Ethical Dilemma 42: Susie is a nurse in the outpatient center where you work and a very good friend of Mark’s, a co-worker in your department. Susie was in a car accident three weeks ago. She comes into the department to visit Mark during a break complaining about her sore neck. You look over towards Mark and Susie and notice Mark doing soft tissue mobilization on Susie's neck. You have moved from Florida and your state licensure law requires a physician's prescription or referral before initiating this type of treatment. You know that Mark does not have a physician's referral to provide this treatment to Susie.
The problem of ethical dilemma 42 is that Mark is doing soft tissue mobilization on Susie’s neck and a physician’s referral was not obtained. Florida state licensure law requires a physician’s referral before initiating such type of treatment. In addition, both Susie and Mark are very good friends.
The fact of the situation is that prescription or referral is required before treatment, especially if the therapist wants to get paid by third party payers. There are no national rules or regulations preventing an occupational therapist from receiving referrals from anyone. However, third-party payers, such as managed care
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The therapist is affected because it is his license on the line and will not get paid from third party payers. If no one is being billed, then the facility is not making money either. The facility may be a liability if the client gets hurt while in therapy as the therapist does not have any paperwork from the primary care physician that the client is cleared or need occupational therapy. The nature of the interest is professional; the therapist should be aware that a referral is needed before initiating the type of treatment. Personal, the occupational therapist is providing treatment to a very close friend in the facility where he
I feel it is a person’s choice and it is different than suicide. It has to be well thought out and talked about with a team of people involved including physicians, psychologists, and family. I also think it is based more on
People from all walks of life face many ethical dilemmas. These dilemmas have consequences. Our worldview determines how we deal with these dilemmas, and guides us to the right decisions. In this essay, I will examine an ethical issues through my Christian worldview. I will also present other viewpoints, and compare them to mine.
Ethical dilemmas occur when there is a disagreement about a situation and all parties involved question how they should behave based on their individual ethical morals. (Newman & Pollnitz, 2005). The dilemma that I will be addressing in this essay involves Michael, recently employed male educator working in the nursery, and parents of a baby enrolled at the centre. The parents have raised concerns about male educators changing their child’s nappy as they have cultural practices that do not allow this practice to take place. This situation is classed as an ethical dilemma as there is a dispute between cultural beliefs and legal requirements within the workplace. There are four parties involved (parents, child, educator and director), all
Nurses are faced with ethical dilemmas every day. There are a lot of different beliefs surrounding ethics and the code of ethics. Ethics and ethical issues have always existed, that is why they have put in place the code of ethics. The American Nursing Association (ANA) Code of Ethics isa guideline to help nurses determine which course of action to pursue. Every minute many ethical decisions are made, some may not comply with guidelines and others the patient’s will never understand. In this case study the nurse is put in an uncomfortable position and has two find a way to comply with the family, the patient, and the doctor’s orders.How can she report to the doctor the information the daughter has told her? How she approached
What ethical conditions might be involved with either Sierra Golden or Bottle Time Inc. that would make it impossible to continue to collaborate or to accept the funding? Please indicate which principle of the Prevention Code of Ethics may
The health care colleague interviewed, Faith McClure, has about thirty three years experience in the field. She was the Medical/Surgical Director at my facility, and currently a case manager in my office. This is to emphasize her experience and expertise in the medical field. She obviously had strong feelings about pharmaceutical marketing and was happy to contribute.
Ethical Dilemma # 19 problem indicated issues with an occupational therapist located in a rural school district to provide services outside of their scope of practice. The occupational thera-pist is the only healthcare professional within this school district that provides services. The con-tribution from other healthcare professionals is limited, due to the inability to get professionals from other disciplines, in spite of numerous recruiting efforts and a current open position. The occupational therapist sees the area of concern for the client, but the parent and teacher want the child to walk. Teaching the client how to walk is not in the scope of practice unless it’s functional mobility to engage in an activity or occupation. This situation identifies as an ethical dilemma be-cause it causes conflicts in professional interactions, client interventions, and employment setting.
Occupational Therapy is a health, wellness and rehabilitation profession devoted to the development of performance and function across their lifetime so that individuals can live their life to the fullest. The holistic approach taken by occupational therapy practitioners is particularly effective in the areas of wellness, health promotion, and prevention. The practice of occupational therapy can take place in health care and education settings, and in community based agencies and organizations. The timing is excellent for occupational therapy in the area of wellness and prevention. Occupational Therapy practitioners administer habilitation and rehabilitation services, which are among the fundamentals health benefits of the Affordable Care Act. In addition, occupational therapy’s holistic approach correlates the ACA’s focus on wellness and prevention. By focusing on wellness, managing chronic, improving function, and supporting independence, occupational therapy practitioners can assist the interprofessional leading care team enhance outcomes while reducing costs. This paragraph states the role of an occupational therapist in Health Care Reform (www.aota.org).
Matt has been a practicing OT for 16 years and still enjoys it. When we started to receive patients, I had the permission to go around and observe his other colleagues that were working with other patients. In the morning, there are 2 OT’s including Matt and 1 PT (Physical Therapist). Itwas so beneficial to observe the multiple provider, because it helped create a bigger understanding about this profession. Next was my OT when I was 2, Tranh-Van Tan. OT, CHT (Certified Hand Therapist) She received her degree in occupational therapy from San Jose State University. Tranh-Van has been practicing for 30 years and she says “I wouldn’t trade it for the world under any circumstances”. Then there is Marc Whitman. He received his master’s degree in physical therapy from Northern Arizona University, Marc has been doing this for 22
Milton Manufacturing Company is a closely-held company has been in business since 1999 when its President Irv Milton first opened the business with its primary operations in Long Island City, New York and factory branches and warehouses in surrounding areas. The business had increased revenue over its first ten years of business from $500,000 in its first year to $5 million in 2008.
The profession of occupational therapy has many up and downs since its inception. To regain and remain in power, we shall “reflect more on power, learn to capture it, and become strategic in its use, while remaining ethically guided, we will be better able to serve the public good” (Clark, 2010, p266).
Reporting party (RP) stated he arrived at the facility to meet with resident George Dixon (7/11/52) on 3/29/17. Resident was recently placed at the facility after being released from the hospital. Staff did not allow RP to enter the facility so that he could conduct his metal health assessment for the resident. RP presented his business card from his agency but was still denied entry. The resident has been enrolled in RP's program since 02/01/16 and has been visited previously by Social Worker Kathy Kleinman and by staff Denise Ramirez on 3/10/17. Staff told RP that he has to contact the administrator to make an appointment to visit with resident. RP's agency faxed over the consent for treatment to the facility and the DMH contract. Patient's
Without them many people would struggle to make any progress of a injury they have acquired. Many people think of and occupational therapist as someone who work on main injuries to the human body, but they work on smaller injuries often. These smaller injuries can be something a lot of people can’t fix. A occupational therapist doesn’t always fix your problems and injuries, they most of the time help you adapt to them. An example of this would be arthritis, arthritis is the inflammation of the joints causing them to become stiff and painful while in use. This problem can’t be necessarily fixed but the pain and symptoms can be reduced through medication. This ties into occupational therapy, the pain may go away but your joints can still be stiff. A occupational therapist will help you adapt to this. They will teach you ways to get through the day with zero to minimal pain.
OT and OTAs will collaborate in writing a discharge plan for the client. The OT will re-evaluate and finalize the client’s treatment goals, and treatment progress to verify if the treatment goals have met. It is the OTs’ responsibility to provide an in depth evaluation of the client’s occupation status. The discharge plan will include the date and goals are expected, purpose of the referral, summary of the client’s condition, a comparison of the initial evaluations findings to the outcome findings, intervention plans, intervention implementations, and outcomes. OTAs can contribute into the discharge plan by providing the intervention outcomes about how well were the client’s performances, and the effectiveness of therapy. OTAs can also help
The ethical dilemma is a situation by which it’s difficult to determine whether a situation is can be handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78).