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Clare Delany PhD Master MSPT BAppSc Ian Edwards PhD Grad Dip PT BAppSc Caroline Fryer PhD Grad Dip BAppSc 《Physiotherapy theory and practice》2019,35(7):663-676
The profile and reach of physiotherapy has expanded in areas of extended scope of practice, and broader engagement with population needs beyond the individual treatment encounter. These changes raise increasingly complex ethical challenges evidenced by growth in physiotherapy-based ethics studies and discussions. This paper examines how a broad cross section of Australian physiotherapists perceive, interpret, and respond to ethical challenges in their work contexts and how professional codes of conduct are used in their practice. Using an interpretive qualitative methodology, purposive sampling of 88 members of national clinical special interest groups were recruited for focus group discussions. Narrative-based and thematic data analysis identified ethical challenges as emerging from specific clinical contexts, and influenced by health organizations, funding policies, workplace relationships, and individually held perspectives. Five themes were developed to represent these findings: (1) the working environment, (2) balancing diverse needs and expectation, (3) defining ethics, (4) striving to act ethically, and (5) talking about ethics. The results portray a diverse and complex ethical landscape where therapists encounter and grapple with ethical questions emerging from the impact of funding models and policies affecting clinical work, expanding boundaries and scope of practice and changing professional roles and relationships. Codes of conduct were described as foundational ethical knowledge but not always helpful for “in the moment” ethical decision-making. Based on this research, we suggest how codes of conduct, educators, and professional associations could cultivate and nurture ethics capability in physiotherapy practitioners for these contemporary challenges. 相似文献
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Kulbir S. Walia MD ; Daniel E. Muser MD ; Shariq S. Raza MD ; Tricia Griech MSPT ; Yasin N. Khan MD 《Pain practice》2004,4(4):303-306
Abstract: We present a case of a 13-year-old boy who developed signs and symptoms of neuropathic pain/early Complex Regional Pain Syndrome (CRPS) Type I, formerly known as Reflex Sympathetic Dystrophy (RSD), after spraining his ankle while wrestling. Aggressive pain control, using medications and sympatholytic blocks, with physical therapy and rehabilitation, led to the resolution of his painful condition. This prevented the disease from possibly progressing to a full-blown case of CRPS I (RSD) that is very challenging to treat. 相似文献
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Core stability: The centerpiece of any training program 总被引:3,自引:0,他引:3
Core strengthening and stability exercises have become key components of training programs for athletes of all levels. The
core muscles act as a bridge between upper and lower limbs, and force is transferred from the core, often called the powerhouse,
to the limbs. Stability initially requires maintenance of a neutral spine but must progress beyond the neutral zone in a controlled
manner. Some studies have demonstrated a relationship between core stability and increased incidence of injury. A training
program should start with exercises that isolate specific core muscles but must progress to include complex movements and
incorporate other training principles. 相似文献
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Amy Sewick MD Amun Makani MD Chia Wu MD Judith O’Donnell MD Keith D. Baldwin MD MPH MSPT Gwo-Chin Lee MD 《Clinical orthopaedics and related research》2012,470(10):2702-2707
Introduction
It is unclear which antibiotic regimen provides the best prophylaxis against surgical site infection (SSI) in patients undergoing hip and knee surgery. 相似文献10.