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Biomedical subjects

R B Purtilo

Publications and source records attributed to R B Purtilo.

At least 37 records · Page 2Linked to original sources
PubMed1984

Applying the principles of informed consent to patient care. Legal and ethical considerations for physical therapy.

This paper presents legal and ethical considerations regarding informed consent for the evaluation and treatment of patients in physical therapy practice. Therapists traditionally think of informed consent in relation to clinical research, but as the trend toward independent practice and private practice increases in physical therapy, the physical therapist must understand the process of informed consent in relation to patient care. Legal concepts of battery, self-determination, and the fiduciary relationship create a legal foundation for informed consent. The patient's moral right to self-determination and the corresponding duty of health professionals to "do no harm" create a strong moral basis for gaining a patient's informed consent. Practical suggestions are offered to physical therapists to help them assess their need for obtaining informed consent.

Ethics, Professional↗
PubMed1983

Ethics in allied health education: state of the art.

This article addresses three aspects of the "state of the art" of ethics in allied health education. The first section reviews four types of concerns legitimately voiced by allied health educators as they try to ascertain the appropriate place of ethics in their curricula. The second part discusses the discipline of ethics itself, highlighting those areas of particular relevance to allied health professionals. In the last section three arguments are presented in favor of incorporating a substantial focus on ethics into the formal preparation of allied health students. The article emphasizes the clinical relevance of ethical decision making.

Allied Health Personnel↗
PubMed1982

Justice in the distribution of health care resources. The position of physical therapists in the United States and Sweden.

This study compared physical therapists from the United States and from Sweden regarding the interpretations of justice they judged as the most appropriate for distribution of health care resources. A two-part questionnaire was used. Results showed that Swedish therapists were more consistent in their responses than United States therapists, and that they favored a "needs-based" approach over a "utilitarian," "contract," or "skeletal" approach. The impact of the responses upon the physical therapists' involvement in the formulation of this type of health policy is discussed.

Adult↗
PubMed1981

Justice in the distribution of health care resources. The position of physical therapists, physiatrists, and rehabilitation nurses.

Physical therapists, rehabilitation nurses, and physiatrists in the United States were surveyed to identify the interpretation(s) of justice they judged to be most appropriate as a basis for health policies. A questionnaire containing four interpretations of justice was used. Responses by the three groups according to their overall interpretation showed marked inconsistencies. To the extent that consistency was observable, they favored a "needs-based" approach over a "utilitarian," "contract," or "skeptical" approach. Individually, physical therapists favored a needs-based interpretation while rehabilitation nurses and physiatrists were divided between utilitarian and needs-based interpretations.

Adult↗
PubMed1979

The right to health care. Ideal or imperative?

The purpose of this presentation is to increase the physcial therapist's understanding of the current concept of a "right to health care" and to explore the moral implications for physical therapy arising out of the various interpretations currently being advanced. The term "right" is used in two ways: 1) "freedom right," providing freedoms from certain types of interferences and 2) "entitlement rights," calling for positive action on the part of others. The right to health care is viewed as an entitlement right. As such, it has been variously interpreted as a praiseworthy ideal or an imperative upon society. The moral implications associated with accepting either position are briefly examined, giving special attention to the dilemmas and promises posed for physical therapists in both positions.

Delivery of Health Care↗
PubMed1979

Structure of ethics teaching in physical therapy: a survey.

Courses called "Ethics" have long been included in physical therapy education programs. This paper reports the findings of a survey designed to assess current practices in teaching ethics in baccalaureate-level physical therapy programs. Of 59 questionnaires sent, 29 were returned and analyzed. The findings are compared with similar recent surveys of medical and nursing schools. Suggestions are made for assuring that the high standard of teaching maintained in other areas of physical therapy professional preparation also are maintained in ethics teaching.

Curriculum↗
PubMed1978

Who should make moral policy decisions in health care?

Physical therapists are not always involved in the formulation of moral policy that significantly affects their professional practice as clinicians, researchers, and educators. This paper analyzes five major positions being taken regarding what the physical therapist's role ought to be, and suggests possibilities for increased involvement in the policy-making process.

Decision Making↗
PubMed1977

The American Physical Therapy Association's code of ethics: its historical foundations.

This paper surveys selected historical foundations of the present American Physical Therapy Association's CODE OF ETHICS, showing the extent to which the present code draws upon oaths, ideas in ethics textbooks, and other sources. The article presenta a basis for understanding the significance of these historical influences and provides one means by which physical therapists can more fully appreciate the relevance of the code today.

Codes of Ethics↗
PubMed1976

Similarities in patient response to chronic and terminal illness.

Physical therapists sometimes hesitate to treat terminally ill patients because they believe the approach to them should differ from the approach to other patients. This belief is based on the assumption that patient needs during terminal illness differ from the needs of other patients. Some important similarities in patient reactions to chronic and terminal illness are explained. A conceptual framework of 'little deaths' is presented for comparing the two types of illness.

Adaptation, Psychological↗
PubMed1975

Reading "physical therapy" from an ethics perspective.

Physical therapists have an increasing need to incorporate an ethics perspective into their professional outlook. One way a physical therapist can become more proficient in recognizing morally significant data is to identify such data in articles written by physical therapists and other health professionals. An article should be evaluated according to the facts included or omitted, the loyalties expressed by the author, the life-view implied by the author, and the norms of good and right directing the author's thinking.

Ethics, Professional↗
PubMedDate not supplied

Ethical issues and the patient-provider relationship.

In enabling disabled persons to gain increased function and independence, rehabilitation practitioners try to emphasize the patient's goals by providing the patient with some control over the process. As the patient enters the active rehabilitation phase, the patient actively becomes involved with the design of the treatment plan. If the patient does not fully participate in this plan, his/her motivation may be questioned. Rehabilitation professionals prefer patients who comply with the original treatment plan. Conflicts arise when patients do not comply, and the war between patient autonomy and medical paternalism ensues. When the disabled person becomes an outpatient, we must learn to measure the quality of life, not just the functional outcome. Rehabilitation professionals have become masters of inpatient rehabilitation but are less prepared to facilitate comprehensive rehabilitation care in the outpatient setting. Outpatient rehabilitation also needs to measure community reintegration. In the continuum of chronic disability, the care-giver and the disabled person develop an intermittent interdependence with an alternating relationship between autonomy and paternalism. Mutal respect such as that experienced in friendship provides a useful model for this idealized patient-care enabler team. To understand more of the essence of the disabled person's life is the responsibility of the rehabilitation provider.

Activities of Daily Living↗