Ethics Midterm

Morality

a system of values and principles of conduct, right or wrong

Beneficence

doing what is best or right, acting for the good of others

Nonmaleficence

do not harm

autonomy

the right to make ones own decision

justice

fairness

Fidelity

faithful

Veracity

truth telling

Paternalism

deciding for others

Confidentiality

maintain privacy of information concerning patients by not divulging information to unauthroized persons

Conflicts of interest

situations in which individuals have interests that threaten their role responsibilities

culture competency

having the capacity to function effectively as an individual or organization within the context of cultural beliefs, behaviors, and needs presented by consumers and their communities

Accountability

APTA core value

active acceptance of responsibility

Altruism

APTA core value

the devotion to placing the needs of patients and clients ahead of self-interest

Collaboration

APTA core value

working together with patients/clients, families, communities, and other professionals

Compassion and Caring

APTA core value

desire to identify with and the concern, empathy, and consideration

Duty

APTA core value

the commitment to meeting one’s obligations

Excellence

APTA core values

using current knowledge and skills, embracing advancement, and challenging mediocrity

Integrity

APTA core value

adherence to high ethical principles, being truthful, ensuring fairness, following through on commitments

Responsibility

APTA core value

promotion of mutual trust between the profession and the larger public

Moral sensitivity

Individual Process

recognizing that there is an issue and being aware of its impact

Moral judgment

Individual Process

consider possible actions and what effect will be on all parties

Moral motivation

Individual Process

the force that compels the individual to consider possible courses of action

Moral courage

Individual Process

the measure of ego strength, the strength to take action to correct the wrong

Moral failure

Individual Process

deficiency moral sensitivity, moral judgement, moral motivation, moral courage

Moral potency

Individual Process

when absent, results in action not being taken

Ethical problem

Situation

confronted with challenges or threats to own moral duties and values – need to reflect on the course of action

Ethical distress

Situation

know what action should be taken, but there is a barrier in the way of doing what is right

Ethical dilemma

Situation

involves two or more morally correct courses of action where only one can be followed

Ethical temptation

Situation

involves two or more courses of action, one morally correct and one morally incorrect, consciously choose the incorrect course of action

Silence

Situation

ignore the problem, take no action

The legal test

what does the practice act say? Is this illegal?

The stench test

does it smell right? Do you get that uncomfortable feeling in your gut?

The front page test

do you want this story blasted all over the front page of a newspaper or on the news

The mom test

what would mom want you to do? Would she approve what you are doing?

Professional Values test

refer to APTA Code of Ethics

What aspects make up the Kidder test?

Legal test

Stench test

Front page test

Mom test

Professional values tes

Rule-Based Approach

Follow the rules, duties, and obligations already in place; standard of care

Ends-Based Approach

Whatever produces the greatest good for the most people; looks more at the general good for society and less at the individual’s needs

Care-Based Approach

Follow the Golden Rule: “Do unto others as you would have them do unto you.”

Caring for patients

empathy, sympathy, compassion

Medical Good

the patient’s well-being measured in terms of health

Total Good

unified well-being. Combination of health, feelings, relationships, work, security, spirituality, etc

Empathy

identification of others by combining a cognitive understanding of what others are experiencing rather than indifference “I could be you”

Sympathy

emotionally concern for others sharing sorrows or suffering

Compassion

deep caring in response to suffering

Religion

shared set of beliefs and practices formalized through an institutional structure

Religious spirituality

a subset of spirituality that is guided by the institution’s religious beliefs and practices

Spirituality-

human propensity to find meaning in life through self- transcendence, a sense of relatedness to something greater than the self which may or may not include formal religious participation.