56 Part 1 The Legal Environment Key Terms Accreditation Bonding Incident repont

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56 Part 1 The Legal Environment Key Terms Accreditation Bonding Incident repont Joint Commission on Accreditation of Healthcare Scope of proctice Organizations (ICAHO) Standard of care Discovery rule Endorsemen Good Samaritan laws Guardion ad litem person rule olling Respondeat superior THE CASE OF LATOYA AND THE PHYSICAL THERAPY PATIENT atoya is in training to become a physical therapist. Dr. B., the head of the Physical Therapy Department, has told her that she helps the tients too much. Many times he has said, "You can't go home the end of her program, Latoya is doing very well in all her studies, but she fears that Dr. B. will not give her a good performance evaluation unless she can better prepare the patients for One of her patients, a 72-year , recovering from a stroke, is adamant in her refusal to walk with either a walker or a cane. She insists on remaining in her wheelchair because she is afraid of falling. Latoya is sympathetic toward this patient's fears. She remembers see- ing a patient fall during a physical therapy session resulting in a fractured vertebra (bone) in her spine. The woman was, subsequently. bedrid- den for several weeks while she recovered. In addition, a statement that Latoya heard in one of her classes, primum non nocere, meaning "first of all, do no harm," has always influenced her behavior. Latoya is very reluctant to force her patient to do something she doesn't want to do. 1. In your opinion, is Dr. B. placing too much pressure on a student? 2. Is this a legal or ethical problem, or both? 3. Who should Latoya talk to about her dilemma? Chapter 3

Explanation / Answer

1. According to me Dr. B is not placing too much pressure on the students as it is true that there must be some initiative from the patient also, a hospital staff whether it is a nurse, or a doctor we can only assist the patient into doing something, we cannot force the patient to walk or eat.

2. It is an ethical issue and it comes under nonmaleficence principle which means do no harm to the patient.

3. Latoya should talk to a therapist preferably Dr. B who at first had instructed students not to do everything for the patient, as it would clear her doubts as to why he asked not to help the patient and as he is the head of the physical therapy department, he must have a good experience and sound knowledge regarding Latoya's dilemma.

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