Someone suggested that we consider the Scope of Practice of other allied
health care professions. I am quoting part of the Physiotherapist's
responsibility towards clients, with some key points indicated between * *
"The provision of effective quality care, while respecting the rights of
the client, shall be the primary consideration of each member of the
profession.
Physiotherapists shall respect the client's rights, dignity, needs,
wishes and values.
Physiotherapists may not refuse care to any client on grounds of race,
religion, ethnic or national origin, age, sex, sexual orientation,
social or health status.
Physiotherapists must respect the client's or surrogate's right to be
informed about the effects of treatment and inherent risks.
Physiotherapists must give clients or surrogates the opportunity to
consent to or decline treatment or alterations in the treatment regime.
*Physiotherapists shall confine themselves to clinical diagnosis and
management in those aspects of physiotherapy in which they have been
educated and which are recognized by the profession. (Physiotherapists
are responsible for recognizing and practising within their levels of
competence. The clinical diagnosis is established by taking a history
and conducting a physical and functional examination. The identification
of the client's problems and the physiotherapeutic management is based
on this diagnosis in conjunction with an understanding of pertinent
biopsychosocial factors. This rule does not restrict the expansion of
the scope of physiotherapy practice.)*
*Physiotherapists shall assume full responsibility for all care they
provide.*
*Physiotherapists shall not treat clients when the medical diagnosis or
clinical condition indicates that the commencement or continuation of
physiotherapy is not warranted or is contraindicated.*
*Physiotherapists shall request consultation with, or refer clients to,
colleagues or members of other health professions when, in the opinion
of the physiotherapist, such action is in the best interest of the client*.
Physiotherapists shall document the client's history and relevant
subjective information, the physiotherapist's objective findings,
clinical diagnosis, treatment plan and procedures, explanation to the
client, progress notes and discharge summary.
Physiotherapists shall respect all client information as confidential.
Such information shall not be communicated to any person without the
consent of the client or surrogate except when required by law.
Physiotherapists, with the client's or surrogate's consent, may delegate
specific aspects of the care of that client to a person deemed by the
physiotherapist to be competent to carry out the care safely and
effectively.
Physiotherapists are responsible for all duties they delegate to
personnel under their supervision.
© 2001 - 2003 Canadian Physiotherapy Association. All rights reserved
<http://www.physiotherapy.ca/ethics.htm> "
It sounds much more extensive in what is allowed... In particular, the
need to
> *not treat clients when the medical diagnosis or clinical condition
> indicates that the commencement or continuation of physiotherapy is
> not warranted or is contraindicated.*
is a very interesting statement in terms of relationships with
physicians. It would mean that if a doctor refers a client who should
not be undertaking therapy, the physiotherapist is obligated to refuse
to treat.
Jo-Anne Elder-Gomes, PhD and IBCLC recertifying *this week*... why do
these things also become so complicated? ;-)
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