Ethicswhat is it?

In this course we will examine the Ethics meaning overall and how it applies to the healthcare arena, in particular the Massage Therapy Profession.

Introduction: Dr. Bryan Hawley DC

https://www.socialmediadigimark.com/homepage

https://massageceus.myshopify.com http://www.ehs180.com/

• Certificates

• Questions

• All presented today is based off OUR OWN CLINIC system

• Email (info@drbryanhawley.com)

• Lets begin

Housekeeping

Massage and Ethics

There is no avoiding this simple fact about massage

therapy. Whether a person is giving or receiving a

Massage the healing power of touch is an intimate one.

There is an energy that is expressed between

The caregiver and the client.

Equal Onus

It is the responsibility of the therapist to create an environment

that is conducive to a healthy, relaxing, and a satisfying experience

for the client.

It is also the responsibility of the client to communicate to the

Therapist any fears or concerns they may have before beginning

any treatment.

Most clients will faulter on this part so it is your job to assure them

that communication is ok and encouraged.

Who set’s the boundaries?

No therapist should take

liberties, or make

assumptions, relative to

what parts of the body can

be touched.

What is Ethics?

• Ethics is a system of moral principles. They affect how people make decisions and lead their lives.

• Ethics is concerned with what is good for individuals and society and is also described as “moral philosophy”.

Difference Between Ethics, Values and Morals

Ethics and Values together lay the foundation for professional sustainability.

While they are sometimes used synonymously, they are different, wherein Ethics are the set of rules that govern the behavior of a person, established by a group or culture. Values refer to the beliefs for how we decide right from wrong. Morals are how you act as an individual based off those values.

Another words (“Plain ole’ English here”)Ethics is more of a society/group/profession standard set of “rules” or “code”Values considers those “rules” or “code” and make them personal to the individual.Morals is how you act personally based off your values

•Meta-ethics: Ethical philosophy that analyzes the meaning and scope of moral values.•Descriptive ethics: The branch of ethics that deals with psychology, sociology, anthropology, etc.•Normative Ethics: The study of the moral course of action through practical means.•Applied ethics: This branch tells us how we can achieve moral outcomes, in a particular circumstance.

4 major areas of study that fall under Ethics

Meta-ethics: What does "right" even mean?

Descriptive ethics: What do people think is right?

Normative (prescriptive) ethics: How should people act?

Applied ethics: How do we take moral knowledge and put it into practice?

Meta-ethics:

Metaethics looks at situations of “how can I tell what is good versus what is bad” and addresses

questions such as “What is goodness?” Is this good for the part or for the whole, Individual or

society.

M.E. seeks to understand and examine the “nature” behind ethical boundaries, statements,

attitudes, and judgments.

Descriptive ethicsDescriptive ethics is a form of research into the attitudes of individuals or

groups of people. In other words, this is the observation of the moral

decision-making process with the goal of describing the phenomenon.

Those working on descriptive ethics aim to uncover people's beliefs about

such things as values, which actions are right and wrong, and which

characteristics of moral agents are virtuous.

Observing a person or group make an

Ethical choice and studying how or what

made them make that choice. What was

the hidden force behind the deciding

factor

Normative Ethics:

Observing the expected outcome of a person or group. It examines the rightness

or wrongness of actions taken.

Normative ethics is the study of ethical action. It is the branch of philosophical

ethics that investigates the set of questions that arise when considering how one

ought to act, morally speaking. If you place a group of people in a controlled

environment for a certain period of time, given the external circumstances you can

expect them to act in a pre determined fashion whether it is right or wrong.

Applied ethics:

How do we take our ethical knowledge and apply it to the good of the individual or good of the

group.

It refers to the practical application of moral considerations. It is ethics with respect to real-world

actions and their moral considerations in the areas of private and public life, the professions, health,

technology, law, and leadership. It concerns itself with setting standards for right and or wrong

behavior.

Professional Ethics

• Professional ethics are standards of conduct that apply to people

who occupy a professional occupation or role.

• A person who enters a profession acquires ethical obligations because society trusts them to provide valuable goods and services that cannot be provided unless their conduct conforms to certain standards.

• Professionals who fail to live up to their ethical obligations betray this trust, and can suffer loss of license.

• Professional ethics studied by ethicists include healthcare ethics.

Ethics vs Professionalism:

Though the terms professionalism and ethics are used interchangeably by some people, there

are a lot of difference between the two.

Ethics are guidelines for individuals, which clearly state the dos and don’ts

Ethics exists in many contexts. Especially in the healthcare setting, ethics are considered as vital.

Professionalism can be defined as the skills, competence and the conduct

displayed by an individual of a certain profession. That doesn’t necessarily

mean that they have “good’ moral ethics. For example a Hitman can

exhibit extreme professionalism but their moral compass may be a little

off

What is Healthcare Ethics?

• Healthcare ethics

is a system of moral principles that apply values and judgments to the practice of healthcare, working with other individuals as clients or patients.

Basic principles of healthcare ethics

• A) respect for patient autonomy.

• b) not inflicting harm on patients.

• c) a positive duty to contribute to the welfare of patients .

• d) justice or fair treatment of patients.

Ethics vs Laws

Ethics are rules of conduct.

Laws are rules developed by governments in order to provide balance in society and protection to its citizens.

Ethics comes from people’s awareness of what is right and wrong.

Laws are enforced by governments to its people.

Ethics vs Laws

Ethics are moral codes which every person must conform to.

Laws are codifications of ethics meant to regulate society.

Ethics does not carry any punishment to anyone who violates it.

Laws will punish anyone who happens to violate it.

Ethics comes from within a person’s moral values.

Laws are made with ethics as a guiding principle.

From the NCBTMB website

The 12 Code Of Ethics from NCBTMB website

NCBTMB Certificants shall act in a manner that justifies public trust and confidence, enhances the

reputation of the profession, and safeguards the interest of individual clients. Certificants will:

I. Have a sincere commitment to provide the highest quality of care to those who seek their

professional services;

II. Represent their qualifications honestly, including education and professional affiliations, and

provide only those services that they are qualified to perform;

III. Accurately inform clients, other health care practitioners, and the public of the scope and

limitations of their discipline;

IV. Acknowledge the limitations of and contraindications for massage and bodywork and refer

clients to appropriate health professionals;

V. Provide treatment only where there is reasonable expectation that it will be advantageous to

the client;

VI. Consistently maintain and improve professional knowledge and competence, striving for professional

excellence through regular assessment of personal and professional strengths and weaknesses and

through continued education training;

VII. Conduct their business and professional activities with honesty and integrity, and respect the inherent

worth of all persons;

VIII. Refuse to unjustly discriminate against clients and/or health professionals;

IX. Safeguard the confidentiality of the client’s identity and information in all conversations,

advertisements, and any and all other matters unless disclosure of identifiable information is requested by

the client in writing, is medically necessary or is required by law;

X. Respect the client’s right to treatment with informed and voluntary consent. The certified practitioner

will obtain and record the informed consent of the client, or client’s advocate, before providing treatment.

This consent may be written or verbal;

XI. Respect the client’s right to refuse, modify or terminate treatment regardless of prior consent given;

XII. Provide draping and treatment in a way that ensures the safety, comfort and privacy of the client;

Lets Look at the 12 Ethics Requirements

I. Have a sincere commitment to provide the highest quality of care to those who seek their

professional services

The therapist has to have a innate desire to want to actually work on a client and have genuine concern

in order to help them. This entails, attitude, cleanliness, promptness, being competent, caring….

II. Represent their qualifications honestly, including education and professional affiliations, and provide only those services that they are qualified to perform

Providing falsifying or misleading information about your credibility is a big no, no in any healthcare profession.

A weekend overview of a subject does not make you a professional and certainly not qualified to work on

others, especially those that have debilitating issues seeking your help.

III. Accurately inform clients, other health care practitioners, and the public of the scope and limitations of their discipline

Just because you can do a certain procedure in one state does not mean you can to it in others.

Each profession has it’s own unique limited scope of practice.

“I’m a family practice doctor but today I am

Performing surgery”

IV. Acknowledge the limitations of and contraindications for massage and bodywork and refer clients to appropriate health professionals

It’s ok I’m a Massage Therapist

V. Provide treatment only where there is reasonable expectation that it will be advantageous to the client

We all want to try and help our clients. Sometimes the best way to help

them is to make sure our services will be of benefit to them. This can be

tough for a new practitioner when they are struggling to get clients.

VI. Consistently maintain and improve professional knowledge and competence, striving for professional excellence through regular assessment of personal and professional strengths and weaknesses and through continued education training.

Such as this course and many others that are taken post grad.

VII. Conduct their business and professional activities with honesty and integrity, and respect the inherent worth of all persons

VIII. Refuse to unjustly discriminate against clients and/or health professionals

IX. Safeguard the confidentiality of the client’s identity and information in all conversations, advertisements, and any and all other matters unless disclosure of identifiable information is requested by the client in writing, is medically necessary or is required by law

X. Respect the client’s right to treatment with informed and voluntary consent. The certified practitioner will obtain and record the informed consent of the client, or client’s advocate, before providing treatment. This consent may be written or verbal

XI. Respect the client’s right to refuse, modify or terminate treatment regardless of prior consent given

XII. Provide draping and treatment in a way that ensures the safety, comfort and privacy of the client

XIII. Exercise the right to refuse to treat any person or part of the body for just and reasonable cause

XIV. Refrain, under all circumstances, from participating in a sexual relationship or sexual conduct with the client, whether consensual or otherwise, from the beginning of the client/therapist relationship and for a minimum of six (6) months after the termination of the client therapist relationship, unless an ongoing current sexual relationship existed prior to the date the therapeutic relationship began

XV. Avoid any interest, activity or influence which might be in conflict with the practitioner’s obligation to act in the best interests of the client or the profession

XVI. Respect the client’s boundaries with regard to privacy, disclosure, exposure, emotional expression, beliefs and the client’s reasonable expectations of professional behavior. Practitioners will respect the client’s autonomy

XVII. Refuse any gifts or benefits that are intended to influence a referral, decision or treatment, or that are purely for personal gain and not for the good of the client

Putting it all together

Guidelines

The NCBTMB board or any board for that matter genuinely

cares about the profession and how it is conveyed to the

public, and to the professional sectors.

It is their obligation to try and set a “standardized” set of

moral guidelines for a licensed person to follow.

However it is your obligation to apply these guidelines to

your everyday practice both in personal and in business.

• Certificates

• Questions

• All presented today is based off OUR OWN CLINIC system

• Email (info@drbryanhawley.com)

• Thank you

Housekeeping