Respect In Physical Therapy

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It is stated in the Standards of Practice from APTA (2011) that respect is “up to the individual to assess the appropriateness of behavior in situations.” As what they say, “respect is a two-way street”, if you do not show respect then you will not be afforded the same respect. You meet different people in your practice who have certain prejudices about you, your practice etc. As a physical therapist, I have encountered a patient who was verbally inappropriate with me. Knowing that my primary goal was to provide physical therapy services, I just brushed them off since I knew that I had to see the patient for a specific amount of time in a day and X number of sessions. It was not until later when I reported what happened to my rehab director,…show more content…
This is all happening with patients being seen by other therapists as well. If you look at it, the problem is patient privacy and institutional or organizational in nature. This is also a common occurrence in skilled nursing facilities as well. For marketing purposes, people come in to look at and check the amenities of the facility. According to Swisher & Davis (2005), there are “three basic approaches to resolve dilemmas: rule-based, ends-based and care-based.” One of Kidder’s three basic approaches to dilemmas is ends-based, we can “determine the consequences or outcomes of alternative actions and its effects whether good or bad for the business.” A solution that I could think of is to ask the patient’s permission if people can come in to observe the therapy session. However, working with kids is a different story altogether, young kids cannot grasp the idea of privacy. Another solution that I can think of is to close the door to a treatment room but therapy sessions doesn’t usually occur in a small room if you are working with kids. Ultimately, the RIPS model is useful to analyze ethical situations in physical therapy. However, what is more important is to “create space for moral dialogue in our practices to uncover the moral dimensions of clinical work in our routine daily life.” (Swisher & Davis, 2005).
How about you? Have you ever been in a situation in your physical therapy practice that can be solved using the RIPS
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