PTSD consequences than the offender willingly choosing to offend out of pure need and want. One third to two thirds of veterans who need to receive mental health support do not seek the treatment necessary. Among those who do receive treatment, half drop out. This decreases the success rate of PTSD suffering individuals who commit to treatment from eighty percent to a significantly lower forty percent. The mental issues with PTSD are drastically impactful on an untreated PTSD victim. With one fifth of sexual offense towards women are experienced in a military environment, many are linked to being caused by PTSD mental outbreak. Sexual offense and violence towards others is not the only mental risk caused by untreated PTSD. Harm towards oneself is also a risk. During the Iraq and Afghanistan war, suicide attempt rates increased by more than six times the amount before the war. This astonishing number displays the mental anguish that is involved with war and untreated PTSD victims. The self destructive path that PTSD leads to is a terrible consequence of those who go untreated with PTSD as written by Tim O’Brien in The Things They
. Describe the growth and developmental tasks that were displayed by the child you interacted with in this setting (Erikson, Piaget and Freud). Were these tasks age appropriate? Did you assess any developmental challenges in the client that you interacted with? How were they dealt with (by you and by the health care team)?
Arizona’s health care system is somewhat more complicated than that of other states. From 1972 to 1981, Arizona was the only state that had not accepted the federal Medicaid program. Instead, Arizona opted for their own system, where each county in the state was responsible for providing some measure of health care to the poor with their own money. The Arizona Health Care Cost Containment System (AHCCCS) was set up by the Health Care Financing Administration (HCFA) in 1981. AHCCCS was deemed to be “experimental” and was significantly different from the Medicaid system. Originally run by a private firm, the AHCCCS shifted control to the state starting in 1984. Dr. Donald R. Schallar was hired to head the program. By early 1987, 200,469
Ethics can be explained as principles a society develops to guide decisions about what is right and wrong. Ethical principles that society has are influenced by religion, history, and experience of the people in the group. Meaning that ethics is based on guidelines we have learned while growing up, that helps us differentiates what is right and what is wrong. For example, some people think health care should be a human right as others think it should only be available to those who can pay for it. Each group of people is guided by the principles they believe in. Ethics in health care play a vital role every day. The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to patient’s life. For the purpose of this paper, I want to explain the occurrence and some of the ethical concerns found in a case of an elderly patient, who believed in Curanderos and didn’t realize the harm she was doing in regards to her health by not taking her medications.