Ethical Issues in Rehabilitation Medicine

Blackmer, Jeff

doi:10.1080/003655000750045541

Cited by 23 publications

(39 citation statements)

References 4 publications

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“…5 Such involvement may result in greater motivation by clients to achieve goals that are meaningful to them. [5][6][7][8][9] To date, two studies have focused on the identification of client goals in individuals with chronic stroke. 10,11 Grant designed a qualitative study providing examples of narratives from interviews of 10 individuals and their caregivers.…”

Section: Introductionmentioning

confidence: 99%

Goal Priorities Identified through Client-Centred Measurement in Individuals with Chronic Stroke

Harris

Eng²

2004

Physiother. Can.

108

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Purpose-The purpose of this study was to identify goal priorities in a sample of individuals with chronic stroke.Method-In this descriptive study involving 19 community-dwelling individuals with stroke, participants were interviewed on the Canadian Occupational Performance Measure (COPM) to ascertain problem areas experienced after hospital discharge. Once problems were identified, they were classified under the three dimensions of the COPM: self-care, productivity, and leisure.Results-The mean time since stroke was 6.8 (±2.9) years. Eighty-four problems were identified within the three dimensions of the COPM. The most frequently cited problems in each dimension were bathing (self-care) by 42% of participants, household maintenance (productivity) by 32% of participants, and walking outdoors (leisure) by 32% of participants. Overall, participants rated their performance of identified problems and satisfaction with their abilities as low and rated each dimension as equally important for problem priority.Conclusion-Long after hospital discharge, individuals with chronic stroke were able to identify issues of concern that could benefit from involvement of rehabilitation professionals. Clinicians should be aware that issues of bathing, walking, household maintenance, and recreational activities are of particular importance to people with chronic stroke living in the community. A clientcentred approach to problem generation (ie, use of the COPM) may assist in enhancing client involvement and motivation towards rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Goal Priorities Identified through Client-Centred Measurement in Individuals with Chronic Stroke

Harris

Eng²

2004

Physiother. Can.

108

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“…In addition, some less frequently discussed topics were also brought to light by the CREW day participants, such as the ethics of teamwork in rehabilitation [28], the ethics of risks for patients [29] and the scope of ethical responsibility for the therapist. The topics mentioned by participants were diverse and most were related to the dayto-day care provided by rehabilitation professionals, providing a concrete and practical basis for discussion of ethical issues with students.…”

Section: Discussionmentioning

confidence: 99%

Ethics teaching in rehabilitation: results of a pan-Canadian workshop with occupational and physical therapy educators

Hudon

Perreault

Laliberté

et al. 2016

Disability and Rehabilitation

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Purpose: Ethical practice is an essential competency for occupational and physical therapists.However, rehabilitation educators have few points of reference for choosing appropriate pedagogical and evaluation methods related to ethics. The objectives of this study were to: 1) identify priority content to cover in ethics teaching in occupational therapy (OT) and physical therapy (PT) programs and 2) explore useful and innovative teaching and evaluation methods.

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“…The principle of beneficence, a characteristic of the Hippocratic model, is a belief that clinicians have an obligation to always do 'good' in terms of improving a patient's health. [2][3][4] Associated with this is the related principle of non-maleficence -the belief that clinicians should avoid causing or allowing harm 2 -but this principle is often simply incorporated into the principle of beneficence 3,4 so does not always feature prominently in discussions of ethics.…”

Section: Past Views On Ethics In Goal Planningmentioning

confidence: 99%

“…3,4 Autonomy is also used to support the notions of 'patient choice' and 'client-centred care' in health settings. 2 Problems occur when patients wish to pursue objectives that clinicians believe are not in their best interests (e.g.…”

Section: Past Views On Ethics In Goal Planningmentioning

confidence: 99%