9780803610460

This user-friendly text is a thought-provoking introduction to the professional ethical dilemmas that physical therapists routinely encounter. Stories drawn from real-life cases bring an interactive, practical perspective to ethical and philosophical concepts that might otherwise be difficult to grasp. Frequently referring to the APTA Code of Ethics and Guide for Professional Conduct, this comprehensive book defines and identifies ethical dilemmas and paves the way toward analysis and resolution. "By discussing and presenting the issues in a practical application focus, ethics is taken off the shelf and put into daily practice." -- Denise A. Wise, PT, PhD, College of Saint Scholastica, Duluth, Minnesota

Donald L. Gabard is associate professor of physical therapy at Chapman University and chair of the Department of Physical Therapy at Chapman University.

Preface

vii

Professionalism and Ethics

1

(23)

Ethical Dilemmas

2

(3)

Physical Therapy Ethics

5

(3)

Professions and Ethics

8

(2)

Codes of Ethics

10

(3)

Why Be Moral?

13

(2)

Psychological Egoism

15

(2)

Why Study Ethics?

17

(1)

Moral Development

18

(3)

Discussion Questions

21

(1)

References

22

(2)

Good Judgment and Moral Reasoning

24

(25)

Rights Ethics

25

(4)

Duty Ethics

29

(4)

Utilitarianism

33

(4)

Virtue Ethics

37

(2)

Religious Ethics

39

(3)

Pragmatism

42

(1)

Which Theory Is Best?

43

(2)

Discussion Questions

45

(1)

References

46

(3)

Respect for Autonomy and Information Control

49

(20)

Respect for Autonomy

49

(4)

Justifying the Respect Principle

53

(2)

Informed Consent

55

(6)

Truth Telling

61

(2)

Confidentiality

63

(3)

Discussion Questions

66

(1)

References

67

(2)

Caring for Patients

69

(23)

Experiences of Illness

70

(4)

Medical Good and Total Good

74

(2)

Professional Distance

76

(3)

Family Violence

79

(3)

Reporting Child Abuse

82

(3)

Reporting Elder Abuse

85

(3)

Discussion Questions

88

(1)

References

89

(3)

Respect for Persons and Diversity

92

(26)

Multicultural Awareness

93

(4)

Prejudice

97

(3)

Racism

100

(2)

Sexism

102

(3)

Affirmative Action

105

(4)

People with Disabilities

109

(4)

Discussion Questions

113

(1)

References

114

(4)

Meaningful Life and Death

118

(24)

Fear and Acceptance of Death

119

(4)

Helping Patients Who Have Cancer

123

(3)

Refusing Therapy

126

(4)

Suicide

130

(4)

Assisted Suicide

134

(2)

Should Assisted Suicide Be Legal?

136

(2)

Discussion Questions

138

(2)

References

140

(2)

Honesty and Conflicts of Interest

142

(17)

Defining and Evaluating Conflicts of Interest

143

(2)

Systemic Conflicts within Managed Care

145

(5)

Physician Referral

150

(1)

Equipment and Supplies

151

(1)

Gifts

152

(1)

Teaching and Research

153

(3)

Discussion Questions

156

(1)

References

157

(2)

Integrity and Wrongdoing

159

(21)

Sexual Harassment

159

(6)

Drug Abuse by Professionals

165

(3)

Fraud

168

(2)

Explaining Wrongdoing

170

(3)

Whistle-Blowing

173

(4)

Discussion Questions

177

(1)

References

178

(2)

Justice and Access to Health Care

180

(20)

Microallocation: Balancing Patients' Needs

181

(6)

Macroallocation: Priorities in Public Policy

187

(5)

Theories of Economic Justice

192

(3)

Pro Bono Service

195

(2)

Discussion Questions

197

(1)

References

198

(2)

Leadership and Administration

200

(23)

Leadership in Promoting an Ethical Climate

201

(3)

Decision Making and Organizational Models

204

(5)

Patient-Related Duties

209

(3)

Personnel Duties

212

(3)

Workers' Safety

215

(2)

Organizational Duties

217

(2)

Discussion Questions

219

(2)

References

221

(2)

Scientific Integrity and Experimentation

223

(20)

Exploiting the Vulnerable

224

(3)

Respect for Autonomy

227

(4)

Who Benefits?

231

(3)

Animal Research

234

(2)

Authorship

236

(2)

Discussion Questions

238

(2)

References

240

(3)

Appendix I. APTA Code of Ethics

243

(1)

Appendix II. APTA Guide for Professional Conduct

244

(6)

Appendix III. APTA Standards of Ethical Conduct for the Physical Therapist Assistant

250

(1)

Appendix IV. APTA Guide for Conduct of the Physical Therapist Assistant

251

(3)

Index

254

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Physical Therapy Ethics

0803610467

Summary

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Table of Contents

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