TY - CHAP M1 - Book, Section TI - Accountability A1 - Kirsch, Nancy R. PY - 2018 T2 - Ethics in Physical Therapy: A Case-Based Approach AB - All healthcare professionals are expected to be accountable. Physical therapists are of course no exception—accountability is one of the virtues that is a core value of the profession. The confusion that occurs regarding accountability centers on who the PT is accountable to, because in many cases there may be multiple equally compelling demands on the PT. At all times the first and primary demand for accountability is a result of the patient-therapist relationship. It is always important to keep this relationship in mind through all interactions, as it is the foundation of the ethical and clinical decision making that physical therapists engage in. Of course it would be simple if that were the only party that the PT was accountable to, but there are many. The PT also has to be accountable to the organization that they work within, whether employed, contracted, or self-employed. In addition, the PT has a responsibility to the profession. How do the actions of the PT impact the profession as a whole? How is each PT accountable to maintaining the reputation of physical therapy and helping physical therapy to continue to grow and develop? There is also accountability to society. How will our actions impact things like access to care and promotion of health and wellness? No less important is the accountability the physical therapist must have to themselves. A physical therapist is more vulnerable to poor ethical and clinical decisions when his or her own well-being is compromised, in which case the PT must take the responsibility to recognize his or her own vulnerability. Accountability is complex and integral to fulfilling our responsibilities to our patients, fully cognizant that we do not practice in isolation and that we are part of a healthcare team and organization with responsibilities to society. In the cases that follow, we will look at accountability from several different vantage points. Table Graphic Jump Location|Download (.pdf)|PrintDestination DilemmaBest interest determinationWhat Happens in PT, Stays in PTPatient confidentiality vs. professional dutySticks and StonesPatient–therapist relationship challenges SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1151751201 ER -