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MEETS HOME STUDY CE REQUIREMENTS
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ILLINOIS Physical Therapy Assistants Continuing Education
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Colibri Healthcare, LLC is an Illinois Department of Financial and Professional Regulation approved Physical Therapy CE Sponsor, #216.000315.
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COURSE CODE
Hours
PRICE
Components of Ethics for Physical Therapy Professionals (Mandatory)
3
$55
PTIL03CE-H
Cultural Competency and Healthcare (Mandatory)
1
$19
PTIL01CC-H
Evidence-Based Implicit Bias Implications for Physicians and Healthcare Professionals (Mandatory) Preventing Sexual Harassment in the Workplace for Illinois Professionals, 2nd edition (Mandatory) The Aging Patient with Dementia: Using an Interdisciplinary Team Approach (Mandatory)
1
$19
PTIL01EB-H
1
$19
PTIL01SH-H
1
$19
PTIL01AP-H
ACL Rehabilitation: A Review of Current Treatment Approaches
4
$72
PTIL04AC-H
Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Upper Body
4
$72
PTIL04MU-H
INCLUDED IN THIS BOOK
1 Components of Ethics for Physical Therapy Professionals (Mandatory) [3 contact hours] Ethical behavior is a fundamental component of all healthcare professions, regardless of where or how they practice. The purpose of this course is to provide healthcare professionals a broad overview on the study of ethical behavior and action as it is applied to practice, education, and research. The course will define terms used in discussing ethics, describe general principles and values of ethics and standards of conduct, and explain a decision-making process for analyzing ethical issues and potential disciplinary actions or sanctions that might occur if unethical behavior is determined by professional and/or credentialing organizations. Case studies are included throughout to stimulate reflection and direct application to practice examples. This course is the 3-hour extended version of “Components of Ethics for Healthcare Professionals” that includes specific policies from the American Physical Therapy Association (APTA) outlining standards for ethics and professionalism for physical therapy professionals. 13 Cultural Competency and Healthcare (Mandatory) [1 contact hour] Understanding and accepting diversity is an important imperative for all healthcare professionals. Being culturally competent enables professionals to have insight, recognition, empathy, and compassion for the different cultures, ethnicities, religions, generations, and physical abilities that shape our lives, perspectives, beliefs, and ability to trust. This one-hour course provides a detailed overview of elements of cultural competency and the impact it will have on the ability to communicate, understand, and treat. Learners will be able to discern how the three domains of cultural competency, which include affective, cognitive, and behavioral, play into all aspects of healthcare. Developing an awareness of cultural competency is necessary in order to collectively address health inequities and ensure that all people have access to quality care and best outcomes. 18 Evidence-Based Implicit Bias Implications for Physicians and Healthcare Professionals (Mandatory) [1 contact hour] The purpose of this course is to provide a historical context of race and racism and its relationship to the development of racial implicit bias. The development of implicit bias will be discussed along with research demonstrating the impact of implicit bias on the clinical encounter. Recommendations for mitigating implicit bias are offered. 27 Preventing Sexual Harassment in the Workplace for Illinois Professionals, 2nd edition (Mandatory) [1 contact hour] This basic-level course will help Illinois healthcare professionals identify sexual harassment in the workplace, prevent it, and take appropriate action if it occurs. 42 The Aging Patient with Dementia: Using an Interdisciplinary Team Approach Interdisciplinary teams focus on the big picture of patient care, facilitating a shared purpose and focus on quality. This session will discuss an interdisciplinary approach to working with patients who have dementia. Models of disability, team building, and examples of staff education will be reviewed. Participants will leave the course with strategies they can immediately implement in their work environments. List continues on next page ► (Mandatory) [1 contact hour]
INCLUDED IN THIS BOOK
46 ACL Rehabilitation: A Review of Current Treatment Approaches [4 contact hours] As technology, surgical techniques, and graft options continue to evolve with regards to ACL reconstruction, sports medicine professionals must stay abreast of changes within the literature to assure proper rehabilitation of athletes. The instructor provides a review of the current literature as it pertains to current controversies in anterior cruciate ligament (ACL) reconstruction rehabilitation. Some of the topics to be covered throughout this course include the need for surgical reconstruction, graft choice options, functional bracing, rehabilitation techniques, and return to play decision making. Participants will review the possible benefits of inclusion of a neuromuscular injury prevention program while taking a closer look at appropriate rehabilitation exercises to integrate during different stages of post-operative recovery. Individuals will be able to distinguish between different types of functional tests, which will allow sports medicine professionals to develop a more comprehensive return to play plan. Participants will be able to compare the recommended guidelines presented within the lecture to the participant’s current clinical practice while assessing the need for change within a specific patient population. 54 Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Upper Body [4 contact hours] This course provides an evidence-based approach, combining IASTM, Cupping and Kinesiology Taping by focusing on how we can stimulate the Central Nervous System (CNS) to reduce pain and enhance mobility. This comprehensive treatment philosophy is movement-focused instead of treating the individual muscle, or the fascia, or the joints. The goal is to make overall movement of the affected body part more efficient to allow the body to heal and to become more resilient: “Move Better, Feel Better.”
Colibri Healthcare, LLC is an Illinois Department of Financial and Professional Regulation approved Physical Therapy CE Sponsor, #216.000315.
FREQUENTLY ASKED QUESTIONS
License Expires
Hours Required
Mandatory Subjects
3 hours ethics and jurisprudence 1 hour sexual harassment prevention training 1 hour implicit bias training per renewal period 1 hour dementia training 1 hour cultural competency
20 hours per license cycle PTA’s are allowed to obtain 75% of their total CE credit by taking correspondence or web-based courses, including pre-recorded professional presentations and pre-recorded webinars, from an approved CE sponsor.
Licenses expire September 30 of each odd-numbered year
Are you an Illinois board-approved provider? Colibri Healthcare, LLC is an Illinois Department of Financial and Professional Regulation approved Physical Therapy CE Sponsor, #216.000315. Are my credit hours reported to the Illinois board? No. The board performs random audits at which time proof of continuing education must be provided. What information do I need to provide for course completion and certificate issuance? Please provide your license number on the test sheet to receive course credit. Your state may require additional information such as date of birth and/or last 4 of Social Security number; please provide these, if applicable. Is my information secure? Yes! We use SSL encryption, and we never share your information with third-parties. We are also rated A+ by the National Better Business Bureau. What if I still have questions? What are your business hours? No problem, we have several options for you to choose from! Online at EliteLearning.com/Physical-Therapy you will see our robust FAQ section that answers many of your questions. Simply click FAQs at the top of the page, email us at office@elitelearning.com, or call us toll-free at 1-888-857-6920, Monday - Friday 9:00 am - 6:00 pm EST, Saturday 10:00 am - 4:00 pm EST. Important information for licensees: Always check your state’s board website to determine the number of hours required for renewal, mandatory topics (as these are subject to change), and the amount that may be completed through home-study. Also, make sure that you notify the board of any changes of address. It is important that your most current address is on file. Disclosures: Resolution of conflict of interest Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity. Sponsorship/commercial support and non-endorsement It is the policy of Colibri Healthcare, LLC not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners. Disclaimer: The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. ©2025: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing, but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.
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Components of Ethics for Physical Therapy Professionals: Summary
Components of Ethics for Physical Therapy Professionals 3 Contact Hours
ACCESS THE FULL PRESENTATION Scan the QR CODE ► to start video or visit https://uqr.to/Ethics-PTPros
Author Elizabeth D. DeIuliis, OTD, OTR/L, CLA, FNAP, FAOTA
Ms. Deluliis has over 20 years of experience as a credentialed occupational therapy practitioner. She serves as a clinical associate professor and program director in the Department of Occupational Therapy at Duquesne University. She is a fellow in both the National Academies of Practice and the American Occupational Therapy Association (AOTA). Dr. DeIuliis has earned her academic leadership credential through AOTA's Academic Leadership Institute and has authored several textbooks; published numerous peer-reviewed articles; and presented at state, national, and international conferences on topics including professionalism, ethics, experiential learning pedagogies, and interprofessional education.
LEARNING OUTCOMES • Define ethics terms, theories, principles, and sources of ethical issues common across healthcare professions and setting • Recognize general ethical principles, standards of conduct, and basic enforcement procedures
• Recall a general decision-making process to resolve ethical questions/dilemmas across healthcare professions and settings • Identify the standards of ethics and professionalism detailed by the American Physical Therapy Association (APTA)
SELF-ASSESSMENT QUESTIONS
1. Here is an example statement from a code of ethics document: "Providers shall respect the inherent dignity and worth of individuals." This statement is: a. A directive statement b. A nondirective statement c. A general statement d. All of the above 2. The six-step model presented for analyzing ethical decision making aligns with: a. Metaethics
3. When considering the ethical principle of nonmaleficence in healthcare practice, which of the following is MOST accurate? a. It requires taking positive action to help others b. It is less strict than the principle of beneficence c. It focuses primarily on fair resource distribution d. It is derived from the Hippocratic oath's "Do no harm." 4. In the context of ethical decision making, which step should be completed FIRST when faced with an ethical dilemma?
b. Normative ethics c. Teleology theory d. Deontology theory
a. Explore practical alternatives b. Complete the chosen action c. Gather relevant information d. Evaluate the outcome
ANSWERS: 1: a 2 : b 3 : d 4 : c
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Components of Ethics for Physical Therapy Professionals: Summary
2. Educational codes state what constitutes ethical behavior and may provide case examples as illustrations. While these codes define and explain ethical conduct, they typically do not include sanctions for failing to follow the code. 3. Regulatory codes are the most comprehensive, as they spell out expected behavior, state specific guidelines for conduct, and provide detailed descriptions of sanctions for violations. These codes serve as enforceable standards with clear consequences for ethical breaches. Most professional organizations maintain codes that combine elements of all three types, providing both aspirational goals and specific regulatory requirements. These codes must be regularly reviewed and updated to reflect changing societal values and new challenges in healthcare delivery. COMMUNICATION APPROACHES IN CODES OF ETHICS Professional codes of ethics employ two distinct types of communication approaches: Directive and nondirective statements. Understanding these approaches is crucial for healthcare professionals to properly interpret and apply ethical guidelines. LEARNING TIP! Directive statements address required conduct and use specific language to indicate expected behaviors. These statements employ words such as: • Shall • Will • Must • Require • Responsible Conversely, terms like do not, shall not, and will not indicate behaviors that must be avoided. For example, "Employees are prohibited from engaging in conflicts of interest and must disclose any potential conflict to the
INTRODUCTION
FOUNDATIONAL ETHICS CONCEPTS
Ethics represents the systematic study of moral judgment and standards of conduct within the broader field of moral philosophy. The field encompasses two main subdivisions: Normative ethics, which focuses on determining morally right and wrong actions, and metaethics, which analyzes the theoretical foundations of moral theories. This understanding is crucial as ethics continues to evolve with societal changes and new healthcare challenges. This course delves into ethical theories, particularly deontological theory, which emphasizes duties and rights, and teleological theory, which focuses on consequences. These theories are examined through various lenses, including social norms, authority figures, religious orientations, traditional wisdom, and contemporary cultural contexts. Understanding these theoretical frameworks helps healthcare professionals navigate complex ethical decisions in their practice. PROFESSIONAL CODES AND STANDARDS Healthcare professionals are guided by codes of ethics that organize and articulate the most important ethical principles within their profession. A code of ethics is defined as a set of standards and principles of professional conduct that helps guide decision-making and behavior in professional settings. There are three distinct types of codes of ethics that serve different purposes in healthcare professions. 1. Aspirational codes encourage competent and moral behavior but do not provide specific guidelines for ethical conduct or sanctions for violations. These codes set forth ideals that practitioners should strive to achieve in their professional practice.
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Components of Ethics for Physical Therapy Professionals: Summary
whether they agree with the patient's choices or whether the patient has cognitive deficits. According to the deontological approach, certain actions are inherently moral or immoral, regardless of their outcomes. Teleological theory, in contrast, is based on consequences or ends. Also referred to as consequentialist ethics, actions are evaluated based on their utilitarian value and seek the best outcome or least harmful consequences. For example, if two treatment techniques are equally effective according to current research, the healthcare professional should consider which technique will bring the most benefit and provide the best outcome for the client within their unique situation. Sometimes these two theories coincide. In those instances, the duty to act aligns with the best action. For example, in preventing a patient from falling, the duty to avoid harm (deontological) coincides with warning the patient about a slippery floor to prevent injury (teleological/consequential). However, these theories can sometimes produce opposing views. Consider a scenario where a patient requires painful stretching to prevent muscle contracture. The practitioner must weigh their duty to provide beneficial treatment against the consequence of causing pain, even if that pain serves a therapeutic purpose. The understanding of ethical behavior is derived from multiple sources: • Social norms that guide action through example • Authority figures who provide direction • Religious orientations that offer moral guidelines • Traditional wisdom transmitted by experienced practitioners who “know best” • Contemporary culture that shapes current ethical thinking This theoretical foundation helps healthcare professionals navigate complex ethical decisions while considering both their duties and the consequences of their actions.
appropriate authorities" represents a directive statement. LEARNING TIP! Nondirective statements come in two forms: • Statements addressing permitted
conduct, which often contain words such as may and not prohibited • Statements addressing recommended (but not required) behavior, which typically use words like should and should not
The course provides an illustrative example from the physical therapy code of ethics: "shall encourage colleagues with physical, psychological, or substance-related impairments that may adversely impact their professional responsibilities to seek assistance or counsel." This represents a directive statement due to its use of shall. Understanding these communication approaches helps healthcare professionals interpret the intent and requirements of their professional codes of ethics. When reviewing ethical guidelines, practitioners should pay particular attention to the specific language used, as it indicates whether an action is mandatory, recommended, or permitted. ETHICAL THEORIES AND SOURCES Ethical theories provide essential frameworks for understanding and evaluating moral dilemmas in healthcare. Two fundamental theories represent seminal knowledge in ethics literature: Deontological theory and teleological theory. Deontological theory is based on the concept of duties and rights. Under this framework, healthcare professionals have a duty to protect and fulfill their patients' rights, regardless of the consequences of those actions. For example, a patient's right to autonomy must be respected by the healthcare professional regardless of
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Components of Ethics for Physical Therapy Professionals: Summary
2. Nonmaleficence : The "Do no harm" principle derived from the Hippocratic oath establishes a stricter standard than beneficence. This includes: ○ Avoiding potential risks: Nonmaleficence includes an obligation not to impose risks of harm even if the potential risk is without malicious or harmful intent. This involves minimizing risks and avoiding actions that could cause harm, while also considering the potential benefits and risks of medical interventions. ○ Maintaining proper credentials ○ Following safety protocols ○ Preventing negligence: The principle of nonmaleficence is closely tied to the concept of negligence in healthcare practice. Negligence occurs when a healthcare provider fails to use due care to protect a client from harm. Malpractice suits are most often based on acts of negligence. This negligence may be either intentional (when a person knowingly fails to use due care) or unintentional (when a person carelessly
While ethics and laws are related, they serve distinct purposes in healthcare practice. LEARNING TIP! Laws are defined by government and
contain formal rules for resolving complex problems, while codes of ethics are defined by professional groups and organizations.
Laws state the minimum standard of behavior that must be met, while ethical codes present ideal or best behaviors. Additionally, laws are upheld by rules, regulatory authorities, and courts, whereas codes of ethics are upheld through professional standards, discussion, and persuasion. This distinction is important because healthcare professionals must navigate both legal requirements and ethical standards in their practice. Sometimes these align perfectly, but in other situations, what is legally permissible may not necessarily be the most ethical choice, or what seems ethically right may face legal constraints. Understanding this relationship helps practitioners make better decisions when faced with complex situations. CORE ETHICAL PRINCIPLES 1. Beneficence : The principle of beneficence establishes healthcare professionals' fundamental obligation to act for patient benefit. This requires genuine concern for well-being and proactive efforts to promote positive outcomes. This involves providing competent and compassionate care, advocating for patients’ needs, and striving to optimize health outcomes . Beneficence manifests through: ○ Evidence-based interventions ○ Appropriate referrals ○ Health promotion activities ○ Professional competence maintenance ○ Patient advocacy
or inadvertently imposes harm). ○ Protecting and being mindful of vulnerable populations LEARNING TIP!
Note: Scenarios that involve difficult end-of-life care decisions such as withholding and withdrawing life-sustaining treating, medically administered nutrition and hydration
and in pain and other symptom control often involve complex decision making around beneficence and nonmaleficence. 3. Autonomy: Patient autonomy emphasizes the right to make informed healthcare decisions, including: ○ Informed consent processes: The patient has the right to informed consent, which is a necessary part of the process that leads to the patient agreeing to accept services
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Components of Ethics for Physical Therapy Professionals: Summary
○ Right to refuse treatment: Autonomy is often referred to as the self- determination ethical principle. This principle emphasizes the importance of patient consent, confidentiality, and the right to refuse treatment ○ Privacy protection ○ Confidentiality maintenance: Confidentiality refers to the duty of healthcare providers to safeguard the privacy and confidentiality of patient information, ensuring that sensitive medical and personal details are not disclosed without the patient’s consent or unless required by law. This includes protecting patient records, maintaining confidentiality in communications, and disclosing patient information only with appropriate consent or when required by law ○ Self-determination respect 4. Justice : The principle of justice ensures fair and equitable treatment through: ○ Nondiscriminatory practices ○ Resource allocation fairness ○ Cultural competence ○ Access to services ○ Professional standards adherence DISCIPLINARY ACTIONS AND PROFESSIONAL ACCOUNTABILITY: The healthcare field recognizes several levels of disciplinary actions that may be taken when ethical violations occur. Nondisciplinary actions serve as initial interventions and include verbal warnings, written warnings, and advisory opinions. These are typically used for minor infractions or first-time occurrences where education and guidance may be sufficient to correct the behavior. More serious violations may warrant formal disciplinary actions, which include reprimands; censures; probation; suspension; and in the most severe cases, revocation of credentials or licenses.
LEARNING TIP! A reprimand represents a formal written communication indicating disapproval of conduct, while censure takes this a step further by making the disapproval public. Censures identify the person’s name and are usually correlated to which ethical principles were not upheld. This is a formal written communication, and it is communicated publicly.
Probation involves placing specific conditions on continued practice for a defined period, often requiring the practitioner to demonstrate compliance with certain requirements or to complete additional training. Suspension temporarily removes the practitioner's right to practice, while revocation permanently terminates their credentials or license. PROFESSIONAL DOCUMENTATION AND RECORD-KEEPING Proper documentation serves as a cornerstone of ethical practice in healthcare. Healthcare professionals must maintain accurate, timely, and complete records that reflect all aspects of patient care. This includes detailed treatment plans, progress notes, assessment results, and any relevant correspondence. The documentation must be sufficient to allow another qualified professional to understand the nature and course of treatment provided. In writing up the results of a patient assessment that will be submitted for reimbursement, it is important for the practitioner to ensure that documentation is in accordance with applicable laws. In today's digital age, special consideration must be given to the security and confidentiality of electronic health records, with practitioners needing to implement appropriate safeguards to protect patient information.
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Components of Ethics for Physical Therapy Professionals: Summary
ETHICAL DECISION MAKING IN PRACTICE
Cultural competency and ethical practice Cultural competency has become increasingly recognized as a crucial component of ethical healthcare delivery. Healthcare professionals must develop awareness of their own cultural biases, gain knowledge about diverse populations, and acquire skills for cross-cultural communication. This includes understanding how cultural values and beliefs influence healthcare decisions, respecting diverse perspectives on autonomy and decision making, and ensuring equitable access to care across different cultural groups. Research ethics and evidence-based practice The ethical conduct of research and implementation of evidence-based practice requires careful attention to several principles. Researchers must protect participants’ rights through informed consent, maintain confidentiality, and ensure fair subject selection. When implementing evidence- based interventions, practitioners must balance scientific evidence with individual patient preferences and circumstances. This includes considering both the benefits and potential risks of interventions, and communicating these clearly to patients. Professional boundaries and relationships Maintaining appropriate professional boundaries is essential for ethical practice. Healthcare professionals must navigate complex relationships with patients, colleagues, and other stakeholders while upholding professional standards. This includes avoiding dual relationships, maintaining appropriate self-disclosure, and professionally managing their social media presence. The increasing use of digital communication platforms has added new dimensions to boundary maintenance. Documentation and record-keeping Ethical documentation practices are fundamental to healthcare delivery. Records must be accurate, timely, and complete while protecting patient privacy and confidentiality.
Healthcare professionals must regularly navigate complex ethical situations requiring careful analysis and thoughtful decision making. The following six-step model provides a structured approach. First, practitioners must gather all relevant information to fully understand the situation. This includes reviewing patient histories, consulting relevant policies and guidelines, and considering all stakeholder perspectives. Next, they must identify whether the issue truly represents an ethical dilemma and which ethical principles are involved. The third step involves analyzing the problem through various ethical frameworks, such as deontological (duty-based) and teleological (consequence-based) approaches. This analysis should consider core principles like beneficence, nonmaleficence, autonomy, and justice. Fourth, practitioners must explore practical alternatives, weighing the potential benefits and drawbacks of each option. The fifth step involves implementing the chosen action, while the final step requires evaluation of both the process and the outcome to inform future decision making. SPECIAL TOPICS IN HEALTHCARE ETHICS Telehealth and digital ethics The rapid evolution of healthcare delivery through digital platforms has introduced new ethical considerations. Healthcare professionals must carefully navigate privacy, confidentiality, and security concerns when providing telehealth services. The COVID-19 pandemic accelerated the adoption of virtual care delivery, highlighting the importance of maintaining ethical standards across digital platforms. Practitioners must ensure secure communication channels, obtain appropriate informed consent for telehealth services, and maintain professional boundaries in virtual environments.
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Components of Ethics for Physical Therapy Professionals: Summary
Electronic health records have introduced new considerations regarding data security, access controls, and information sharing. Healthcare Six-Step Model for Ethical Decisions 1. Get the story straight ○ Gather all relevant information and facts
professionals must ensure their documentation practices comply with both legal requirements and ethical standards.
○ Understand the full context ○ Identify stakeholders involved ○ Review applicable laws, regulations, and professional codes ○ Take time to collect all pertinent details without bias 2. Identify the type of ethical problem ○ Determine if it's truly an ethical dilemma versus a legal issue ○ Identify which ethical principles are involved ○ Reference professional codes of ethics, workplace rules, and state regulations 3. Use ethics theories or approaches to analyze the problem ○ View the issue through different ethical lenses like: ■ Deontological approach: Focus on rights and duties ■ Teleological approach: Focus on consequences ■ Utilitarian approach: Focus on producing the most good/least harm ○ Apply relevant ethical principles: Beneficence, nonmaleficence, autonomy, justice 4. Explore the practical alternatives ○ Assess different possible courses of action ○ Consider consequences, benefits, and drawbacks of each option ○ Weigh effects on patient and others involved (practical, emotional, spiritual, financial) ○ Evaluate how each option aligns with ethical principles 5. Complete the action ○ Choose and implement the most ethically justifiable course of action ○ Recognize that an optimal solution may not exist ○ Accept that some ethical dilemmas cannot be perfectly resolved
6. Evaluate the process and outcome ○ Reflect on results and consequences ○ Assess if the chosen action effectively addressed the issue ○ Consider lessons learned for future situations ○ Ask questions like: ■ What went well? ■ What was most challenging? ■ What was learned? ■ What could be done differently next time?
The model emphasizes that ethical decision making is a systematic process that requires careful consideration at each step. The final
evaluation step is considered particularly critical for developing ethical reasoning skills and preparing for future ethical dilemmas.
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Components of Ethics for Physical Therapy Professionals: Summary
JUAN'S ETHICS INVESTIGATION CASE STUDY
Background: Juan, a healthcare professional and five-year member of his discipline's professional organization, received a letter from the Ethics Review Committee chairperson indicating he was under investigation for possible code of ethics violations. The complaint was initially filed by Juan's state regulatory board after being reported by his direct supervisor.
Key Issues Under Investigation: 1. License status: ○ Investigation into whether Juan practiced with an expired license ○ Required to provide evidence of current license and timely renewals over past three years ○ Potential violation of competence, education, and training standards 2. Documentation concerns: ○ Missing or incomplete records and reports ○ Required to provide evidence of timely documentation filing ○ Potential violation of documentation and reimbursement standards 3. Evaluation and treatment planning: ○ Using nearly identical evaluations and intervention plans for multiple clients ○ Changing only dates on documentation ○ Required to provide samples of individual evaluations and care plans ○ Violation of individualized care standards 4. Treatment techniques: ○ Questions about safety and effectiveness of treatment methods ○ Required to provide evidence of peer-reviewed research supporting his techniques ○ Concern over lack of evidence-based practice Potential Outcomes : The Ethics Review Committee could implement any of the following actions: 1. Dismissal of charges : ○ If no violations are found ○ Written notification that charges are dismissed 2. Reprimand: ○ Formal written communication indicating disapproval ○ Private communication 3. Censure: ○ Formal written communication made public ○ Reported to regulatory agencies 4. Probation: ○ Public reporting with specific end point ○ May include requirements like:
■ Submitting continuing education certificates ■ Providing documentation of compliance ■ Meeting specific terms set by the committee
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Components of Ethics for Physical Therapy Professionals: Summary
5. Suspension: ○ Removal of membership for a designated period of time ○ Public sanction ○ Notification to other regulatory agencies ○ Could affect license to practice 6. Revocation:
○ Permanent removal of membership ○ Never eligible to rejoin organization ○ Public sanction ○ Notification to other regulatory agencies ○ Could result in license revocation
The case highlights the importance of: ○ Maintaining current credentials ○ Using proper documentation practices ○ Individualizing patient care ○ Using evidence-based methods ○ Complying with professional standards ○ Understanding potential consequences of ethical violations The final outcome would depend on factors such as:
○ Duration of violations ○ Number of violations ○ Previous corrective actions ○ Juan's response to the investigation ○ Any legal implications PHYSICAL THERAPY ADDENDUM VISION STATEMENT FOR THE PHYSICAL THERAPY PROFESSIONAL A concise statement focused on "Transforming society by optimizing movement to improve the human experience." GUIDING PRINCIPLES TO ACHIEVE THE VISION The principles emphasize movement as key to optimal living and quality of life. Eight core principles are outlined: ○ Identity: Focuses on the movement system as foundation ○ Quality: Commitment to best practice standards ○ Collaboration: Demonstrating value through healthcare provider partnerships ○ Value: Ensuring safe, effective, patient- centered services ○ Innovation: Offering creative solutions to enhance health services
○ Consumer-centricity: Prioritizing patient/ client values and goals ○ Access/Equity: Addressing health inequities and disparities ○ Advocacy: Supporting patients/clients at individual and population levels American Physical Therapy Association (APTA): Code of Ethics for the Physical Therapist Eight fundamental principles governing physical therapist conduct: 1. Respect for individual dignity and rights 2. Trustworthiness and compassion in patient care 3. Accountability in professional judgments 4. Demonstration of integrity in relationships 5. Fulfillment of legal/professional obligations 6. Commitment to lifelong learning 7. Promotion of ethical business practices 8. Participation in meeting global health needs
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Components of Ethics for Physical Therapy Professionals: Summary
American Physical Therapy Association (APTA): Standards of Ethical Conduct for the Physical Therapist Assistant Key standards for physical therapist assistants: 1. Respect for inherent dignity 2. Trustworthy and compassionate care 3. Sound decision-making within scope
○ Ensures proper fiscal management and resource allocation ○ Maintains quality improvement plans ○ Provides appropriate staffing and development ○ Creates safe and accessible physical environment ○ Promotes coordination among healthcare providers III. Patient and Client Management ○ Requires designated physical therapist of record ○ Emphasizes patient collaboration ○ Includes initial examination, evaluation, diagnosis, and prognosis ○ Develops management and care plans ○ Provides appropriate interventions ○ Maintains long-term patient relationships ○ Conducts regular reexaminations ○ Documents all aspects of care ○ Manages referrals and consultations IV. Education ○ Emphasizes professional development for therapists ○ Requires education of peers, students, and public ○ Promotes understanding of PT roles and benefits V. Advocacy ○ Supports patient rights ○ Promotes PT as entry-point to healthcare ○ Advocates for accessible healthcare services ○ Encourages creation of safe community environments VI. Research ○ Applies research findings to practice ○ Maintains current knowledge ○ Protects research subjects ○ Educates others about new evidence ○ Supports clinical decisions with literature VII. Community Responsibility ○ Participates in community activities ○ Educates the public
4. Integrity in relationships 5. Fulfillment of obligations 6. Professional competence 7. Ethical business practices 8. Community health participation
American Physical Therapy Association (APTA): Core Values for the Physical Therapist and Physical Therapist Assistant Defines the fundamental values guiding physical therapy practice: ○ Accountability ○ Altruism ○ Collaboration ○ Compassion and Caring ○ Duty ○ Excellence American Physical Therapy Association (APTA): Standards of Practice for Physical Therapy Preamble Outlines the profession's commitment to transforming society through optimizing movement and improving human experience, focusing on providing high-quality professional service. I. Ethical/Legal Considerations ○ Physical therapists follow APTA Code of Ethics ○ Physical therapist assistants follow APTA Standards of Ethical Conduct ○ Both must comply with legal requirements in their jurisdictions II. Administration of Physical Therapy Service ○ Requires written mission statement, organizational plan, and policies ○ Inclusion ○ Integrity ○ Social Responsibility
○ Helps form public policy ○ Provides pro bono services
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Components of Ethics for Physical Therapy Professionals: Summary
FINAL EXAM QUESTIONS
8. An ethical guideline that reads, “The professional shall act with compassion and respect with every person” is an example of what kind of statement? a. Directive b. Nondirective c. Aspirational d. Educational 9. An ethical guideline that reads, “The professional should attend continuing education on an annual basis” is an example of what kind of statement? a. Directive b. Nondirective c. Aspirational d. Educational 10. Which of the following ethical principles requires the healthcare professional to act with genuine concern for the well-being and safety of their patients by providing competent and compassionate care? a. Beneficence b. Nonmaleficence c. Autonomy d. Justice 11. Which of the following ethical principles aligns with the Hippocratic oath? a. Beneficence b. Nonmaleficence c. Autonomy d. Justice 12. Malpractice suits are most often based on acts of a. Fidelity b. Veracity c. Negligence d. Justice 13. Being mindful of vulnerable populations is important for healthcare professionals due to what ethical principle? a. Beneficence b. Nonmaleficence c. Autonomy d. Justice
1. The study of ethics is a branch of a. Political science
b. Philosophy c. Psychology d. Sociology 2. Teleological theory is concerned primarily with a. Duty b. Obligations c. Consequences d. Rights 3. Which kind of ethics is concerned with determining what is morally right or wrong? a. Metaethics b. Normative ethics c. Utilitarian ethics d. Deontology theory 4. Which kind of ethics is concerned with the concepts of duties and rights? a. Metaethics b. Guides problem resolution c. Is defined by government d. Lists professional standards 6. When understanding norms that shape ethical behavior, which example is transmitted from older generations by “knowing best”? a. Authority figures b. Religions c. Cultural customs d. Transitional wisdom 7. There are three main types of codes of ethics: aspirational, educational, and a. Regulatory b. Federal b. Normative ethics c. Utilitarian ethics d. Deontology theory 5. Unlike codes of ethics, the law a. May be aspirational
c. Local d. Moral
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Components of Ethics for Physical Therapy Professionals: Summary
14. An example of justice is
20. All data and information obtained from or about recipients of services, students, research participants, colleagues, or employees should be treated as a. Public information b. Confidential information c. Electronic-access-only information d. Directory information 21. Censure due to an ethical violation means that a. There was no true breach of a code of ethics; however, the behavior is not completely in keeping with its principles b. The state regulatory board must issue a letter stating that conditions such as completing a rehabilitation program have been met c. A formal public expression of disapproval will appear in a publication d. A professional will have their membership suspended for a specified period of time
a. Providing services in a fair and equitable manner b. Ensuring that confidentiality of information is maintained c. Recording and reporting client information accurately d. Taking responsibility for professional development 15. Dealing with end-of-life decisions involves complex ethical decision making around which ethical principles? a. Beneficence and nonmaleficence b. Nonmaleficence and due care c. Justice and beneficence d. Informed consent and justice 16. In conducting a research study, researchers are expected to avoid inflicting harm or injury on the research participants in order to fulfill the ethics principle of a. Autonomy b. Justice c. Veracity d. Nonmaleficence 17. In writing up the results of a patient assessment that will be submitted for reimbursement, it is important for the practitioner to a. Take appropriate steps to facilitate meaningful communication b. Establish a collaborative relationship with the recipient of the service c. Ensure that documentation is in accordance with applicable laws d. Educate the public about the value of occupational therapy 18. The process whereby patients agree to receive services is known as a. Confidentiality b. Public policy c. Informed consent d. Self-rule 19. The right to refuse services is an example of the principle of
22. If a healthcare professional shares
information with their family members or friends about a client’s personal history
or treatment plan without the client’s permission, the healthcare professional may be violating the concept of a. Confidentiality b. Autonomy c. Nonmaleficence d. Morals 23. The final step in the six-step model to make ethical decisions is which of the following? a. Completing the action b. Exploring alternatives c. Evaluating the process and outcome d. Identifying the ethical problem
To Complete this Course: n Scan the QR code o Proceed to exam p Log into your account
a. Fidelity b. Veracity c. Procedural justice d. Autonomy
Course content code: PTIL03CE-H
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Cultural Competency and Healthcare: Summary
Cultural Competency and Healthcare 1 Contact Hour
ACCESS THE FULL VIDEO PRESENTATION Scan the QR CODE ► to start video or visit https://uqr.to/Cultural-Competency
Author Dr. Joy Siegel, EdD, MBA
Dr. Joy Siegel provides solution-oriented services to seniors and their families by assessing and addressing social determinants of health. Direct services are designed to improve quality of life and address such issues as crisis intervention, aging in place, identifying financial resources, home health, housing, and social services. Joy has worked with healthcare providers and consulted with AgeWell Global, leading a grant-funded pilot designed to reduce Medicare readmissions at Holy Cross Hospital in Ft. Lauderdale. She has participated in research projects exploring quality of life and healthcare systems, loneliness, civic re-engagement, and cultural competency. Her clients include Nova Southeastern University, Case Western Reserve, Jewish Community Services, and Chrysalis Health. Joy has developed an extensive catalog of continuing education courses for healthcare providers, with a recent focus on social determinants of health and partnerships between healthcare systems and community-based organizations. As a former fundraising consultant for over 15 years, she worked with over 200 nonprofits, raising over $300 million. She also created, produced, and hosted Good Work Radio, sponsored by the Office Depot Foundation, interviewing many celebrated heroes and celebrities, including all U.S. presidents since George H. W. Bush.
LEARNING OUTCOMES • Identify the aspects of culture that comprise diverse groups with specific interests, |behaviors, and communication styles • Define the role that culture plays in health- related decisions and behaviors
• Identify ways to address disparities in healthcare provision • Define the three domains of cultural competency relative to healthcare
SELF-ASSESSMENT QUESTIONS 1. A healthcare organization notices that
2. Which of the following best demonstrates the relationship between the three domains of cultural competency? a. The cognitive domain is more important than the affective and behavioral domains b. The behavioral domain operates independently of the other domains c. The affective domain focuses only on emotional responses d. All three domains (affective, cognitive, and behavioral) work together to create comprehensive cultural competency
their Hispanic patient population has lower rates of preventive screenings compared to other groups. Which of the following represents the MOST comprehensive approach to address this disparity? a. Translate all existing educational materials into Spanish b. Hire more Spanish-speaking healthcare providers c. Implement a multi-faceted approach including community outreach, culturally appropriate education, and collaboration with community leaders d. Extend clinic hours to accommodate different work schedules
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Cultural Competency and Healthcare: Summary
3. A new healthcare provider demonstrates implicit bias when assuming that an elderly Asian patient would prefer traditional medicine over modern treatments. Which of the following represents the BEST initial step in addressing this situation? a. Immediately report the provider to administration b. Require the provider to attend disciplinary training c. Facilitate self-reflection and awareness through cultural competency education d. Reassign the patient to a different provider 4. By the year 2050, what demographic shift is projected to occur in the U.S. population, and what immediate action should healthcare organizations take in response? a. Minorities will represent more than 50% of the population; organizations should wait until closer to 2050 to adapt b. Minorities will represent more than 50% of the population; organizations should immediately begin developing comprehensive cultural competency frameworks c. The elderly population will become the majority; organizations should focus exclusively on geriatric care d. Urban populations will exceed rural populations; organizations should relocate to cities
INTRODUCTION
DIVERSITY, RACE, AND ETHNIC GROUPS By 2050, minorities will represent more than 50% of the U.S. population. Approximately 98% of U.S. residents belong to main racial groups (White, Black/African American, Asian, American Indian, Alaska Native, Pacific Islander) with the other 2% identifying as two or more single race groups. To meet societal needs, healthcare organizations must expand their awareness of diversity and establish core values that include cultural competence to ensure that patient-centered care is delivered. LEARNING TIP!
Patient-centered care includes an empathetic approach toward care delivery that addresses patients’ wants, needs, and preferences to make meaningful decisions about their care. CULTURAL IDENTITY
Cultural identity shapes perception, behavior, and information transmission. It is influenced by factors including:
○ Race ○ Age
ANSWERS: 1: c 2 : d 3 : c 4 : b
○ Ethnicity ○ Gender ○ Sexuality ○ Spirituality
○ Physical abilities ○ Educational level ○ Socioeconomic status
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