lisa kohler pt truly moore pt, cert. mdt, tps jill dubbs ......truly moore pt, cert. mdt, tps jill...

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Respect the Bubble! How am I as Respect the Bubble! How am I as Respect the Bubble! How am I as Respect the Bubble! How am I as a a a a Professional with Social MediaProfessional with Social MediaProfessional with Social MediaProfessional with Social Media, , , ,

Personal Boundaries Personal Boundaries Personal Boundaries Personal Boundaries &&&&Cell PhonesCell PhonesCell PhonesCell Phones????

PRESENTED BY:

Lisa Kohler PT

Truly Moore PT, Cert. MDT, TPS

Jill Dubbs PT, DPT

Alexia Lairson PT, DPT, GCS

Dawn Bookshar PT, DPT GCS

Objectives

• Distinguish between personal and professional boundaries in clinical practice and be able to operate within those boundaries

• Understand acceptable patient and practitioner use of cell phones in the clinic while maintaining professionalism and patient privacy

• Identify appropriate use of social media in communicating with patients and promoting the practice of physical therapy

2018 OPTA Survey “HOT TOPICS IN ETHICS”

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Real Life Scenarios

• Noticing other therapists spending more hands on time with massaging a patient then necessary and spending more time for additional billing

• A STNA kissing a patient on the lips and stating that she was caught off guard.

• During home health- I had an old man try to grope me several times during 2 visits – including trying to kiss me.

• Patient wanted to take her therapist out to from after discharge from therapy

Professional and Personal BoundariesProfessional and Personal BoundariesProfessional and Personal BoundariesProfessional and Personal Boundaries

•Why are we talking about this?

• New PT articles re: Inappropriate Patient Sexual Behavior (IPSB)

•Me Too Movement

• Consent during treatment

• Sexual harassment / Sexual banter

• Professional Distance vs Therapeutic Alliance

Physical Therapist, Physical Therapist Physical Therapist, Physical Therapist Physical Therapist, Physical Therapist Physical Therapist, Physical Therapist Assistant, and Student Response to Assistant, and Student Response to Assistant, and Student Response to Assistant, and Student Response to Inappropriate Patient Sexual Behavior: Inappropriate Patient Sexual Behavior: Inappropriate Patient Sexual Behavior: Inappropriate Patient Sexual Behavior: Results Results Results Results of a National Survey of a National Survey of a National Survey of a National Survey

•Physical Therapy Journal – September 2018

• Ziádee Cambier, Jill S. Boissonnault, Scott J. Hetzel, Margaret M. Plack

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Inappropriate Inappropriate Inappropriate Inappropriate Patient Sexual Patient Sexual Patient Sexual Patient Sexual Behavior (IPSB): Behavior (IPSB): Behavior (IPSB): Behavior (IPSB): What is it? What is it? What is it? What is it?

•includes any “verbal or physical act of an explicit, or perceived, sexual nature, which is unacceptable within the social context in which it is carried out,” such as leering, sexual remarks, deliberate touch, indecent exposure, and sexual assault.

Inappropriate Inappropriate Inappropriate Inappropriate Patient Sexual Behavior: Patient Sexual Behavior: Patient Sexual Behavior: Patient Sexual Behavior: What is it? What is it? What is it? What is it?

•Mild (stares, suggestive comments, date requests, romantic gifts)

•Moderate (explicit sexual comments, propositions, obscene gestures)

•Severe categories (flashing, masturbating, stalking, groping, threats, and assault and rape)

General Research on Sexual Harassment and General Research on Sexual Harassment and General Research on Sexual Harassment and General Research on Sexual Harassment and Rape PreventionRape PreventionRape PreventionRape Prevention

•Assertive Response is most effective in ending sexual harassment and preventing sexual assault

•BUT ignoring the problem or avoiding the perpetrator is a much more common response

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Ethical Ethical Ethical Ethical CCCConsiderations onsiderations onsiderations onsiderations

•Patient-Clinician relationship

•Therapeutic Alliance

•We have legal and ethical obligations to meet patients’ medical needs

•Balanced against rights to a workplace free of Sexual Harassment

Who is at Higher Risk for IPSB? Who is at Higher Risk for IPSB? Who is at Higher Risk for IPSB? Who is at Higher Risk for IPSB?

•Fewer years of direct patient care

•Routinely work with patients with cognitive impairments

•Female treating mostly male patients

•Younger clinician (for mild IPSB)

Results of a National Survey Results of a National Survey Results of a National Survey Results of a National Survey

•1027 Respondents

• 84% of PTs, PTAs, and students experienced inappropriate patient sexual behavior (IPSB) over their careers and 47% over the prior 12 months

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Informal ResponsesInformal ResponsesInformal ResponsesInformal Responses• Distract/redirect

• Ignore (pretend it did not happen)

• Avoid (treat in a more public space/ use less physical contact)

• Joke

• Direct (speak directly to pt about the behavior)

• Aggressive (express disgust, criticize, verbally threaten)

Formal ResponsesFormal ResponsesFormal ResponsesFormal Responses• Contract

• Document

• Chaperone

• Transfer

• Terminate

• Report

• Lawsuit

• Police

Response Impact – SuccessfulSuccessfulSuccessfulSuccessful if strategy improved behaviors significantly > 50% of the time

• INFORMAL:

• distraction / redirection

• avoidance (more public space/ less physical contact)

• direct confrontation

• FORMAL

• behavioral contracts

• transfer of care

• chaperone use

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Unsuccessful Unsuccessful Unsuccessful Unsuccessful strategies - improved the situation significantly < 50% of the time

•Ignoring the behavior

•Joking

•Documenting the behavior

•Reporting to supervisor

Results of a National Survey Results of a National Survey Results of a National Survey Results of a National Survey

• Experienced clinicians were more likely to be direct

•Novice clinicians were more likely to engage in unsuccessful actions of ignoring and joking

• Results: need for clear workplace policies coupled with training for managers and supervisors to support clinicians in resolving IPSB

Inappropriate Patient Sexual Inappropriate Patient Sexual Inappropriate Patient Sexual Inappropriate Patient Sexual behavior when working in behavior when working in behavior when working in behavior when working in Sensitive areas of the Body: Sensitive areas of the Body: Sensitive areas of the Body: Sensitive areas of the Body: Results from a National Physical Results from a National Physical Results from a National Physical Results from a National Physical Therapy SurveyTherapy SurveyTherapy SurveyTherapy SurveyJournal of Women’s Health Physical Therapy Volume 43 Number 1 Jan/March 2019

Jill S. Boissonnault PT, PhD, WCS

Ziadee Cambier, PT, MSPT, DPT

Scott Hetzel, MS

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IPSB: Working in Sensitive AreasIPSB: Working in Sensitive AreasIPSB: Working in Sensitive AreasIPSB: Working in Sensitive Areas

• Most IPSB events were unrelated to working in sensitive body areas for general respondents]

• Occurred significantly more often for pelvic health practitioners (13.8% vs 3.8%; P = .036)

• Performing internal examinations was not a significant risk factor for IPSB.

• Pelvic health PTs were mostly experienced female practitioners, treating mostly women

• They terminated and transferred care to others more often in the face of IPSB

Do We Date Our Patients? Do We Date Our Patients? Do We Date Our Patients? Do We Date Our Patients?

• APTA has a view on this:

• http://www.apta.org/EJCOpinions/2001/8/3/#.XH6LlLA7pC4.email

• Not an issue that you would think we need to discuss but….

• Clearly should not date active patients – breach the Code of Ethics

• What about transferring care?

• What is the appropriate length of time after transfer or discharge?

• Other professions?

Skits

•SI dysfunction/ low back pain/ piriformissyndrome

•SNF/ acute care treatment session

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Our Responsibilities

• We are a hands on profession which means we are professional and respectful

• We treat everyone with dignity and respect

• Clearly Explain everything that you are going to be doing

• Avoid sexual banter – can get complicated quickly

• Set clear boundaries with good education to the patient

• Avoid placing yourself in a compromised position

• Report sexual harassment immediately – Don’t ignore

• Transfer care if it becomes difficult

Cell Cell Cell Cell phonesphonesphonesphones

Professional Use and Pit Falls

Percent of U.S. Adults Who Own a Cell PhoneSource: Pew Research Center, 2018

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Productive and Professional UseProductive and Professional UseProductive and Professional UseProductive and Professional Use

• Finger tip access to professional content

• Journal articles to support evidence based practice

• Digital subscriptions

• APTA/OPTA website

• Resources for practice, patient care, payment, legal and ethical concerns, advocacy

• Practice act


• Rapid research

• Drug interactions

• Diagnoses

• Medical interventions & procedures

• Precautions and protocols

• Special tests/standardized tests

• Documentation guidelines

• OASIS, FIM

• DME


• Provide quick answers to patient questions

• Being connected on the job

• Interdisciplinary communication

• Assistance

• Readily available

• Safety in home health

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• Apps

• Cell phones carried everywhere

• Numerous censors to track HR, activity, location

• Apps log exercise, diet

• More than 100,000 health related apps available

• Education of clinician and patient

• Anatomy

• Mobility techniques

• Exercises

• Evidence based research


• Apps

• Clinical application

• Stopwatch

• Timer

• Gait speed

• Goniometer

• Ortho special tests and manual technique

• Develop and send home exercise programs by email

• Language translation

• ICD10 coding

How can patients benefit from How can patients benefit from How can patients benefit from How can patients benefit from mobile technology?mobile technology?mobile technology?mobile technology?

• Telehealth

• Live video

• Ideal for evaluations and treatments

• Remote monitoring

• Vitals, blood sugar

• Mobile health (mHealth)

• Healthcare services, education, and public health notifications delivered over cellphones, tablets, and other electronic devices (HEP, activity encouragement, appointment reminders)

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Benefits of Benefits of Benefits of Benefits of TelehealthTelehealthTelehealthTelehealth

• Ideal in reaching isolated geographic areas or homebound patients

• Monitoring of program/increase activity compliance

• Decrease appointment wait time

• Post discharge check ups, quick screens, wellness or preventative services

ResearchResearchResearchResearch

ImplementationImplementationImplementationImplementation

• Who Uses Mobile Phone Health Apps and Does Use Matter? A Secondary Data Analytics Approach

• Carroll et al 2017

• Aimed to identify social demographic and health characteristics, intentions to change, and actual health behaviors

• 3677 respondents

• Found:

• App users significantly more likely to report intentions to improve fruit and vegetable consumption, physical activity and weight loss

• App users more likely to meet recommendations for physical activity

• Least likely to adopt apps: age older than 45, males, less education

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ImplementationImplementationImplementationImplementation

• Health app use among US mobile phone owners

• Krebs and Duncan 2015

• Survey of 1604 mobile phone users revealed that 58.23% had downloaded a health related mobile app

• Fitness and nutrition most common, most respondents reported using daily

• Those who did not use cited no interest, cost and concern about data collection

• High use individuals were younger, higher income, higher education level and obese BMI

• Most indicated not willing to pay for a health app

• Those who used reported feeling the app had improved their health

• 45.7% of respondents who downloaded apps had stopped using due to data entry burden, loss of interest and hidden costs

TelehealthTelehealthTelehealthTelehealth

• A UC Irvine School of Medicine study revealed that telehealth PT was as effective as in-clinic therapy for improving upper extremity motor control post-CVA.

• According to Mani et al., there is a high level of agreement between an in-clinic PT diagnosis and a diagnosis obtained via telehealth using a remote diagnosis and a functional movement screen (FMS)

• A review of 75 systematic reviews and 71 Cochrane reviews revealed that the most effective interventions for low back pain (LBP) are patient self management, psychosocial interventions, and therapeutic exercise

mHealthmHealthmHealthmHealth

• mActive: A Randomized Clinical Trial of an Automated mHealth Intervention for Physical Activity Promotion• Martin et al 2015

• 48 Smartphone users ages 18-69

• Goal set for reaching 10,000 steps/day

• 3 groups• Blinded to step count

• Aware of step count

• Aware of step count plus “smartphone delivered coaching” texts 3x/day

• Participants receiving texts increased their steps by 2534/day compared to those that did not and took 3376 more steps than those unaware of steps

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Cell phones are great!.... Right?Cell phones are great!.... Right?Cell phones are great!.... Right?Cell phones are great!.... Right?

Pit FallsPit FallsPit FallsPit Falls

• HIPPA

• Reluctant to adopt mHealth due to compliance

• At all times must protect PHI, which includes:

• patient demographic information

• medical history

• test and laboratory results

• insurance information

• other data used to identify individual patients and develop plans of care

• Use password protected device

• Never text patient information/identifiers from or to a personal cell phone

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• Pictures and video

• Can be used for immediate feedback and analysis

• Requires patient authorization

• Written versus verbal

• Consider using patient’s phone/camera

• Avoid taking pictures/video in work environment where other patients/staff may be in the background


• Take care to maintain professional appearance at all times• Smartphones and Generational Differences

• Lorio et al. 2018 aimed to identify perceptions of older adults toward technology usage and observe how cell phones are being used during clinical practice

• Results showed that older adults are not comfortable with health care providers using smartphones during appointments

• Observations revealed that clinicians are using their technology for personal reasons (61% of uses) more often than professional reasons (8%)

• Explain to patients why use of your cell phone during a session is pertinent/important and make it patient oriented

• Avoid using cell phone for personal reasons• Be mindful of who can overhear your phone calls

• Keep the workplace professional!

What about when patient’s have a cell phone?What about when patient’s have a cell phone?What about when patient’s have a cell phone?What about when patient’s have a cell phone?

• Ensure that patients have given permission to receive text alerts

• Maintain professional boundaries

• Best not to give out your personal cell phone number

• Consider facility policy regarding:

• Patient/family taking photos or recording videos during session

• If allowed, ensure no other patients are being recorded

• Patients interrupting session to take a phone call or send texts

• Results in ineffective treatment, reduced focus on education being provided, delay in delivery of care due to interruptions, therapist running behind schedule

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In conclusion…In conclusion…In conclusion…In conclusion…

Cell phones have many advantages, but excellent patient care and personalized interaction should be your focus.

Know your client

Abide by HIPPA regulation at all times

Respect the boundaries

SOCIAL MEDIA

Social MediaSocial MediaSocial MediaSocial Media

• https://twitter.com/MegLowryPT/status/1086019845701853185

Was there informed consent?

Merely asking permission is not obtaining a valid consent

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•Public forum – everything recorded and shared, reaching potentially millions of people

•Can not be deleted – screen shot/server storage, has been discoverable in court of law even when long deleted

• Immediate access and responsiveness

•Misunderstanding - intended versus perceived meaning


•Exciting and valuable tool when used wisely

•Useful for:

Emotional support

Education of fitness, wellness and rehabilitation information

Fostering professional connections

Staggering StatisticsStaggering StatisticsStaggering StatisticsStaggering Statistics

• 2013 – Facebook (social) 1 billion users Linked In (professional) 200 million users

• Facebook of surgical residents –

14.1% potentially unprofessional posts12.2% definitive unprofessional posts, included HIPAA

violations

• 26 of 33 board of nursing violations were related to patient privacy

• In most cases, inappropriate disclosure is unintentional

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PrivacyPrivacyPrivacyPrivacy

• Rules based on HIPAA and HITECH (Health Information Technology for Economic and Clinical Health) Act that apply to covered entities that handle PHI (anything used to identify a patient) – doesn’t cover patient produced content

• Focus on the person (patient centered) - what patient wants to share about illness

• Patient‘s expectation and right to be treated with dignity and respect

• Platforms terms of service addresses both privacy and security

• Content not private

• If violation, decline in public trust of profession

Case StudyReference: Why Can’t We Be Friends? A CaseReference: Why Can’t We Be Friends? A CaseReference: Why Can’t We Be Friends? A CaseReference: Why Can’t We Be Friends? A Case----Based Analysis of Ethical Based Analysis of Ethical Based Analysis of Ethical Based Analysis of Ethical Issues with Social Media in Health CareIssues with Social Media in Health CareIssues with Social Media in Health CareIssues with Social Media in Health Care

“A physician treating an elderly woman for shortness of breath began looking for the cause of her worsening condition. He sent for a drug screen, on which she tested positive for cocaine. She told him she had no idea how cocaine could be in her system, which made him concerned she might be a victim of abuse. One of the nurses involved in her care Googled her and discovered that she had a previous police record for cocaine possession [22].”

What is the ethical issue?

StorytellingReference: Sounding Off on Social Media: The Ethics of Patient Reference: Sounding Off on Social Media: The Ethics of Patient Reference: Sounding Off on Social Media: The Ethics of Patient Reference: Sounding Off on Social Media: The Ethics of Patient Storytelling in the Modern Era Storytelling in the Modern Era Storytelling in the Modern Era Storytelling in the Modern Era

“A student on her surgery rotation at a well-known hospital encounters a patient with a severe injury that occurred while the patient was intoxicated. Part of the student’s posting on Facebook includes “Note to everybody: don’t get drunk and fall asleep on train tracks.…

What is the ethical issue?

• Can be HIPAA compliant but ethically questionable

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FacebookFacebookFacebookFacebookReference: FierceHealthcare

• A CNA at Kindred Transitional Care and Rehab in IN took a photo of a paraplegic’s butt after he had a bowel movement and posted in May 2011 telling her coworker – “This is too funny. I need to take a picture of this” RTV6, an ABC affiliate, previously reported. The medical facility fired her and she was faced a voyeurism charge.

• At Providence Holy Cross Medical Center in CA in December 2011, employee posted picture of medical record making fun of woman stating “Funny, but this patient came in to cure her VD and get birth control” according to Daily News of LA. His response – “People, it’s just Facebook…It’s just a name out of millions and millions of names….If you don’t like it, too bad because it’s my wall, and I’ll post what I want to.”

TwitterTwitterTwitterTwitter

https://www.bing.com/videos/search?q=cleveland+clinic+resident+fired&view=detail&mid=5B6D78188408D3D30D1D5B6D78188408D3D30D1D&FORM=VIRE

Which one violates HIPAA?Which one violates HIPAA?Which one violates HIPAA?Which one violates HIPAA?

Med Student – Public Blog

• “Mr. Z is a charming 94-year-old man who’s lived a good life and made a living working as a mechanical engineer back in the 1940s. He has a family, grandkids, and now great-grandkids. He’s more than just a guy with COPD [chronic obstructive pulmonary disease], aspiration pneumonia, and renal failure. He’s my patient. His two grown children are the ones who have now opted for palliative care given his worsening condition.” The student goes on to specify the small, community-based hospital at which he is caring for the patient.

PT Student - Tweet

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Scenario 1 (of 7)Reference Reference Reference Reference –––– White Paper: A nurse’s guide to the use of social mediaWhite Paper: A nurse’s guide to the use of social mediaWhite Paper: A nurse’s guide to the use of social mediaWhite Paper: A nurse’s guide to the use of social media

• Bob, a licensed practical/vocational (LPN/ VN) nurse with 20 years of experience used his personal cell phone to take photos of a resident in the group home where he worked. Prior to taking the photo, Bob asked the resident's brother if it was okay for him to take the photo. The brother agreed. The resident was unable to give consent due to her mental and physical condition. That evening, Bob saw a former employee of the group home at a local bar and showed him the photo. Bob also discussed the resident's condition with the former coworker. The administrator of the group home learned of Bob's actions and terminated his employment. The matter was also reported to the BON. Bob told the BON he thought it was acceptable for him to take the resident's photo because he had the consent of a family member. He also thought it was acceptable for him to discuss the resident's condition because the former employee was now employed at another facility within the company and had worked with the resident. The nurse acknowledged he had no legitimate purpose for taking or showing the photo or discussing the resident's condition. The BON imposed disciplinary action on Bob's license requiring him to complete continuing education on patient privacy and confidentiality, ethics and professional boundaries.

Real Life ExamplesReal Life ExamplesReal Life ExamplesReal Life Examples

• Employees “friending” patients on Facebook/Instagram, sharing cell phone numbers

• You are being watched – patient’s “googling” us, tweeting about us/Facebook comments

• Education on their phone

• Patient/family recording during transport to/from surgery, therapy without asking or regards to who is in background

• Facebook comments from a nurse about someone missing important diagnosis and delayed treatment to detriment of patient. Another comment about “crazy day” on unit with details.

ConsequencesConsequencesConsequencesConsequences

• Disciplinary action by board

• Violation of state and federal laws/regulations, including ones focused not only on privacy and confidentiality but also preventing patient abuse or exploitation

• Civil and criminal penalties, including fines and possible jail time

• Personal liability

• Employment consequences

• Damage of reputation of health care organization and/or subjecting facility to lawsuit/regulatory issues

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Health Care Provider GuidelinesHealth Care Provider GuidelinesHealth Care Provider GuidelinesHealth Care Provider Guidelines

• Goals, purpose and objectives for a defined audience

• Protect patient privacy and confidentiality

• Know your facility policies and procedures, especially social media or privacy policy – usually address reputation and productivity

• Awareness of local, state and national laws related to privacy

• Own your views and be responsible for what you post - pause before posting and consider how patient and public will perceive the post

Health Care Provider Guidelines Health Care Provider Guidelines Health Care Provider Guidelines Health Care Provider Guidelines cont’d

• Think carefully before having a personal and professional image

• Maintain professionalism – conduct in profession in real world should correlate with on-line world

• Control information sharing – such as privacy settings

• Stay current in advances in social media and which platform best for your goals

• Monitor your online identity

PT PT PT PT standards of standards of standards of standards of conduct conduct conduct conduct Reference:https://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/Ethics/StandrdsConductSocialMedia.pdf

STANDARDS OF CONDUCT IN THE USE OF SOCIAL MEDIA HOD P06-12-17-16 [Position]

• Whereas, social media creates opportunities to communicate in a public forum;

• Whereas, Physical therapists (PT), physical therapist assistants (PTA) and physical therapy students (students) must be knowledgeable and respectful of the principles of patient/client privacy and confidentiality in safeguarding identifiable patient/client information as it relates to social media;

• Whereas, PTs, PTAs, and students who use social media should represent their own views and be professional and accurate in their communications;

• Whereas, errors and omissions in communication, harassing statements, and unprofessional language presented via social media may have a long-lasting and possibly negative impact on the individual or the physical therapy profession;

• Whereas, PTs, PTAs, and students shall consider when and how to separate their personal and professional lives on social media; and,

• Whereas, PTs, PTAs, and students should be knowledgeable about employers’, educational institutions’, or clinical training sites’ published policies on social media;

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PT PT PT PT standards of standards of standards of standards of conduct conduct conduct conduct cont’d Last Updated: 08/22/12

• Resolved, Physical therapists (PT), physical therapist assistants (PTA) and physical therapy students (students) shall consider whether to interact with patients on social media or create separate personal and professional social media profiles;

• Resolved, PTs, PTAs, and students shall not misrepresent when they are speaking for themselves or the American Physical Therapy Association (APTA), other organizations, educational institutions, clinical sites, or employers; and

• Resolved, if an individual identifies content posted to social media by a colleague that appears unprofessional, s/he has a responsibility to bring that to the attention of the individual that has posted the content so that s/he can remove it or take other appropriate action;

• Resolved, PTs, PTAs, and students engaging in social media activities shall demonstrate appropriate conduct in accordance with the Code of Ethics for the Physical Therapist and Standards of Ethical Conduct for the Physical Therapist Assistant.

Social Media to benefit professional careerSocial Media to benefit professional careerSocial Media to benefit professional careerSocial Media to benefit professional careerhttp://www.apta.org/SocialMedia/Tips/Succeeding/.

1. Have a goal

2. Start small – one platform then expand

3. Act professionally – consider everything you post public even if adjust privacy settings, remember can be shared out of context, even if use disclaimer still representing profession and employer, behave as you would at work

4. Improve your brand – who you are, what you stand for

Social Media to benefit professional career Social Media to benefit professional career Social Media to benefit professional career Social Media to benefit professional career cont’d

5. Think before you “friend” or “follow” – either accept all patients (public/transparent) or none (professional boundary, best practice)

6. Legal counsel – just because everyone does it, doesn’t mean it is right

7. Learn your platform – intuitive but understand how it works and what is appropriate behavior

8. Engage with APTA – examples

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Social Media value for Physical TherapistsSocial Media value for Physical TherapistsSocial Media value for Physical TherapistsSocial Media value for Physical Therapistshttp://blog.therapydia.com/the-value-of-social-media-for-physical-therapists/.

1. One place for all information

2. Add to base of knowledge

3. Make professional connections

4. Influence important conversations

5. Educate the public

6. Gain exposure

KEY POINTS

• Maintain personal and professional boundaries in clinical practice

• In layman's terms describe treatment interventions and obtain clear informed consent

• Use technology to quickly obtain access to patient care resources

• Understand acceptable/HIPPA compliant use of cell phone in the clinic

• Use Social Media Wisely(Education/ Professional Connections)

• Think before you post!

QUESTIONS ?

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References:

• Cambier Z, Boissonnault JS, Hetzel SJ, Plack MM. Physical therapist, physical therapist assistant, and student response to inappropriate patient sexual behavior: results of a national survey. Phys Ther. 2018;98:804–814

• Cambier Z, Boissonnault JS, Hetzel SJ, Plack MM. Inappropriate Patient Sexual Behavior When Working in Sensitive Areas of the Body: Results from a National Physical Therapy Survey. Journal of Women’s Health Physical Therapy. 43(1):36-43, January/March 2019.

References

• Mobile Fact Sheet. Available at: http://www.pewinternet.org/fact-sheet/mobile/. Accessed Jan 20, 2019.

• Castin M. Tele-health physical therapy: Everything you need to know. June 10, 2018. Available at: https://thenonclinicalpt.com/telehealth-physical-therapy/. Accessed Mar 3, 2019.

• Krebs P, Duncan DT. Health App Use Among US Mobile Phone Owners: A National Survey. JMIR MhealthUhealth. 2015;3(4):e101. Published 2015 Nov 4. doi:10.2196/mhealth.4924

• Carroll JK, Moorhead A, Bond R, LeBlanc WG, Petrella RJ, Fiscella K. Who Uses Mobile Phone Health Apps and Does Use Matter? A Secondary Data Analytics Approach. J Med Internet Res. 2017;19(4):e125. Published 2017 Apr 19. doi:10.2196/jmir.5604

• Dicianno BE, Parmanto B, Fairman AD, et al. Perspectives on the evolution of mobile (mHealth) technologies and application to rehabilitation. Phys Ther. 2014;95(3):397-405.

• Martin SS, Feldman DI, Blumenthal RS, et al. mActive: A Randomized Clinical Trial of an Automated mHealthIntervention for Physical Activity Promotion. J Am Heart Assoc. 2015;4(11):e002239. Published 2015 Nov 9. doi:10.1161/JAHA.115.002239

• Smartphones and Generational Differences… Are Smartphones a Barrier to Successful Patient Interactions in the Physical Therapy Clinic? Anne Lorio;Carla Huggins;Stephen Leo;Jonathan Wheeler;Stephen Housley; Journal of Physical Therapy Education. 32(2):151–158, JUN 2018.DOI: 10.1097/JTE.0000000000000034, IssnPrint: 0899-1855. Publication Date: 2018/06/01

Social Media References

• National Council of State Boards of Nursing. White paper: A nurse’s guide to the use of social media. ISNA Bulletin, November, December 2013; January 2014. 12-15. Available from: https://www.thefreelibrary.com/White+paper%3a+a+nurse%27s+guide+to+the+use+of+social+media.-a0351788933. Accessed January 25, 2018.

• Kind, T. Professional Guidelines for Social Media Use: A Starting Point. AMA J Ethics. 2015 May; 17(5): 441-447.

• Parsi K and Elster N. Why Can’t We Be Friends? A Case-Based Analysis of Ethical Issues with Social Media in Health Care. AMA J Ethics. 2015 November; 17(11): 1009-1018.

• Wells D, Lehavot K and Isaac M. Sounding Off on Social Media: The Ethics of Patient Storytelling in the Modern Era. ITHS. 2015 August. 90(8): 1015-1019.

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• Social media and patient privacy lessons ripped from the headlines. http://www.fiercehealthcare.com/node/73658/print. Published October 12, 2012. Accessed 03/02/19.

• Who’s responsible for protecting patient privacy on social media? https://www.fiercehealthcare.com/healthcare/who-s-responsible-for-protecting-patient-privacy-social-media. Published October 4, 2012. Accessed 03/02/19.

• A Nurse’s Guide to the Use of Social Media. https://www.ncsbn.org/NCSBN_SocialMedia.pdf. Published 2018. Accessed 03/02/19.

• Succeeding (and Protecting Yourself) in Social Media. http://www.apta.org/SocialMedia/Tips/Succeeding/. Updated 9/2/17. Accessed 03/02/19.


• http://blog.therapydia.com/the-value-of-social-media-for-physical-therapists/. Author: Ben Dehan. Published May 25, 2012. Accessed 03/02/19.

• Who’s responsible for protecting patient privacy on social media? https://www.fiercehealthcare.com/healthcare/who-s-responsible-for-protecting-patient-privacy-social-media. Published October 4, 2012. Accessed 03/02/19.

• A Nurse’s Guide to the Use of Social Media. https://www.ncsbn.org/NCSBN_SocialMedia.pdf. Published 2018. Accessed 03/02/19.

• Succeeding (and Protecting Yourself) in Social Media. http://www.apta.org/SocialMedia/Tips/Succeeding/. Updated 9/2/17. Accessed 03/02/19.


• Kirsch,N. (2019, March). Ethics In Practice: The Perils of Posting. PT in Motion Retrieved from http://www.apta.org/PTinMotion/2019/3/EthicsInPractice/

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lisa kohler pt truly moore pt, cert. mdt, tps jill dubbs ......truly moore pt, cert. mdt, tps jill...

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