After going through the posts I think for a while, what are the ethical /moral dilemmas I face as a Physio. Most of my thoughts ended up with dilemmas related to religious stuffs of the therapist / patient.
- What will I do when am rushing for a prayer and my patient came for his/her treatment?
- What will I do when my patient requested to adjust my busy schedule for his/her religious stuffs?
Does ethics vs morality issue arise only pertaining to religion? If there were no conflicts with respect to religion, everything is okay?????
I did a quick review on PUBMED to search about the documentation of these issues in Physiotherapy. I came across an excellent article (Guiccone,1980) which describes various situations where ethical dilemmas may arise.
Listing a few:
- Establishing priorities for patient treatment when time or resources are limited.
- Discontinuing treatment for patients who habitually disregard instructions such as for home programs, treatment regimens, and safety instructions.
- Continuing treatment with a terminally ill patient.
- Continuing treatment to provide psychological support after physical therapy treatment goals has been reached.
- Determining professional responsibilities when a patient’ needs or goals conflict with the family’s needs or goals.
- Defining the limits of the physical therapist’s role in the initial education of a patient/family regarding diagnosis or prognosis.
- Deciding whether to represent certain necessary patient services in a way that would meet third party- payer limitations.
- Withholding or limiting physical therapy services in order to improve work conditions, salaries, staff/ patient ratios, etc.
- Reporting questionable practices of another physical therapist/ physician to the appropriate person.
- Deciding what to do when two of my ethical principles or values are in conflict?