Introduction- This has been documented to create awareness as all Physiotherapists appreciate and Ethics derives from, the Greek word “ethicos” which means arising from custom or from the French word “ethos” meaning custom
“Ethics in physiotherapy can be defined as the moral code of conduct that defines the relationship between the therapist and her patient or client, and the therapist and other healthcare professionals based on mutual respect and trust” (Pagare, 2016).
One of the paper suggests that ethical reasoning should be integrated into a clinical-reasoning framework for everyday practice and not just dealing with ethical dilemmas (Edwards et al, 2005).
Professional Ethics Patients have the right to equal, respectful treatment. Nowadays, one third of patient complaints concern health care staff’s behavior towards patients. Ethically safe care requires ethical competence, which has been addressed as a core competence in physiotherapy. It has been defined in terms of character strength, ethical awareness, moral judgment skills in decision-making, and willingness to do good.
Professional autonomy refers a social contract. As a self-regulatory profession, the Physiotherapist enjoys Professional understand the relevance of ethics to professional and personal behavior. This is a short review autonomy but is also obliged to adopt appropriate Professional behavior.
Physiotherapists as autonomous practitioners, and often working in a multidisciplinary health care environment, also encounter unique and complex ethical challenges.
Professional behavior- obedient, imitative, desire-driven, habitual practice towards a rational ethical approach that considers reciprocity, practicality and usefulness, autonomy, best interest, safety, justice and virtuosity: Physiotherapist -Patient Relationship Ethics, Vulnerable Group, Honesty and integrity. Legal regulation by Laws, Clinical competence This involves an evidence based ethically guided daily practice, accurate and timely record keeping. The Physiotherapists should treat the client according to his own level of competence and evidence based outcome. Appropriate record keeping and data handling. Teamwork, Self-care.
Patient physiotherapist relationship:
Expectations of patient and physiotherapist Expectations by patient: The Physiotherapists’ respect, excellence, consistency, efficiency, practicality, focus on pain/movement/independence, provision of holistic information and clear communication.
Expectations by Physiotherapist: The client’s ability to contribute, compliance and commitment and their rights, balanced by duty/obligation.
Principles of patient physiotherapist relationship:
Throughout the ongoing assessment and treatment cycle, the Physiotherapist leads the relationship, abiding by the principles of: ¬ Respect for patient autonomy, Non maleficence, Beneficence, and Justice.
My Perspective at the beginning of clinical practice, I tried to understand the meaning of ethics, and its link to morals and professionalism in the clinical setting. I have come to realize that ethics is a code or set of rules which a professional should abide by.
Physiotherapy is a field of study which requires a strong foundation of theory based knowledge and the ability to reason clinically when working with patients. While it may be important to develop clinical reasoning skills in order to carry out an effective assessment and treatment of a patient.
A good physiotherapist also needs to understand the principles of ethics, morals and professionalism. As a healthcare worker, one would be faced with many ethical and professional dilemmas, which requires responsibility and important decision making throughout our careers.
Seven core values in Physiotherapy
1.Edwards, I., Braunack-Mayer, A., & Jones, M. (2005). Ethical reasoning as a clinical reasoning strategy in physiotherapy. Physiotherapy, 91(4), 229-236. doi:10.1016/j.physio.2005.01.010
2.Hammond, R., Cross, V., & Moore, A. (2016). The construction of professional identity by physiotherapists: a qualitative study. Physiotherapy, 102(1), 71-77. doi:10.1016/j.physio.2015.04.002
Dr. Kanchan kholiya (Neurophysiotherapist), School Of Health & Allied Sciences, Career Point University, Kota