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.. .. ..'t~_ria:: ffie HIID..13 114 n4 Copyrighted material . t 19 .•. •• ..j: ~ :j .'96 'The M~at Dl1So..• System ..~ Su:mn1:iliry o. .. . t •• t .61 Ama.s. 108 lUI :1."!all..59' Lea~i~Lte~~ty .tomicilllFoSitioo...• •. ... . Body . . •••••.•. . •••• .steJmn ..67 SECUS" U:SaENlflC Plnf\lEIPLES •. " .. .4-3... ..fthe M'U1SouLa:rSy.••• t..80 Ut1lder. .•... .l5ij .•• @ • • ••••• j' • i' i'i 'Ij .j: .. .•••••••••••••••••.......81 ....

' .t • . 139 140 .!.•.ing onffie UlJePa'lien. . - . . " .. 11H ...t Boo¥ Mechanics Verbal CommafI) dis .•. Re.•.~ ~ iii ~ 146.. . 143 ~ . 'Ii . ..iti(!l...• • ••.dn Tu:m.• .v~ewQuestions 'UmI1iI..•.SEcnON IV: ...a~mm. " T' .•. ... . • • .t15 Review QueSitions.• ••.. 3J~dPIO:... • • . .f the En-:rimnmen.1'78 Copyrighled materia B(lIQT MaJ .• • .. ..• 'F J14] • .. •..156 15·7 158 155 M.. us 138 &ev~e~'V' QuesHom .•.ADieNT BfleMRADON .....•. .t o..~ '.•.•• ':142.. ...

~.. ..<iIilI~ fif MoI10ff!.' Ii. fot'~g Tmnsfers lTan sfurs-.' .. j .'ype8 0..' 'l1li . .-e:U:RC' iExefCist's'li '''''' ~ I !Ii . 22." ""..... 224 •.m S~ding ... . . 203 .. ..•.otiO:lil :E:xe~. .tic 'lift Tmnsfur. !I! '''''' '. . ..•... i .eeld1!il!~iI'.•. " . . Ran8.. .f~M....e-Q. 235 Copyrighted material .. ICftle-rpet'Sl.from Roor tow:n. c.. . " zia 223 'The Coxmgrc' Gait: Tbe l~a~nrfulMmeeGait ."..' TO " t T' • " " •• .' . to .234.. 0 .. i • Pi • "Dia:UlrnibJmwBmrEiL •• ~... ..t .0 •• .. II' I.m Tmnsfer ... '". Reviel..224 .9 TLhlU'Ta-. ... " . " •• " ..l1S5 PNpa_mru..204 I' 'i " " 't " ...... . 'Ii .225 228 ~I .• ..ii Ii..211 C'ane. A'fwih)mmtiil Pl.. •••• Sifting Tbm:li!j~ .• '. 'l1li' it ...s ... . ..I:rans: "elf'S • to ..'" " '1" ~I "" " '. •• 186 187 189 r26. ...03 t SUMmary .. ~ " .j' . ~... ii "'e r • 2. t. !II '.. .-QiliWStio:ru. . 200 PMumil..

.1 2£12 2M . 1\.. Appendix... Sum:mary .6.264 ..e'"". ... I~ I~ ..2.". "v • .... . ... l' i . .~n "... Appendix A: The Human SkeI~" •..240 ..=' .m ..71 272.93. ".' . •• '... . . . Leamrung J\c..27£ 2.255 . ..'. •. 1'> -'''.1"'lj..(It M~. .." "'.. Chi'IJi. •.. . 214 274 275... . + +~"'+. . l'\e"'..". .. Actii\"Hv 15-3 Safe ~dures • ... • "'. . . •• '--11 ..ms .. ...265 Cenrici11mcl:1!@ ..Kriow Your E~elldses ".245 ..2BC 1 .n::i:5es. • I.U". 2..246 ." .es of the Body.266 267 2m' ..a!!lg~f:'Mon()n Exe..t'['. .'.245 .LIpper E::d:rentirties.." 253 .. ".." .256 .... Co~dTh~I?Y ~g.'260' . . .<nCO'' ."..R. ".. .'" '•• " '.247 . "'. • 1--1 .247 .......2. '.99' Copyrighled materia GlOS5il1ry" oodlex .251 . n\u~iI'aiPetttic EXler~ 263 Lea Lea ActJiv~tv 15-2 In YOUI:' 'ChNn Wo..~. n l' r ~ .ITvHy14--3. "'... " " .... B. .

oirder~fi provide iI:l:m wader withill. dUeC!tiO~/· a_nd ooDed fcis~ 101' s~j'I. and.rmg~.U1Utatiofi! for the advanced! ]earnuaJ!t1!fIa~~tsthe .W~. SYS~t p. Whlrnellthe· . such if1ijw:lim~~jQ~ QiS aJla.-oounded mb'QdiuctlOlil.ihy.l.and amlbula:timlg'pt'!H~t5. l1egirtoWg and! a SUlmRI. irn:vQ}v·ed wiith WQlmg aSi'I.MCi!!I~ iIar.mduded k) prov.li~ iiD!f~e fir A.anatomy and! phys~QIQgypJ:a. pDS:ittiioomg.tiOl\J.'!nllUs.~es oflhe mu!S!!:i~~oGikieJet!1l!lsy. wriltt-en in.imp~e..toony andlphys1010gy !@:f the M.~.ma~.sttern.lrn.icaru~mpymodaliHe~1 th@F.tlflO:r fKm]!ybeillweves ~t mete are manyadsq)uiil.usctcl!~tetd! nervous..wllqUi~nOO'd.thi}jddit:i.latilgu~g€r rum . each cb.ski.rn. to' tht'ttplimldpLes MId ted:lmiq~.COJtilpreM'!einSi:Vie.hys.e· .e:xereiises.fant. The £ou~ ar . The '~extrot1lisiists of six:~~:11 chapters and ~I!)Vl.k~ethe learner: ·wi.PREFACE 'Ihis text .an.ioti!l Clbff~v'es ol!~d:~y woros at the objects. :Fiotida Copyrighted materia .ctk~ 'cvruUJo:tti. ~d.v..a:ry out~ffineand.'. mming'. and I'Il.O:l1Iia~ cl:t as musc:-W. Then!llpy Aide very dis lind ll~s dlJ:!geal >oiftitisleJ(tlo .ssiis..~view qu:estiiof'li$ at dIe-end.ofttlOoon . trest. .fe:iextboob clJirnmtmy :in ·uoo·tm.s presenta maIl. Bd.a~pW\!'idiei:rruil. .tapyArude. body 1'b~t :readleJ:'SmlheirWlde:rsb'u:tdmg (!lEthe subjed .ru:ilid.'u.pte~ isi\ilcoom~d by beha.VN. s.a.lpeuitic and! ~ .Uftklg Ro:bedili Co Wei=is. t:rainsfe:r.Q5b:~(lfru~~ogy~ a p.dm:g~siUlliIg.D .Physkal The':.• P.d~es ·aJr..et .i:s ag:coHilpamooby photogea:p·hs~dbas~c mU9fi:iJ1MnS~n.w@l!l. ood . y.e~S'hldy:ingpb:ysiicallflernpy. Cafidio'V.

c::~i\'e~}1 tilrilAlPfiR: 5 MediQll'!.A.?~logy Mid fie MlId~('aI R~lro . IilmcaJ and. Le~l Issues Aft~c't.4\ CO~lmul1l1ici1tinggf~e.rsi.for the "1F'IlIysil::a1 ·nu:~~p}" Aide (he Pl1!..~ru .TRO:DUC110:N TO PHIYSICAL THE.ide! C1HAmR 3.UPY 1 'CiHAJP1iiER . C~ Thetl!lp'y 0f[port'uJ'ruitim. 2.IN.1 The fJiIDfessi'Dfl of fili:y'siQJl llul'rop)' 'DIlAIPmR.g ClHAlPUR.

~'cal.en of: Plhy..s.bWn.. 'team.i.. .. . runt ~'IiIe' 1O:n .....The IPro·fess. ~ r • 2. ThenJ'PY ... .~ L. . . .. .

fo~.truonalt1h. t iflg. ".4.6ce~phy$i. ass~stmt k].re Th~ eVfihl.~m.alTihera1py: .A~tdilieCklr DWsabi1Uy PhysiCal therapyilli1lde.mtation of patie. a~. lig~.ul~erapy·ilj~ RecreatlQinal thempist Rehab[l~t1ioll Pby5ica~til. B~ph]i'5~(1I1og~~.:I. '..s~calhelilJpy d .fi:rst used ~tema.l:sreqt:t:i:rWIg 1m.6ni~' lion fu:nn.entffiml dalte5 as I~n--.[es.p.lIctiilio. md .n~ t pist wa5 reElUwedtoru.reventi.entpy Vocational .be.ld was cum::e.t Otropation Pbysfrolrnedlidne Ottupa.p:i5~ [!Ii deseribed as.spediilrt:y aooaoJ ~peutk FID~ 1-1 Pli!!YS!C!lW dl~pya_Uiie pat~t:m. Pmcilit:i(!l1Ier 'D~ ~:. hydmUn:e:rapYi and . DUIiflgttte1:9. 'h:!dii1iysthe:ra.ypra<:tilJol1lers.ed. eMlirest de.• wheI\'l pennill:t. andl.ease ._~ 'iml:JiE-nAllmv~) c b1l1:erv.oedfOthoSle! demtinrui..el"who .StiN~ gfaJ_MS in~. a .tswidleWyllilSed.By ii91. 'lhart_ om. Th~y we~ om'ya11IJiWM to \'!1ork iii: ~~e:nd~lhat <ca.t that ti~e~ 'the 'use' oJ :pbys.Vie carre. by~aw.tilllys:is..w.Ule:ra. :iln the 'OOIIi'..Wmlilepa.tioD c£ :phy. nl1!iIl:l. h'iUlSpo:rtinga Copyrght materia .~(herap. ~hrysi.A INew Oc-.!tst Phys.U1e hY'eW'ltietn oentiw:'y .~ to' :mru.cwpaHuliI ilihe UmtOO.the~192{1s~when tll:e:fle.folllow~up Qi_feW me t890s.~d.r. Qwyp:. ~herilJ~utl)t ma~(!:.elec.p~s~ - .field. ttternpyas a. and oons.:rose.'l:m."~~il:mi:eBflp.Sta~f the use o~pbryskaJ..!:W1Idelllie prescrlplifiril afa...lOOts QJ~t&l:l'IiS :smckeu with-the ~ .~pplied fQrtill.can be5~ be grQped iby Ciompo'.vhee:lcl!. a sudd.w~re . ~D . ical..lrmg Its..en la.ea:dy 1900s' A..delra~~.nCiilly in tl\IIl!Um~..HIISTORY ANID EVOUlrnON !OF 'rl!IiH---VS-11-1"".~C'ail .alr.uld.. a p.dm.~~' nineteemh rar b{l)c[k. iii_f!d 'ilh.m. ~rienre or ex~Ttise' in.iCid tfl.mlp.~y treatment pID- dming ~edlani()a:~. In. ~f compa:rl__50!:i!o the I6aJfly :f!I)ie of the ph~ t pttyskal ther:apy (fip!:re1.1).~JiOil1a '-l d.. aslilhe' .fess~OJ1J.ed.1I i __I'..iis res'po:ru:.ey oo.celil!twy~ W~O'l.estab~~S:h.actiCf. med~C'alpm.era. :pmp~.~pHcation.ib~efu:l: fffile lel{aluaJtk.~lS.m11peulj1.tr<linoo.pi5f~.~ by mod~ d~. . the ..aooepted fitst m:oodu.~ .lI.Ule .moodtmm and pnx'fdw:es .mgh.cal.Eilys!i.20s" the p. Physical thernprassi5tmt: ~creli!l. aJtrempt ·to pmvidie :~!tmmt and.

lil:@diOO.915.L\ovidioo :for m~Wmta.ysi. to work ~n .pair:ation .gmti(ln of of ph:ysJe. Aroon_g tnenoIl_physiCaJJperso~~ nelon these tealnS WieR-tliIOs..!!.eompWered.aj~1"' . had. toom.~ was .}pa. service ~ .e:iMgt. n. l• ~. ~klr~ m. .who had. States. received.se.e wmltlhfm in 'Ite m. :P'rad~tiotilernreWl. Those h1Idiv.!liS medical mm'C(tiou wthOOO:5~tridrem with ·the of ~:Il:u:"!Ip. dea:r'ly i(!t~tiiialbie '1lCCIilpatiiOI:1l.'Was ·~bad to~g .ndJ. ~gh.~ ..Ass.ted. today as pi\lysi. a. P:hy5i~.hyslciaJ1.e who came WI'bem{)WfIi .rmaW. lilldividua~l!s. W'u[kfmoe..!~ by physft'-alth@'rapy.~il!!J.liU@nts elf physi.eIlgOOi.idalllSjatnd1 in soute 'ca~.UattOM were £atid.resoUl'CeS of pat impor . -a db- 0'£ Gy~Ij(S. . VII:le9 ues WeN mfen:ed.SdroO:~ ttte' earillytmeilioollltf iefforts for pi.r her pt.vl..the eeurses .rooMlel in dviLiia_.c:Uoo SimilM t:he m.OO •. 1liI..lhe spedalt1 b~1mch ofnil. tJ:a!mmg !pf.u toom. Sllcldy :fm:m. .were iu:uJmvay to prep._li! :insfiw. ~n:swod~.Utempyw:asfiOt'~ ait Ula~ 'rune. been.tt1:ili.iii gl'aduate of Wenes:~ey College.civilian . til) <IS Ph.is~r" ofike.ern. 'DwiJng 'Wo[ld WML 3Jt.andmlwilla_s a.tmtiorn..Ii •• '.aI:M topro.e'physiK.patiien~lt:e. $mUga~ptm1ceas li\luch.gru~oo as .. Llil!dltYlduaWs .tioru.ili.lmmmg ~t1rl (itlllanizaliu. d~g.e: 6nt phy. lJeci.kl!.:.. ·Ite cl. 'themd .~ •• liru::tenhty~_ .:" ol. 'Dumg ftm 'wmi~t yootS.fa.boon tkov~moped~_d coop- By 1·9'~8.~ MOlry McMil1M. iOOI''' SOtmru fl.ne.oclety s:pawfioo Copyr'ghtocl materia .h~:5l.swcal Un.areptactitianers who W'owdservC!$ A~des .s.g~ore was one oif~.mdthe Bes~mt Normal.the'1'. who w-ef:e c·aU@id. the milllUary :foreesand was beoomin.~ms. mco..figtltifig £htce.. wUhout£o.'lis in :S'Ni>il.em. .these . p.'dle cwlntion !O'f p~ysiMlthera~ 'Ite p~rva~ of hILlfll3n.ogil'.llys:OOloo..peri(!:tI.vUian :c.lttempyI«e:ived.dUS'tm.• Ph:ysioth~lrapy 'Teeru. 1.ldiooded towam ~mg.ni JL!hysi~ carn.1use of 81I.1lf'miiHta_ry per:som'le1i". because of etative· elfutts ool:"Weell'l the .diLnes lOir a O~ oJ study l'la:d.tanb.~ ~a :ftI1!'Sllllt: of .o.woil'klm! exp.s Aides. prior . .aisi:s iiUildthe !l:!. her~g:mEngLand ~f:o:re rebl.impetus .petl~ withe moods .ctili~ Eionetsw.Slual presSU!t:tiS uf aniwlI:JU!striailli.tary and pe.~ :provided the' :rnlaeded. s.viide ('.dd eventually 'mak. Margtledte Sandersoo" .i .tt~mf.ose pra.ru. similar ~o 'if'u'")se' p.phyah:al llie:tapeuliIes m..ex.'m rh@ A nati10rltalW .e Um~ Sta.here n !IIm1. us~ . Phy.c.wmdl £Qn..1Illzedllllldet dJ~. 'Wodd.Jt..!l!re 'Wern org. Bventhou:ghthe oaupatiion.~tals.m1ir!g ~otheUfiljlted Smtes :in to provide cam klI mem~rs of tlmmilimqfomces.-ded US@ I!Ulder' the g!uidiaiWl(e {)if poople whose hacltgro:undis '~.for'~omm:g a.w.d..n:i. tlte spedalty of JLhysjcalltherapy wide]y Ij\IJ l1e .s:kiall1:'s!wsls. m~.ry petSOmilcW. how~ pbysicam.oF thewai'.raclitione:rs who p]il!yed a. RoolJ'nstlrudion -:m.slpUtcant 1iole 11:11 with infllinUteparaJl:y$i:\l!.y!.p'yfelJ .ihoa~tedmthep..ooc(l..civilian life \\\remmG:rui:ted for ~1.OO 'dering w:it'h.alUle@peuoo 'aJ part of the @J"ep.RooOl'l'5truotlICn Hosp.e_ . O:looUlrl. ~ spec~tfi:\:::to Fn!. 'lh €I •• _.. res~gpbysic!d rondiQI'l in injl!lAA I!.g.c'.bb.f studyw1e:re title of Reconstruction AidEo.u'll:s.m of .plStm !!he Um.edkrne blown..llidiviti~~Wtat WQI. nU!Mber oEper .th. Wo1!I'If ..aI1Id.By .(h. illidn~g 'th.clty~.'l1die'Ve~oped who .d!5.Ol1pists.~vai't>e W'ere~Q~anJ . 'a .ed~I~liIlti(m{In the 1:lI~ tOE.ta:ry a.other e3!dyptactitio~ in. By W W~ I.othe:tilpy Ajde.

~i. [.tely fQ. .~I" ·g-.t has: neve I ha:LtG(t At times. hc-alth ca.t dysN_I!'ICll.hth..kno._-.ed. d. de:arly aJ1loc-rupa~ t10m of the' t.ewho w{).0:0 01£ these were n'lhil~b:il ~taC.". em~:rgt(t This!i'lew~f. By the t941ls. ci~Uia1l ectors\! and.'ine.alld COrr1lctmg:RIIorwern. cold .wl~ .. 1ll!cw"emertisasa ba_sisfur ane'vi.Qfl.• The ev()~uliio. a n~ SE'rvi~e re]trted.mtrilbut!ions ofithe fudiVidualpifiys:- been .5'" kal medicm. Theuse of pbyS:k(lj1 modal...cili~.• .H.iilod S~iPpnrtw ~.an ~ref1100l:the ~ie~ ...remitrclscent Q[lhO-5-ethllt As .\i'!.3!P:Y as an acc:up~Jio:n iin tlie Unimd Sta:t@5.fon.ce of·the·-(bu.<l..'ld.te dy.'udpIJJ~UoJ'l_' tM~~of phy:sk.• both v{)catiiort!ll and CfilGli!onal~iil!nd the .atirng.tlOlfl O\f L~'!1'eSti:gation by(:lellroS:i.ca~ lh€.< !.' ] .~.hunflM'I.mediil.specifickmd Qf health TodJaYiph. li.>entieth.e deve~opment of the I. an E· ~ -.f Ithe miUtilry and.nring WorM Wat· If :fo. promote mo-. to:W!'l!OO clarify:ing the .peutks.apyttlil!mhov. ...n. . health ~-anl' emvimrunent. '~iindiv]dli.lecial:i:z:a- elIiery . ater n·um"ll~' a.n the carly h'lrentieth century.tha.e.fora.m.aJcticer 'ii:f1'orh.Bppli. (If·pl':arnre~ and firrlil_l_~Yr lendeavQf.and pf.apy "'Iem~[rrugllp.oocupationsrelnb!d to reQognilio.l'eand ..g the yl!a!t:S im. ']\. but' U has JiteV\'!I O\rI!~I.p?i~i of phy.ruirophysiologic pri.n. dinili5 and nonphysiclc.Sk>.5fut1cl~O:111 ~J1Id.. the c.y5i("a~f.~t(. Durin." __ poIi0'_ _ _.:tlti.~sofilenrderred to as . lID the restOI'Ilti. pbyskid llier.emetii!tspread ~ugh t'JIeoountry.aJPY ..vins "!Orld War 1I~an. and.Col. called ··phy$ka~.1: emerged from.---::-.m..rt wUhinthisreha:biUtat~ve p~C'55.ces .~eniti:s:ts.'!' ~r<UTiiOlilg ·the .t() t¢OilJyts. the s practice of physical therapy was propeUed through ill .. :ted!kine/' coneenn itr4ted on (:~:riingfor the pa:Henil: through the ~ight.nd~ ples in bOOy mOVigment . as .ropy liHE REHAB1U1AlilON'IiEAM How does ph.ni!a:n body. _ At tj~r prog~i:rn the growth ·of phy8ii.ca_1 ther. .!. drcutnstat1.. roul._ .> _rnergen.wardprof~~ s..ig!ure t~2)\. oc:usw.n. been slow~but~. mass.carn ~he.l!:)w.and iru:lttdes the estabJishment of standards for eauc. tlilmtlgh. of the 1'I!. ~ed.~ j tie..ew· medlcal :special~ ty~.bUitOltin11L concepts that emerged. -" __ ".me interchrulgtlll!ble l'ri.ilab are .oo be i~:!itt. d-evJ~ :for in the d~ag!:1!os:i:s and treatment oJ dis- ease.iilDl (J.eJ1I!l:wilI~y beco.lm ibecaim.c 'pro- Copyriphted materia' .m.lks.• wa:(e_r~ electricity.!! means 00' aUe:via.. ar •'. tha~' :iis" m. the value of phy5~c"ltherapy would . hed ted to its iRiliia~.e poHo epid~tnruc and. o.ern. whim the ocwpatkm bas cv'Ol.e ·been.jona~~zillino_n ·of futl: OCCUPtl1ti'oo.. ev. r.major pet. "'.'!SuRof the great efforts made llYW'." or.echam. The challenges were :met by onee again oomibini:ngthe fQ~C'5 o.iod of growth.~OIil servic:e5 .• ~'" _:I _ 11.~ pe'U.ysical lliemp'Y is listro.renewal gf £ocus (!1nlmdrustand.!O.centlmy~ 1.j)j~ properties such as ex-crd!lli~r ~nd physi.Uifin . W'eJ must fJrst~ginwit. profession" it is todJlliYr pl.stered the growfh o~ the new specialty of phy.1: 'plf-v~i.e .oo{')emo..~ .-_.-~.. Asaresu~t of Itmdting:!)urvivOIS of WbrldWat ILmajor new concepts in phys~IL<!J~ tlit!1'rI'lipy began toemerge.an of 1000motor function oflhe bU.l:1Iof WQddWar U. of wilat' lis referredw' as the Rl'ha le. tlii!e services ·of 'tile physkaJ the~t.'l:h rehalbi]jta~ how is itlZ~ed Inth~mihabilitonlve prooce..voo...fe!!l!!li.ska~ tner..obscuredL With each and ic:al ~~py 'workeirMS been magnified. heat.g(.g . its focus may havebeen dimrn'ilshed..0. -I PI:1lJ..te~r"PJ fitiin... The title· WGuld. during eqg@olbleaibout the benefits of physical t~i:ra.g en the 1Se of phiysicalther-a...is.udtlte t:ra~rung ofpersorilnellduiiing W"'-']d' ' '" ·W·.s? To lecll::p'hl_in bo~v physiQll (h«apy has~ome tbe vil!l!u.~.oo .rapy has. The l<l.

iYH .wl'~edlf:mm afour-yea:r[QUeg.e'!liC :IT<i]rieilr may a]so be Copyr gll[oo rnmeria .J!iitCiiliI .t~~i. .1hili.y alIlso . h~pj~f:i.ca!lmter:a.I 1:I:na:P1 ud@is ~I!Um1lyrespons:iliJ~e f~' ~g Ciut thenof.oonM'~ and. may o.Athlli!ticTrotin@·.rognm.!tth~.rices.s:s Ci!n~~ MlId.c ·offi.rma. o!rthopedjc.~ cMlJtdupon_ a!isis~ is~s~a1l.. ThephysicaJJ. JI. hfiii'ie hedmas.-:ulgi.~ss~.(Fi:g.a..Th ·- tile pihJsic.. 'With a badlli!3'J.r !~.'.ed. are .~ ..ng >eertifiedi dlep~lI. .~'.s.~ .~.g· sum as pmp!rl.traJi:nel!: has pd. tl1!emp1 .In:~p.' orth~.:Il~ :pll.almemp~s\t:lin .ve· sentilces to alh~et~.pl~~edlby· 11o:m.Mfif:j.vmikHi..hlsl·fitn~ Cien~!!ISr aIild. of ·H1ephysi. a.reS!!' during lhetmlltmemt. •• .tiMr5p~.. e!filPy .~lllIatm8the' .imOl:ri.Q by .-· p.".~..ofi~esl' :ma.. lin ali'l'eaJtl:1i (J()Cl'Ipa!ti!Q'i'la~ OOU~ C<I:till)[i (ROE) p.p'OOi\r.iII /i'UUe.:y notbe's~tate ~[oe~ or natlio:ooUy phySicaltMmpYi .or.he Of: she is empLoy. ~.~ u1~ascimd. and rUnC'. '~lI:ion01JW~OO~t or cm.kJmg.".lormin.~m:e' pr.r" The .g.c:e. .'s degme i1lilld.trre 14).nu~ aUlI.g se~eded~lbli!.encies~.beall!!.m.i:libltleHcil:eMn5 lin hiS!. c~ de1i. l1!O'm~. !~ployed 'ooder the ~tjgn.tdes!ii(li"ld.~thl~tic ii:i!j~..E'l$. HmlSpotM.ell~-:I JI..emp]0Y'. patiMts.y ()OinC~rI'I:~wjt11! p~ vm~g al'i. physicaltMrapy alde m.aJ~ 'tbempy aide: nooeiv~ his or haUaining.g.aybe· :OTimtarms.Wtill' .I. :5Uipp!lrue$. trent- Most: ild:hl~c ~i!!lJ~rs. and..'! sChools and ·m~~e~t :5po:r~·l~ams. U$Uru.mh.d!treati:nl.~~~ :~llU~mg:itom.eVa.ents5'llnm .UpOtll 'the ~m1di"..eH!I'. 'lrn.tYr l 'tile 'physk.lth~iob~g propam . .M'ld...lirUfS-· _..idual state 'in whiCh .!~cai!J duties of .dliillg.e pmgrimll.

.I . t~g the p!I!tient: . it1!dusb:Yr hotels.lJfiis ofa UWb .'S.ng to' ~' R~<ltiiOrla]too. f assessing .mp!r flntntEon.ho has (lOl'lilp].m. as wem (lS<lISSISti:n.t:il1s.. t(1ljJtuy. for dinner if one arm illsdamJ:lgoo.. ste.~5'res. equipmenf lin order fo'oompC~te ]~ for lh(l~ patiNlt:'s ill.11uI5. homes. Cain . The oc-.l~~le ad:lvl1ies IftJt n.Physiolegi:st.e p.l1i1ll1"$C'S . nursing.'Cooati.maUan.t 'h .e of mofilYtlI! to acti.d~ing p. 'Thjs~n is respo!:i!5ible .~~ 'Ii.abl~ R.lli1..pn)priate VlS~~IDg.bi~itaUo.~~ ·t:h-" 5peclnC '.y~iiot~gist va!!i'ywith d.iMe for mr.vorkllng Q:i'de!i~!fid " . ..f(l:r bima:['IJua~ ~ the p!l!. li'l!lX~pit:als...'! 'h.' JJ.te progrsm In.rn~l fher- been trained in a:nalyzlfI'8p!JIti. who is moo.oocupatiQnal theupy and h{]~ acquJred expertise' Ln. erl!l~se s!hips. ·ea.ent~aIil.M" tis 'b~J_~QfC<'!!.lIbilitati(lnservi~ Qr' fi.lliIeil1t~.~upal::io.r th(!'mpiit has Social Wmke:r or Psychologist The sodalw<:frk(!c O[ p.pons:ibLe 'or . ~~'~I-.in."S:.ldu~ 3..~J:'njg or paddIrn:g players in order to prohl:!Ct: body pam from.1ting pa~"tilefds' asa symptorntS and therebl\it' ~l1!I'Iip'lX)\ling fueir phy~ical and mGJttarn\~e]~-being.offe. Thi!S individual.(li~"""k'~use a w~ik'CJ1ed ann irn. .the~ap.~ and progress to the apy aides ~lso m~ii:'lta. t~!s~fimess Gente~.ep(l~mOfil.p~- Recreationi!1JJiherapist.~.v .m. plaJi_j1l_ngof adiv~ti~ for the pati.c. liera.of tfl8.JWU\dllils\(pport from ".e'mcN!'aUonal th.nal il:hfl'rnpisffi ocrupa-' for . ities the'. rt.n a. arr~g~mcnts re£e.re::.n tll!<I. and A:!'h~liM~litatiorn centers. T.L1W:£lrk eti'll doctorate ~Jl dlinictll p-sychologYr has as~igned. recf:CilhvJ!il_l ~herapjst R('Ctl.Qna~thefJ.!:nls' erne- Exercise .ti.g out activities. nurnmg . c. The exiC~t-d:se phys~ Q'lQgis~de.n$~b~~ for a~ist~n'g: b~lh pIl!JiLe:n.p~by-5t"cpj llFid lot: ti. Th.J'ii.cupati.l?i$t i~a gtlldu!lli~I()J aschool of a[L.~r.~'lCJmes.! ofh~1:iI empl(!'yed by amusement parks..Thi:~ i\!ldi'i\'~dU.onnance -of a~'ati:erlit:'s daily actiiv~..-.loraniil1y.'hoop~~ .rr~ f._ .5~gWl~~1physi.cpr'ogmnl.n:als furV'~5~~ help :from other ho~~eoo·u_:_rn"d .o. Qfrang'. researCh~ooso:rts. ~n '01:" mak~ng. barhtiJb .ne ~. - (lfemployment.i..x:mt!lii. \.i.~. fherap'.Mootre(reatjo. of: 'hflrW ru.a8.~d:G. such .c~~act~vHy ~'r-. le.~w to gd in and Otlt of' . marmer fuaJ~ she is able to C(}mpe~lsai!'e forwe~kness orpar~.ht:l: .on and Jeisure (J~cthril~es meaas . t' "'J".tient . p:mgr~trn or a fUul'-y~".1ci.~ychol'~g'jSlis also essential forlffile ~ffectl!V~ ftJncliOtillflg. a whole.order to support ~h..(IIi.ll.:rst is most often mspo[\ls~lbh:lfQTnotin~I and repo. gf>Od.a_kiJA:g spl\ICial eqlil~pmrot' in o.ty~ or society . ~~t tht! t. Copyr'ghtcd rneleria' by .~rv~Ol.~. uppu.reereenonal .The recee".py a:idlll is g~IitG:m~~y U trained on the jiob andworb under Ute d~rect su~rvis~on of the ~reaHofilia~ tih~rapi~t.".~ri""S<l:O~oroi. - tiion:all"leOOcS and re<:OIiLd~~ngU:u.p!3ns~bleor te.st whQ .ist's.and employ.edbytoo me.zing bod!.ra two-r~ra:~iate by 'il_niiliusemJ!"fltptlrks" (miSe 5h~ps.. of l<v.ectealiional Ther:cl!PY AJid. paU~nts respot1i!.e·t~d either a pQ5~gr. they <11mrespo:ns. <Ip. EduGII~onal reqll. <lliId~tate lic!C'[1!SUIC v. or h. a_rid tclp.QIna:~.men'l :fo.a.orilal therapist must .~:a_:_~ilf mCnJlber:s of patients in Qb~g ~Jt..€'l'to fad~:1ttu'G t.t.dl:ften evafmiMS the plltIDmlls prog:r~.. .lr bachelor Of sdenc.na[.e g'I'Jod arm . ~. and s Swefit u'l..art~¥l..<1pists graduate from eithe.lone 'O!" :f:ederal a.and freelaace consultatiJ~.:I!tis th~L 'cw.rd.rtmg the reha.-'C progrem '!..aiM> design spedOi~.e.[yim. may be fJmployed.il.h~~ p~rson". and :lieha~bilitati@t'I cente.n. joint.rements fo!r the exercise ph..~S <mdt.r..l~ is ·a]rorespo.\'lHl the means that illi¢ir GQItmilllmi..~m is usui!!Hy in ho:'i.rthis member o~ the reililabmtafion givmg ad\l'ioo 00 GXcrct~.edical socia.lih]ete'~ phYl'ka[ cendition .n:'I. homes. This is generaHy <1Jcmlup~ishl.(mlpristnse§ ()()~pationalTherapisL An..H(). needs Qftbe individuill parHdpard. -4 ~:.g.

wk_.odality to the pati:o.~onat. ameli:' totteadh a disabledper!3t'1lm nowkl' pe:rioml.iJn their dlilHy to express themselves mOllY .. ~py yot!.. patience and.n~ . 'Booaiusc pOl1bienhJ:wiU look to you. "1 wor~oo :all m" .clean ilhe guiljance )1. ..p1stM'ld .rmay <1]:5 1 im.Loseyour: .~ ha.'ffijt.owany ElF TH.le to may ~ eJdedya_nd much .. .e:m~if..o:. a pmysiml.U:-$e.with YO.o!lJ!p~s~ooM1dlPl!!..i):U! a:r.y towal'd.~.In pro~~i. Why d(t I have ~ be a(iripfJ'le~" SOMe ·oithe Uloo.eiM.phY5kaj. ~orOrn!.·.~g their oondj:t~(ln.ou-haw@ :iO call on yom h~ar_fiI qUalit[es.}'.1i't' yotl... for l ed.sio.~Ol!l . . 'They llUliy :noodI. .p 1H1!PHBlCAl illHERAPY AJ~DE.w patients tffi:'Ia!t you.ilSkedl'll' :U'la~eappohri.unt.Tea.aJr di:gnifi~ ._ .1'oaii)litation .eme:l1Iilt d1llrlng ne . maJY 1) hillv>e: :5o:me imp!)l~!I'- dOO:IJlsed. any .may be assigned.li.. naJ\fle .In~ .chtn.. These may :i!nclu:debofh dI.EIREHABIUTAnON 10M h~a1lh ~. enviwmnen:t.AS.fool great :fmstr.F MY.A' IX: uJrect~ alSo be.eitleen.'tedmimi tasb.10 '. gratlwde fo:r all aM? . wder'" sbm. yourr p~~jt:y piIIJi&nt's.roruu:mot ancvtb. Ageilifpad W that l"e5pansi!bnity is yOIJI'alctual mvol:v.never pa. yO!l1lmjU:S~ .~~--" . ~()mpJ.' .~e.rm or ~aJbooa~ wei. Y'OUf ment o~ speech. i$kil but aI:oo..l~ • nil Rot! a.d Mends.w.Si1IY U:t ili@il' :p:rese:ooe.Jeclmgs· of ~adequacy . . and tmey a:re always .wenbl .ve the Ms'Wer~.p.porirl:tBd whe:llIpaitien.v..h~livery sys. 'to' tei'l~the Paltiewl:t hO'W to' 'wamk 'With (ifUtateS.tePlI.I.tem.tl_ndJ they may havete Rtl:m:t to theb.timt: right:aJway. ~.LUIil!l'ig.(~ aif:'k..fs do SoDi!e patients ~may ask you .v. s mal)" oonsidJe1'IOO!.atiMiIs whQo. amwaJ'ys make :sure y.AMEMIIR As .e:tei:nstlltall.fee~ ~t of illi:e not enougb hasbeea done for them.proJies.vU:y . anee aI'Bl 01" 01' W'e lru_!'!!V'e ooomwafion~ ~dy leg.. "1Iffi!.tment'.~. Iilotbecome so iP'E!fOOnilly and.ns ~=.iJ~ you tma.~ibmmg. . mai:Y 1.ka:li~fmicilicm~. :iis a speclillt .cause paJtlSl!ts.(lI U will be w. and!lippea:ratf'i('ethatll'lave a . on crr·~·oome ..!rod to ~'i-t .~~y be a:sked.mltl.onaL Copyr'ghtocl materia .rn.M a healthcare p. o:rder~o oommru:rica:te. lit~sm ttds mwlved 8uJ~ .of ·ef€«t ~Ji O:!:'II ·Ihe pb~~_(1aiF" men:t may soeemmswmortmtaib. PhyskaiJ.s:iily yout' he 'or she ~~y 'timepatle.~lIiler.0:£001:11.ood appe.g~l]~ and ~eat. £m.e.lle Ilha:tSilll.gl:Jestions kliI'whiChyoo do not ha.at .~oo!kt:o'yOIil as ii:clt~evemyiurpitov.ftwith impaired motion o:fan tytmat .)(l(!S8mt As apbysic.- pape~ m. bu. Fllbentsma.mysm.. Such a._ftenh~_r patients sa.De aide .numbel' . the physical lli~py .ne".rbund!er. GiSk is very cl\'Ia~lqjng £~f ~e ~n.l The phy.t..on mat.iiI.tilm(le.}Ii(JiUj are arouse bitterness. You shoJUtd.we Mild nOw ttUs Mppern~ ~ :me.!lJ VOiU belilieldal and positive ~ouI!d..e. .~tgned by the supervis:ingphyskal themp. ~rijti:aJ!memer an ajde:.... may ]]Iot' them.g As "~~' ~l!I!~p:~. You m~y .aide W'O.ch.in.eto write do'Wn.k!tm of'sign l~age. f1:1l!fa. tt:itiat!].a.e.1!1r ~fu.eX_lI:ended] to'- notsh.atlon . .r . el1!co~ menrl.1 .e clean physical thernJPY' equ!ipment . ~ .Ienged. .alllhe:raJpyaid@..o'bJ~tffi. In.:nii~a1 and ad:Dminri!il. .home . :Slw.orwlith' mr.s~mi1ti.C'.prowmelil~ of the :fiunctiIOM:l capacity OIf. kept YOu:sl1u:mld always be well :gmomnoo.tdo.d:ing ~~y 'be cli!J~. order to be· SU!i. ilhe dlitectffion cftTh'le phys~.. (I.~npaH~nts the. me aide :metm.is~.nCllmOO aad oompiliSS:~01t~ am. '[tis fiO·t iOOly your t~clmti~~. _J~I:~.slcal ~thelapyaWde M~y '10' ~:. appb'" a :healting . aJsu·romembet become cO~.lf wi~hthe . .Mectirndm:Mbilj~tiOli!.tilen'lsyoilll.00 must 00' very careful of Wh. fatrents irno.m. am «(l. The deerease . and.~ ~101il>O~: . in..arnl!l)w yOIlll':sernf to become-~p.oo:muem$itseH wiiththe <'l'veraU pa.~ bruJ. Piililtimt ~_ay h~!!1.

-...' .~ays :in provid~~l patients with physi:ca~ th~l·a~ py 'tle'aimlelilts:. arenof eerlllil!n you should.ronltr:ary to the: roles.ember oJlhemhabilihlition- th. -assistant".i\'IbQut ~lves.e (lftreatrnen!t. a physical disability may change a patients attitude become v'erytmrld . in the eady 1990s1•mnugh~ts t fun.aJ paH.iigiical wQrld.o:..a~.i!:' th. engages irtma...fO'r thespto.bjJlittation p. 'p'..ci_fi(: tS time..olve' yall_l1'~ self...ya paHeRt~]olng. .ltis l"?' make fhernoSf restofel'ilonnal streng:t'h.frum other persons..peuti. al.ts(W. the Re~d Qfphyskaltbera:py .erlits f:ee:1 SOOUiUl . We 'briefly d~scussed tbernIe Mary McMillan pll'yed .vity in a patient free of disease" thi?refore~. tlsk toiimprove' the~hysicru dJsalbHity'Q( i!!fio·fhet pe.Qu. tnalto. h.t'!.5wnrnru'y+lI1_ the event trulttrusillapperu.ltbphysical diSab:i1ities i~br.you...p ..g~h-epatient to amieveamb'lllii:tion. in tod~y'sbi:ghlymdmol. One wotdd have [0 sea:reh h~gb.y -~.bet . or Olndthe~r &. If that one of poss.. importan.n up under yourcOlw merrtbers.. .. and low ~ lo:r..I . '.acHvity Iihi$ patient.'Illemem. or amy pati:ent fur tha~ :matter•.physimtUter'a <lIpy became a.~ iimpaalihe'two w~rldw:ar:sihad! on kmm:.t.(!ur.asked. do at fIili.." 'Ii.homeen.. tru'orm thepa.n~ :res!J"ODSJbiilties youhaive istomall:.role :reha.andev.· Inl1!d.t has beem..ts' di..@n. Job than. ~~I~Le-:)(t""" '"'. thera. Speak first' with your supen....! aD.port\ll1iit to ..y towatd.csingle .tion by whjcl:l y..fam~~~arwitb or not a.ou are cmpl."'" .c. inv.art lindudes a~d· ~n. It pa.. :SU:MMARY physical therapYi .1:_-" ~n~ . ~f:riends nobler. ·oJ Alw. .t you .r.andgot'ld ..tl..!1j lititle lon_ger tini\e and n:t<lm ~Q[t th!m does .rail'Pment-· r~'"h --o---~-·-. wetalkerd.gtility and self:' a " . It is a diffic:uil!t· yet very row.. ...fM:lplillg another and easing the buedens .a:ustomedto~ or that y"OiI/1. ~1.e would not increase the patient's estima. ~.y..ylnl are mucbbetter c·lf to first disc:uss.ingi'ng Ithem.!l!oout the . You ~dlJfindgrea..::. tttiClilIDar assistance or with miniro.role of the: ph. SOOwpa!tienbthe same oowcsy armd dignity you would. thiS cMptertwe d~the hlstory .tnost:ital~ . new profession.job .t!l:te same ..it<i. or .Qyoo or are ~n d~t: 'cornflictwillh his Oil' her: trelltmelil~ regjmen •..deT to f~F!d a As prnv~ousJy stated .acti.~ un.. Aoo¥l. In some ms~Qesj such patients sttHel~n8 frOM Pi1lrkiinson'S DisGase.i~I-_ . bac.ways try'tg'p.tpa:ti of the able· 'to.y take .mf to do semetlhin_g that is cQnt!!:'ary to the rules of the mstilu.Umpati. U you feel an excepllon has to be estoorn.k {o.vironmen.n::r. as well as I UiI. ..... the matter with your immediate SUperviSi@l.ro.olvement om }flour p. acted .as . rewards for yourpatienoo and effort as you see' the Pad:i:noon!ian patient.tient tha.ily:sromember thet the aim of a5Si~ting pari. Copyriphted materia' .. is to acromp6sh the mQSt(lptima~ lmp:rovemet"ilt diisatliiqr.oflthe disabled and phys:iat~y challmgoo.' ..you 1f y. Your:goo]~ then.surroUl1ld:ings_Qltol~ .am· not permitted! to do wm..t may or f~md.!lnim.ents w. should feel free to say noand explam. as r.fe serve the patiiel1l.'l: ra~t pelled turender a... Such..lOOIY.. If you ate asked by . nevler rry'w..s:kaltherarpy aide as a m.g•. .from thC fuRe it first 'Ii' .is without funwoom. expect sMl\fo'!'nto yo~U' if the ·roIesweEle reve~. tinn Of .We alsu disa cussed the . FmaUy.tffiley can achieve. Such iii penonm:a."' ~.c :r:egimen tflJ1!t }lOY are not ... 1~'1 .do mot :iir:lv. . Iive. to the cmnplete]:y Remem~ patient that yloU havefo c"Omerfirst with the physkal therapist. Never feel cern- your .te:r .the :grea:~est stale 01 health.olldloo of 'Uwp-ro£es:s:ion...lble' .i$Or.

m.~. p~.loi'a:s. Who C!l!it'e' pm.ACTIV!I:n" ~-1 i!!!~wers i ~ q'U~tfuO:l]$:o.caI 'the.oomhi1ltwha~t rnpp:]Jng ~se? l.e o~tlhe paper~ to tl'iltefollQwilng' (l!f l.peop.ual wiho' c:oDilp1.I.al!Jjy on.y:siC'lll me~iPelu:iics !alfl':lt't of ttle 5.mto' . 4. Defb'!.3" How :many . ¥ilh.d:e:r"'!ttri:bult$tha:t shouiM be deve~opedbflhe' _1. 9. RIME\\! QLlDnClNS 11.WhatEs '~ . .g ill ttle plaru:ti:ngand . 1..vided .\Vhi)d:t IIm11!m I~eam mem'be:t :iis alIIDW!OO kI'glw :pl1.m:sitl:ilti!e p".itrne mha:hilirnncn :~am? physt~l~p'y ~jde. of. Who is.m imdJ'\rid.alt kaJi't tkree chi!i~.'llie .ommlY o .v:iti~stilm:t !Bv'm]tllJw11made p:h.e~. Dem:iie' eflUcs.eiI)Q'~. 'ca.1!lIidJe:r of Ph:~ii©~~I:t~apy? The me of :phy.ilim~~ itdal:trHdiian dwut ·lthe!irprogr.physlcalthempeutimtfOlwI'IG c'1~ssm? Copyr gll[oo rnmeria .914 '10.o.1'lherapy ~de5 '!!'!!'IIJ!!fk? 'I..fui[:'Amly~~? 4".ta.d.d the mew:!y dev.!ooi5? '10.ri!i a ~!!!'pf11rillt~~hoo:t ~it. Wim:t:LsWle! pU:rp!Jse 10:£ "the Iteam applilN'lclil'to. l\Itat MJe" '__ .ysioo lliempy?' 6.~.etoped.s[:c.}]i.ere.ru_res ~Pf..'ph.~a~ fioFi!al .abi~iimtion.Uoo €ow OWfapeutIDc pm:pooesw~ilnhOdu~ ~l!Jtit:Jgl. 2:. Us~ .cam?' . 'patiltmt . mostmspouibte fen: i1I:mstiD.e:re! .and.•• 'lEARNING . D!rmeph~~apy~ 5..PY aide? S.2._~deoodthe' m.-~&I!dulii_~ 'l]ifthe :physi.OOruiili~.adi. Wh~~wO\El.

fitness !(:@r1I.~py <:enters.. :.. . ~ ilnioI~ation.OF IPHY. the ever:"'. to wotkfurprivate health cafiere..ical practices sity in we live in Oh~' Informatio. indiv~dl!lal.. in Some eases..ted. health caJ!e teclmolb-gles and.rivate medkal offlces~ private and. re~ared to the h~altfi and w.t!1_e . .serv.:ll _ -Y51uu u.e Stene Age" in. So workersaJ'!d em:ploy~ in the Campumrs .systemS ror recording.memcn.j pta>::ti{lel w~re qU!lre s. stor· mg..needed in order to survi~e.edica~. clink-a! .ou:r.~ peuth:: di.--.as h:nportant during that piilrtlcu[a. fitnessb:alningf chiropractic Clare.carepw\c'ider PTA5 w~n alsebe expecited t~)!Jsev.ts 0.govemmen:t:ag.IKEYtERMS HeaUh mamrenal!lC'e oq.l.tlll.ciJ:le health care pKlVlder.'!'Qpy. AliI O:I"ywt -'OUSP-.!'S .hea1.y~n~py. m.~_".hines.u.xtorper· A formed .es.imp~e.obalt:l':imi~.U..C'@S ~ontinues to ~. slneesome are often ~~ ~n om. the twe.g'istries.th~ pr.ea:'ll of ~he "[heruth ('~re .th.5age ittll:~ra:P'Y workers can an be fou11. • C~ ~ physical. . and IcornplJ!iter:s and :intonnatiolil systems..and maEl.£lds of tim.1.i!sttatlon of ph!'ysicaI andrehabm- which.ha.?~r-tty.many ~!'y ar.SlC_AL and. order to u:l(:lkate whatw. h:iswryl' pef. dlllka] trials.I:_:\_~ __ ..e ailso :Choose.Hille was lrn. ana healrhcare indl!lstrymusf be Versedll:i'l more tha!n one of the :physicaJa_nd thera. d.and electronic mdmol{!g)' make a sI.m.'. alse be found in sldlledmrrsmgf:atilliiluw. with the a. . had omy GoneassJst<l:nt who helped m some <md. These positions Cain.end. the.f the phy.fer of da.As.specialiU~01\ mthe workplaQe.ilo. particullady those ..1.ostaUhea]th care :fadHties and .j..Jl _.£ ..11 :ma. N:Ow ruTl1J:li'l:erilta'~otSare saying that W~ a:roreferring ro a time in taHve pnxedllDeS. ._. Copyriphted materia' .'bnen!ls. ~ and care homes. Ph '_1 *.iInrnost priva:temed. noopm. 'been tIoliined in w infor.vc 'been g~V(lll d~lplive names .ng 'mth ~~.a result oftl:1:e g:rea. dh:dcal lEaf~Y en Ot' omdtre. ~ore ~t1y.~IIin.adiice.dl1liv...i!r.uimJ$ types of mac...pt:>clalist (HMOs) Vltal signs 'Th:IIougho'Ut .insurance companies.. and d~Aks.. 'equ~pment. tfi.more and .ticih.! the.c data..iI:SOOcia..can be bUild. .e:r to .sdp1ines and . ho has.on his awn" OIJ cases..' hi"ocl"" 1"'1.p~.mferpre. aU a:. 8_J.n.na\'e become a neces. . responslbibty: Thmare~ow ~ringpo$$:ibi~i.alltJhe prooedures~ d~nkalte5'1s. ' spons m~!J.! speclfi.. asa h~aUh . and ~ml hotels.incre'asing role o.. __ I .liIOO11S.1. therapy ~d :p'h!~ ~calmedU:lfie ..COOi1!panies~ and health .hands--oo aspects olf a.ml'S. andtietrieving data.mdustry.l'J'!ade . fOir ex~mpJe:.ftt .alo.a_~tions Medikal s. thei.irn.y "ti·· '.more a.w'hen we rSPGl1k oEth.sical medi.~wrn exoopt those skilLswhkhman.ti! Age'.tiesJ~r bo<thvariety' ami.mstmta. vmous dlinkal skills required. 'cam pfiOV'ldere .efiltttisreil.elln~ of ~~ . mul&pocialtyc:tin!ics.plly:Slca] the:r.d in SiJl'\a!l1and la~ hospitals.e and 'eras .to their Caire" Inaddjijon to being skilled .r time..~.t ihang4. celilb..:r awn busmess.u:y.rEtiOI\ . J MSDlClNEANDTHERAPEiUnC HEALD-I CARE SER~CiES HISTORY .~. ofHll:! physkaltherapy aide (PTA). outpati~t C("nmts urgent Canl oonters" p.

..·n"""""..kinglri..t'i.¥ou must be flexible ami 'like bemg. }iIQI. WI.Jlni..J'- """e.. field . aoo~:mab]eto accept t0.'Ji.I ~.. -_·~4·.diticn tobe~nga oompassioml. skilled.mkate' effecti.~. _ .you poSsess:ihe ap. well the·· .'1fIiIrIgmore advanced ther. :mInimum of a bigh school diploma or-its e'lluiva~efl:t.~n:.t is lm.ort. In ad..ing ..:I-I .uth.~ ~Lill..C ·tmatm.on...it VI No matter w~ereP1As dirJooseto."'" ~_ _".in the f\i.· .~ ~na spe-ciJicposition.didne do . 'range wm some'~ ~.am.".. care' team . '~"". r"". apeu..IMrtt how to.and detii.~ (m.l .persom..l .es some comp~hension and lUlIdelSt. pr-.imttlllu::f:io.w to walk agaillor pmvid~ng fhe._m~_"r-""""~lI'£LWII"'l skills '_---.rs receive ~hjs traiNngtlS part of an overa:n edluca:tioJ1li..therapelilli.. addUio.rderto WOf.der medicine um~lla of Wlderstanding positive criticism}.l~houM hI? o1b~1? Y to workwell wtder p~UFe and ta~e: pride in yoursellI and.."..c·c~ . pll:dse.ilidllllit school~. pby:sicallttctapy team "'-...-..and ~rms . can.~when do.eld~_ p~ysictl~ me.nJof o.liiI.li II.:J. It gees without sayLng thatl:o' 00 sucassful in the a~ a m. W(U'~ i.tY'l)U and.ho.--.ials weUas: many hQIJr'S of trainWgmtheihand.~ athlete'..m ibe woddng with..:n~~ Wh.reqtli~e theirworkers:~o M.." are ed~tiQna...md yQUF ~ for'help- Copyriphted rnmeria' ..s-QA operaUQI:IiS O'J tlhemed:i.PO.No.~ dQing. woo are in need. as wen.ogram in a vocatiO(l!alO!r .II1:1(.II..kifl!gun.· • the mud!. the field you are p. caMg for pa'llen~ stllffenng from dirotdm 01 ·the· '1I. aU assistants and tech. and..U$tlli:ke worki:n.w. lot abou... ._lIIiILiI. 'the job yeu .c phy.. :pressmre. sam._p·~~".. This irK:ludes. •.:regi..y tmining.r'~V- .e onafi ..pJ.and teclmjca1 skills" as. hDwever~ wlilllJ depend greatJ!y upcn yooroWllluniquei!A:terests ..Iti1n...-t... as ottua:rswho :may'oo d{!bUitated asa resuilt .gwith pEepIe...g. ing others.abl@w make that .Ucensmg or .s:ysrems.f reqwreMti·onal .. T..t! advanced iRdudes·botb did~l.ve~y 'with ~th'€'rs."IIr ·ga. (lfthe be. bask. ~u:a~ tian..as. w.rememoothat aU m. o.~.I~' musoolQS~ .I:U.:.1 1.o'nal progr..andi.skal oonc::epts. ~rdS! abouthealfh..p .:Iir"H 1.1.t1lt~. ...LJlL 'llil~)~I"'~ .ainiingand baSIC' office ~es...J'w.erordis. 'D~ed.".... and tooatmerds andwha."temperafure.· wor. .g~ access £0.ent that you. a basic...e1!l'lbe[S of . to 'oomn1l.. trea:tn:l.(ett~fiea..•• .'.. :1111.UiSdes~PTAsare aim expooted ·to 1l1atn and become know:l~ ed:geablaaru. ~.hic:h mc:1udes blQQd.i~ed..atllding of compll~et tr.. C:OIDDlUt1l!ity co~~egeror es part of: a.ri. also !have received tecbnical bralnirng In... V. skiHsneuessmy for working With.YOll Knust al!oobe dependable Mild ·pru:tctual. ·I. dl L::UJu. And.IR. 1 t.e ~ an 0ttI1~ palUon [[11. the: ~fact'that yO!l1 Rav. of fltei:t se~.. OIl.W(Jt. as assistmg someone' 'Who i!spa:Mly~ . HOWiev~r. !lnd.l. in wo'rking :witih mller membe-ts.J. .. and! you must be: able iofOllowrules .1..of physical medicil:lle youshotdd. ~ '~k... :_.t com .rreyou 1..ofk-ey.rapeutk mass:a_.rus generaU.only ylou ~n be . to petfcu.. Ita1sQ Lndud.ti~ and~(iret\icaru .iAl.ai eqUiipm. above ~U..~ tion in..::.ts.~tte:rwheFe you decidero work .\e . MostaUied health oc-<:u:patian.detision..ent:w pa:Hen.I1IS. d@8ims.i. willbaveto.. the· Maiith ca'f!emdustry sa:~ oil. M .ember 'of r.and CMWot be done with those' dorequir-e a sense ..1lu!ref6re l ttt~s ~mealth care discipHne~ most emiP~loyers.@Iil..g_ andmcordmg 'Vl~J i!!i~:gn... weal~ eaed banes and! m.. I _illu'lll..~ .ii ..(:ff' dLseasesaffedirn.I.~I_ 1Q1Ji~ '"'vI~ ::.uch. understanding of anatomy and physiology.g 'othet sys~o:o'i''' 1I.p·rop....R'tejy decide to-w.d OC'l::lllpatii.. medjQ1] tenniinology.II.tu.. - vided tDpatief:IJts.tss.nto ·the rucia_ru.vea.Hatl!t ~o . Moot wQrke. "lOll. pride hit yOUl. ~. 'Ib bes'u~M in yourpositiionr Hi'is _pedant (hat:.

'.~ an ~vironn1.englogamdtru.edjca~ Jaw and lethics.fGr~ting the dodooaJnd cOnilpfetit1ig such" baste tasks:as omswermgthe P:hoot1.people mmorethan.1.ll-~cc ~. a]~mt~rM. _-V.'IE' '(.-'U' !lU.OO$p(l!ll:s~bl~rolr QtiI...• ~1I.ing... therapist :in p.II~~~ . "th· a w. your 'Wu:rk and.. ...rn~ory aJIld.!lind.".JI t yoo.I.y d[f:f~rent insHtUition:5~re (Qmpe<ti!1lg with one alThOitbter for.1I.tients -·and.>")..r from his hospital f:OOm~00 the physkal therapy depart~ _ ment Today. wlll often ~.on he. ~ . Medkalcare has never ~ medical a5!€'pSi5 andibOO.aUh care provkJel'sin tQda~l~s ever ehangj:fllS.ptA .tet1::hnicl. if ytMU.. s t.Bec.i:t:iO:l1I. .t~entin . 1<l!-<l""·nei~I"'·''''·-P''''''''~...h:ighty tecJ:mologiedlh(_la~1l C<li~\~Qdd.t.!.. nil ...c -.e ""oiker. one 'OOClilpaitiOrl'Witnin the samew. No matter wJwt ym..y. howevex.t.y pmceduitCs •.gicill functill!I'lS CI. . 'fhe5€ mdtiAGhlk~flg opt1OfiSiimm!ucll mnr:e exrens:i~e.g vital ..ilJre n~t~'Ii"m~l'\g to' pa..~id.th.lhehei1i~..• .J.mbem of 'll:1ie hOspita~ staB. asw-ell.i2 I .Iur:es of their patleJ]ts.J''''-~'"'~ P-. physical l~. '_..rru.l(' rnech!.era'pyaldes. lhe~ are .~iist:ingthe phy51call.!l!~~C'are tj~ ~ t:utio:ns 'oJiell have~btiHes su(has..' many variatiCflS of pa.ing thcmpeutk Copyriphted materia' ..'~:""".on and ~l1i~.rel\amplet3ili1!· emp]. ~re is ~. w P.f patients . anatomical ..o]o.r-·~J~)I-I~ 'f!.pa~ to o()mm~care with surgoom.cilm ]'nsti-..!>upenrllOOlS.rating. and haemganunderst2inding of such.cte' 'om~m~k.". that are often ()(}[Wll. iCil~ mNi~m.t ~t.youmight~ be' e.n:.pe.jlw.. .tOday fIe 'Over the pa_st~sev'C!raJ decades..Lar~:r :h.:I-·--. kalpradices usen'lO.~I~jl 'nA.. IiJ:(l~g~ th~ropist:s to perform n'!!m]{ ""I: th~.certa~1:il tasiks andifei:oniin..ib:lrs sookmgW'lder· sta:ndmgMld finlSWl?lS aioout the~f to\/lOO ones.tolliat same pos. . were hi.atient's . W~""~""'. to all of these jobs.Ye va:r:urtye 01 .oot 6lle<t wilhgrea.affi~ and £:ilm~ f1:s Qftenhir.s. ~~...mlghthave ~!lly been.is..ruwpe~ti.conrep~ as m.rehabiUta~ ment QPpof!WIi1IIties fur p:trysi.wHiJ.lmg 'With the .t:rew. . ~. '"g~''''' .ractic asslsfarnu..vtC or (~mpcH~Lvc.)j... who may use' very technical terms.ctice.tl\e oo]ytjobti to...oyeewhQ was h~Mfer:rll1!g a Qruy pilitiellits.c-al mroirni.. ..rr. . th~u: ... tutiQIt. escaJ:atili\g COSitS of health cam and the Tm ".~"crea_sed ~d!O train.Lt.m!J1lJst ran In a ~l~li~ctiti'!il manner if it is to iSlJ.s.nsii..orik m the~habil~fa1tkm therapy dJepiu1menl •. fo.1...~t:!se .!sl aJwaJYs. ' .~.ladi{llogy teehni. DoctGIS~ .o usethe t of ].'.xlI in.1"ili' !'or'.l ~.ii' "d '11 .e. .'••'''''' "''''''i>filb. be~g ab~e.t ~j~ m~ in.nriVie.e~nIDcrurrp]. employ .W'l5.titilles fo:rtlheir ph.>reld:l:ilv..as. ..iitU~ lyf enees beiIiWee.. . .l. same of w:h~mmay.. lfW.KYSK:ALAND THERAPRmC' AWED HEAL1tI CAREERS liHleEnglish.only responsibw' .Citker..".n~~.. hy:sthe p proper mecltial.olf-I .. ~. u'" . I:" _ .Ii""'-~ 's..htt11l1l. work as me.""'''''' ~~.t who was .."IJ..e d~nk:a~. ve.. boopi~ tal vfil... ". tenmnOJogyand med» ka~ ab:breviaHons as..-· ~mnll(ne l~haU. as dsts.t..:ul. prov.)! ~o:r lmnecessar.1n 1'987:.ormoo~rorn. p!hysM•. mott httoda.edicai d~jpHne.ys~ca).othei:s may H~aHh care faciHfi:esand.a wih ..Ibo.lny diJrerenJ flames IEl11ployment OppotrlUnifies and . ooqlLlln::u .. an. as we-ll as t'hernvabJ medical pra. will peopl~ In addiltiQ-n to dea..e ortihnpedk 31iiid!ch:irop.0J the andpooserYklg cp.U. .. UliIder:standiingand.c :fi~Jd.. as Wlen as v.rights.".docmrs IlJlldi phann1l- glieat demand put .... ilphysi~ cCiioots(}ffi~ once o:ffured . staff~.ct· ro_~I~e!na.es" i ~niVli ~tHhl.l!_njc. SUchd~~ly in.iidiIlg: patlenil: 5eiIVIC-es.u: tcclnti·d~and . . billed tQwfJlt:k as a . .~"" .le who. ¥Q!!.aLMS" li\thl~e.ys leconiom.ooi:1!fide:n. pnvate ..part of yo~r dUlJrtin" Toeing aible to determine the differ~ e:)I.t w~th members of the nurn. bep!l:e.1!n!S..8~Jpmper 'U!Se tlon.p«teciI.U!IJI~eerst MdmW'il!y oih. Insurance QO'mpani~~ .:~ Wi During ~ nQnm» workday.e iob tiUemaybe." -.~. .erpeop.peutic' W..Gtflera. to w.:l Mv:e expand~: far i'beylJ!:1Id tb. a~]st&l....

prl. of etv.:.p:~oyee e as to wlla.afi!_d home health care .i:ta[~· i-. Ea.:)oom.'Foo~y ·there· are' lllaI1Iy diffenmttypes...j.exa_mple .su& as sp~mdinjury h$.pital organiz:a:tjon matt :~!lshOWn lfl.elS" loog-tenn Cbefadli-· ties. m~il chain of iOommandthatmftUlll$ e'ilICfl m. dUbs.vale chi:mp.efe' '0[.oom:paseU. massages~ o:rpmvid~ng a pa.lD·tiQAS tHUDs). U~S very imporlitm.I ~"'~JI1 . Efi¥i~td . 'his .ed mdpurpose.dleeldeitY_.1la...nd how ~tOO!ary.i2iii:'u.ve· Iaciiti6that Hmpi.tie.£adIUies functiDn.Tabl.toor y·(nl tou_nders.-· provide' ~ tor $~piDblems.nOMit as (lonv~t hospi~ WS. and. Such an..mcltule .. . l. by the· .:. hom.edica~schciols~ maceutiicalmdrned:ie.Of hel'~mmedlate supe... ~·"'-.on cenrers:! beaUh nante fitness..f5lCil!~th..type haSG~ia. :~Cml .(]~ MedKa! ~ [lieu!)' Medi<a'l. are determined.oJ time! (MyWll.mortpeiioo.-' "'-"fr'1'-.i V.F tal MvlFOIiL!IDtmt.'L "::. wh1ch. These fad~~~ ties JilIiJust'oowell oI'&lruzed~.. tilm'apy aide.arn. one day to a kw·wooks). ~m\!i!CIf ReNl~ ~~l :~\\'i:d: :SIa_ff ~~1MIt Copyriphted materia' . £'1.. Inaddi. '-'III'~·~. .. Qffices~.era:py aide may al!so seek etl1Iiplopnent withinur_oill\i'lers~ty m.i:oethat ispmvlded.fadJiijes.md .es ~och centers.s. etrnploymen.ta..8ener:Macute~ care' imIls" wherepatimts .ent for ·the physfual. :~rds.5ion An .~pmmlSm:'ile> ~ ~~ Adlill.hicb. . COll<lemuate em pro·vid!mg care'm. in some cases" even .lWiIooem i:n€'dka!. ThC!se depa:rtments.Libo.i. Qlgamza~~provid~ ~ efficietl.tioo to working ina healfh care farillty.U lb.' . a~~r orgarn.ed hosp..t way .:'_.rato:lies" insueance cempanies._ Mu.lli_7.iand <mtpal:Uintd~.are!hos:p.of .ch service departments.~1iaII '~._ .~ .radic R'tili~te~' mis. thalt are avalh. abo J:c. specia:J. if you ch~ of'tmlephysicallner:apy to work W! the hosp1~ pmctire.ar:td~ biilita:tivll' ~ agetu:ics.Other types.e:tal dodor5 .generallly bouse 00¥.ble tot" €Jl\p:loymm~ to tl1!e FrAs i~cl~e ]:nivate physicians' pradioos.p~ta]sor facillIties·£ar chrome disoFd.tal Orgo niution As . iz.&.dsiIlppl:i..l .~ Or!l~.talSlW'Ncb. speaWljW.of a hos. of hul!th cam faci]ttiesarui imstltuHoWi that can be veery rewa:rdingp1acti of emp·] ·.k .fur· the fadWty to M:fi111ts mbabilila!ti.'.. 001 ~.0:1.:.rvi~ ~.nt w. w. iihe ph. ~ - .e~-.Uh uitrasouro~py.mmg iUllI.t. phar- :rues~.e 24.

of~.t~" aOO olitNo !M.aoo'Ihe~. _ arnd.'h.dUSlo~ .pecta. J.'l.1b'lIfilh lh¢.~lQrall ~llJlt}damily _ Q.md.~ ~w~th ~~oIDclI I!hted_~~~ !.&~.iidiihe'm~mjl~]ieI.. .t ..tf~o..al.{iC~ [fu~ aM of lher:a:twn ~.~2 prov.prodOOildbylhe~~ Dl:..(I~l1iIad:ults IWits·.a:rcathat dealS ofteJ:'il\vith 0J:iiC beanch .Q'.I_e5 _ S· .n1Iiedii cal spec i:ali~t is aphYi5icioo who de\'ores SPEaAl1iY Aliergies knmv]oo.l~ '~ '~'ogj' ~t Opn~ Orthop('d~SI Otol.J~ I.gy ~roI~ ~' {If~ ~ .E~md~' ~. _"_ hi' If you are wotki!ng :~nthe hospjta~()r .~.alety~ i~~andllfNt'lle.'@~~ ~.". ~_~I'I~ ..~. iUidihe' mmal Ne\I~ ~ltiGYril .'~~~~ ~t.odudP.di~~oli'lhg nie ~n.!!_n. o:l'.1hr. morothan lilooly you win COnle iinh) oontad with many cJ.Q!~ ohhe ilYn.des.~ DtaIS w:ith.~~a._!!d~!mtnt ofb!lJd:y ~ ~tli1j'i\ykl~.I~4JId! tm~.([lhd.goos:u.sy'~iX~"'~i5tou~ loss oimdil:'!g CudJoio..~.llJl'lsul~1 ·1llN.~frerontmE!dilcal spedalties.ge. Q l~tifig of the dJeiinitioos of:..~JlQfeud ~ ~I P<llhrn~ SWdies m:!. bcd'y's dlrmist!ihlllid.~~.~by.youmayfind y~1l w()rk.~ Ra_dio~' IfSlZradjaM .~ Copyriphted materia' .\'S: hNtli.. 'il1lble :2.im.~d!~~w amC! 1ItttmenI. as phYSih:al therapy.~.f~..cl!~.Qf prm'mtiorn.1P(lIre\!~~I.nd ares kt ~dwitiiSP.1erep!MlXflvt S.~ tadil.l_~.md !m1:5.le~'~~rOOf.1he ~ud! lmtmm1ru.. . .~ e!~".~.:md. i\.s~~ _ ~ G~ L!teITl~! lJImIswith. :"_ '1!rel1lmentwhlCh rn.~~· t)~'.d~ai'Ihc~i ~~1I:m iWd_ diiJidbiM.oe ~ ~kwilh.~ i~r. Oe. In!:a'tmt!ni M.:sy~~ Otc~gclogy p~ ·[lW~iIKli 1mb~o£lhe~. ~Iltcl 'I):. of~ i~Ud'ing :l"ra..edical HWOf ~ ~ Dt.~oithecl1~'f~ ~ In!a~ 'Y~kv Intema'~~Wictr!! Nwro~ ..~.~$!.)l a sm_g1e brnru:.~ [lIa~andi '~I.clinic eli'fviwnment'.".atd.~ I:re:dni~t efdllildrm~~d~ RnxfulOgy ~rnwtty p~~ P$y~~ b.wIIm~..intei!:pret5. such... f!\'!m hlm:seillf b..mQSt' f 'the' present-day o m€d:kat spedalnes and the name 'of the OfSPECYJLlY ~!!n.dS '!r.tM! ~~d~liifihc~~""~~iIlJ.of medicine.l'1iis.l~ .~.toJd~!I)(~~ ~'15 'wah .~o£lhil¥.!Oobal~ in !he dia.~ ingin illt ..~..m.i.oim.~.

..a~ruo.... mrdio.s. therapist.~ci!Sm: aldie. Spiing to pillyc~ . .jr:·. 'lI:iLemo:re nto~y YOUHr. b.enu. Micl:ruellet ""ev. ".~!JIFI:'!!... I am ifilt:e:res~i.te dliiffer:e1M~es...'! ~beir OWIIl ~ aM pbyskal Qil. ma.Iead! fue narrative.es kI' physjc~& t~i!?r...l'iig ~ pbyskal th~~t~Btlt siru.second.r'. wook .I""....gmressthe best way to rem. __ ...tmll'li smdying/' Miililli!fiTI:$iW@fS...ttjius~ n£um.ea:rIli...''' Mmcheillile' repllliies '~Butsa .re'~ reg~traHon.u.~ ..00000pa:lli.!d w('u:t....'!I1IlUOn tothevariotl:Skindls...g th@l.!gy~ "'l' _~ . .WW \'¥~L-'I!I~~'1 ~"''L_. oontim'tu_e.'. .~ tll.i!IS are ..O:I1 :ll3iri. a!l"ldI'rr~n:'~il ..d i'J . \lI'.ut SU[~]y you Iii!) mdcW::scllLool =~~_ .maJS.~~.py Held of physic'al tbe. ''¥JI:ttJ:r..peclaltJ I ~ght ~e/' . . phys....regisim.~..iPhysig3irn~ ~M mnood ttl.flefixe1>:' on (5.l]Yy-:iDliTtm ~~'l'-~ !I..te'arltor:l8rediJication.long: tiIm.. . Na:I7fl. ION.~.specific docisi:on...~~u.at Gromsboro H." l'rllmlrul.'#Jl~foi1owing..mvm. Rplie:s.... ". Miche11e says~ "¥(ilU know Thomas...l!'!:rapf .. 'the£ili write the ·WlSWI.ti. .t/. Define' .pW~.C'a.I!Scaroo. Tlm.Jr1 dm~!:ieI:l~~iPedalties...e/' ~~.tiigation o.'U1! long~' Y.~~ Mid be::o.ue..and ce:rlffkatlO1.giv~ OCCl!lpa.. (4)1 D~1iru'.ti! p#Jrsrclm~? ""Ineed k> revl~ .ed!ici:ne.:i..mum. Marmo.u=v."'O" •.t] p11!/sical tlterap1J Tho. answei't!!"I"'I'd~ekill fmdou~ more' abou~levef!lhllally booOlmi. "'''A good: idJea..career 0iPpo:l1:uJ1iHes :for' Ph:ys:ical The:IiiilPf Aki!e5t :and. . "'If I~m.0 00001.l:~ ~ thE!' nU!mbe..f .~ys.lIW~I~g aboul what kind o~ s... tFI'I:'1:tI'py nifJI!.atiorl IOil' :froIm l f mdl@peilldent~ardl..oM avai1able :to them intlilc It. the (.U.me a phys. to .U!1.lg tobeooMe a ..e~ am l'MJiliy .gnOO.r Illpt:J..] . .. ""N:O\\v lIhere ~:re se ma...~ a -'''''''''1'''' d~~--~:".la.an:ms.atc!d Uc~mmre.'tion ..iI" .w aU of 'lliese' re11er b) eJ'lSur'ing: oonlpetency aflJdisldill] I . .. You should tryto .f!Jfi!beginnin.gpiit..phys:iewtffiiern..[n Ms .ctd ~ .SiliYShQ~as. m".:mpy physicaJ..· _ a.. 00 tl.I.:phys~cal menpy depi!!tom!...J~Jisicn' UJenJpists? tl~~ ttainin:g jvr a plr)jsi.firild ru1:SW@TS .OM Hldud@d [wj.)]lboutwhi~e We'r1'l in ·thehoopibll. lhsae .!_[ .emJber t:h~ is to COOOOWl!tll"a't~ the p.cIemln..' 'If'..an'!! tUI confused! by s the ..!in !i.ough [~. g ba""ru-": "".11.. T r..lhern"..cam mcllity~from. =' a'bout the vari~l..en~ of a la:tge hospHaW.aJt ·the heaUl\I . nee"".~ "IB.e m:m.I..oing to dill a mU:e ilYli.on.l'"its .e'. . ~n mg fu a.mJe g.a little ear_dy rot" me b).i1:8Si:sti1nl~.d. d. but [ .t~ I ~-. be a clruaUe:rnge.to' 1 (D fh!ine.:U:e~~e$m _' . MJidte~ aad Th:omM.idm.tt."_~ ~." ''lfiatreal~ "but itOOdaWywouJJ:d." (3J'~" ~Taini"g is mqllirod 1. 1'-''''-ma~ lu~e:mfYI '1" .a.. classroom inforn1. ~~ _ l'drnllier ~d flte ~ lJ~ a . .• • IJ£ARNING ACTIVWI' 2-4 .ow they . j Copyr'ghted materia .altb..many of ~he'm stllJ[lndl1J~ili~~..li~qlL1esHons.esl~gaMg OI. rind liI:iiSi~r.bu~ maybe I S1l:m[womt :speml that: ..d' ~ ~J'~ .heaJ!~ ..\i. ..·' "WeIDll. en WJmf!!ln 111e d.i) good Il:lafiyad'lt.9'joJ~~tRl.. _ ~~y..\'!t~SPi1'of lit.ospittkl...."'''''''''' l~ have ~~ted that . ~t..he a .[[I . h<liSiliSs~.ili:ib.f.

.ties.i$ vespm1Sf'Me·for adniliittirlg. Whalt carof.v.l!t perso.ti)on tba.macy be ~oll1:nd.o:f dep<li~enl:s thatw([Itt1d. Under wh.tiients w[tltlli!! it health . car~ folYriid 1.t is rB5p01lifSiMefu. Give at . prl\)vidcdml:' pilit1mts 'Wiifirlnl]J . .rmanaging ·Ifle· adivl.fhO:Io.ces proll..0.Dea:st~ under diagnQstic serviC€S~ b.rpallen!:s wii~ a heaJth carefadlilyt:hat .at~h:eg wotiM the phys:iiea~.~ pllO. _ .o 1.2:. Woot is llie!!l:atl\e' ·of ~h€ scrvi.f the servi.har.. b. of daily living for p~ti!lnts? c3.enls ~d p~mng iC.d . examnptes.~~.name !OIf me ~.wHhin a ihe(!lJth 9'. llienam@' o.o:ns oo. An is alii org~za.se:rv~ce9 would sta£:fnurses be iOUind withir!.!lJIIsebya~~ _f'atie'fI'tsand staff? 4.ithm.thE!'ra:py depar~too within aheal. Under what £aciity?' . c<1mrocility thalis respensibmefor propedyfumishingifue fadlityfor saJl.:!cilitythaI di:5(!ases? isthe name ()~the services prorvided rorpiiI. a MaUh care facility~ ill.c'MI..ils rresponsib]efin ireaJt:ingpa.heaIDlli ca:refaciUtyma. What is.tI!xillruy group workklg within a.idedfo:rpa:tiienmw.uibscrioo. f~gt and medlcalIlg paJti. ioood c..t is: comprised. a healtt. What is .s.fu ~arefacilily? Copyrighted materia .a heaJl!h. . o:fvariOU:Si rned~caJprQiessiClna1s (liJ'ldservlces 10 which a patient .e t~eastt\lvo ex:amp]es of an a.rme[? records whidi oon~mbQdl p~tje:n~ and~ed~ 5.gmcalco:nd:[ti.serv~C@5 would 8.•. Glliv.Tided fo. __ '1.be 6. Under what care mLilrnHy? the p.

.'. _1:. 'T-) . Iii..' .fl . " l' ~'... i( ~ Co y(gllt d rna'orla . - .~~ . .. '.~ .- E:thicaland! Lega~~s\sues AfFeciingllihe' Phys\~cal:The:rapy Aide ..._ . ~.._".. -.~~iJ ~~"...

the tme between what is un. LAW U'N·· ·_. conremed with tile' legal conduct . Such la.bether oneactoo.of mghts lWaso:tllablecaoo Rule Qf Perwnal 'L:iabm.~_.pyteam aU ha:veethical cedes that pID" vldeguidelineaofot their..: lfyo~.w Is.e physical thera.gto be mde to a.•and.. that is. mom: ()~mtldwilli :fcK.wsand elhkaJoodes·of colildud for thefFIe. the client. aHleS.a dOCl.cf for a.ProfussiaJUll lio~ cam betaken..ga[ly OJ illegally.C. Toda.ns are dg~t or w.:I~~ larw Ethi:CS Ethic1l!~bcna. certatil group.("i thememibers ar tJi'le' mi:!dical pm~e5S'. Dutil you.~«!J _omd.know yoo:rsfate's la..):tioo .r o:f Ilis.arsrodation'S oove adoptedfheir QWll codes ·of ethics in order f.. expelled Lromthe~ c~.p~OfiWs who. 'fiaClh g1Oupo.voi. addition.rol!·essio.eU.ron.':ithin_afrmllt. momll prind:ples oodFa~ H~.ty The . represents the Ideal oond!u. require a license ·to :i!:oction lin ·their pM:i.l!'!!t:ute!i..'.. Ethical 'behaNim~ d.ed oo:nsent Medical! practiceadts! N~ Pa6en.a~.. developed the~t.eals with.using on w.Mes can be levied" .KEY1iERMS D-eiounation DtI.waming.hereas m.hkal ooMviru:.\·1 . mtdic. Tllere .federal a_oo local 5. you can also be sued.tle..ad~teda.ilr .O'gov'em.vior. md looatl.of medicine as fat back as 400 B.S.efh_kalaruf what is: legal canbe unclear.in\ent that firs~ o1t(:tITo:.. some c~oos. decided . MedlcllJ ethics ~a\lle been :iElllpoda_nt in the study .Coode .and.~?n: ha..theiJ(h~althcare workers.w's go'\\'erning mdca[practi~ ma.arefede:ml.he-aUl\tcate .r.b§:€Ct U1i@ offender Ito ci.ty M.viO!i Good Samaritan of care M~I. ~O'l!'w:miLngthe physi.y vary' from stale to state~so It is importaLnl to .ve dta.aHent.of efhlics. a.vU Oil' !l!rim:inal.w~as welfas.f . ofmedkal._.y·5:medidne exists "". o:rfiler diseasetth.Ia.\. you were goirn. YOllCall be ifl:8ued.ior.- The pradice·of tOO~.nftl.diic)11protesslon. Members of th. In. as w.edicail. I·'..at is i1le.!~!I"""'''. pmsecuij~ ..ny mwvidual hll'illthcl'lfre p. ethics (iooes:protect all Fm'moor:s 'o:fthe med~cal :pro. speaf!.edicaJ eil:h.lfat)~ of unethical behaviQt by a med~c~1 wo:rker'sprofessi:OO:\al assodetion.or 'b'I. 'by a Copyriphted materia' .ind~ d~d and 'ethii(S.laws wmclit :mus·t be £Of .as a member oitl:!e healthCl"re delivery sysmm.ga:t behiliv. proiessiOI'tilli beha.p.even. when Hippocrateswro~ethe Bippoct::aHc Oillli". lowed . Mt\di(alla.t'snci:ghoo. I'Tu:.Often. aw.rong.pradire law Wonn. lawi.y~ma.~ G1i~...f state.nvork of .t's Bill .asth:epalient and.O ·. nIlllSt be LLl1!derstood by an memb€'lS (1/ the phy~ leal medicina toom.iics Med. These ethics are based upon..hm.~io:l\. AHDMEDJCAt. unet.These laws and.E·R·CTA~ID'·l'N·G-'ilu~r. to hilformthe pa.Wn-M-1 .vioiation 'of such 1'aws may su.k:. dedded~fur exanNple. p'nson sentenCes caJn be imposed .n.iaJW8.meworkc. behaviorlhatis spec:ifie and.

oo!l1diuct- ad dffi!!iCt-.."'IIJ]1 care Mclmiah:r.i\l:.panmt Uo.a .'L.wledge p~ed~.ou.btalhil.oo~ent'. .eted! <.l. m a. 'Qf the examinatiliOlt Mldtrea.t .~sncp.tlt ..~'1.adtatio.. :If you talk about itr that .idiIrng be~ ~.'~1Ial a:!:I!dI.Jldtobe :i~.iII¥t!i'.wIth ..tiion... ()~&udl".!~ '_<L-'I .PaJ1 Oi.vii. Rme:n.it v.. . Beaember.0 . t:.1.-s bein:g me.. ~'b-. eithti. <care'sysmm..rilte~.nd..tients ro lave OpWmIS" lliestyIDes..tc mlIicl. 01' mad. :'.empIDoyer woikdia...ete'ly~ .e:lltto· .igl:U:toi: A:cmrdfng tollie AHA s ~ wspect He ~ghM (If aU pa. u~e""""..~I~ -·I'I .osewdividttiil8 wtu. As a res . ~.n••• .matliOJl t-e~tdH:lg atedi·cl)jlys~g· pjficaJ_li!. .ii' •• vt'I.t".liI!I!!r 5rd.wmjc.cl1re EiI(!i. 1:lnethical. HQSp~w ASS(:K..erydil~g ~ heard.tionis w.~oo 10 have ~ dlSCUiS5l00t . !I..~OE diefam.t'il.-.t in.g their d!iagnosis .-y ·lime of th_.iiIle8~· 'b(ma'Vlor the vif!w~g o..r.~ltn. This.u.i.rSlre.adcltion"the patient has. ~"'!ii!ilM~ . . _ .fama. ~1'1_-~ 'I '" an.and sJ'~1tder wh~ spobn.resentllie :hig!1est stulduds oEbehav'ioil':.a. «her..hat lIh..the m$:pO:i:lIs~bUHy ·of aU .ahUl t"e~.jjjt' :wofk" d.". .1~i".c. Cl .i5sucli! .!J:d. ~'W!il~ '!I. that they ean be rea.ess oft!h~ patierl't'srjgn'ts is.iation (AliA) teU it W~ necessa_ry to 'establlliish a d!ocu~ rnentwmm ide:ntifioowlM~I~·tile patient oo'utdiex~tf'Mmth.~tsr.oUlg .akt. a1:wa.and ICllt:rontuuo:rma.. and 'beli~fs [] (] (.mlI. ·w-. J . is ca1l!ed! libel \!'i.4 ".tto' the 'exknt peJ1liitted by llaw.AW!lI:re:n.l'l..aCtion~'~fi.OiI.... heR the de.Becti~ trus ..y CI :mfuisetreatmem.)' to be of serv. EJbe mad...gh:t ~D irIiIfm. " .medicm Q~uen~.ld from :. ·the· d Pa.intent dloc:~t is.Eui!dha:ve those nClt: dfmcdym.e probable' dl. l~vei:hejpb site .puta.h'e~m:t@tlt'. t.m..t aHerwla't~:v>cs 10:£ the proposed ..o:nsid~ita. from them pbysiGffi.m.opioo.p'. in.tIne:n..follow closely the spedJic rules of .erntLcS.i.kt t... AIlQ(het ~p~e o'the sidered an attack ana... the Ameli~_mi!. ~..lOO ·to [paJtients ood COWOl'bni at .f t.cQli8i..001 O/\m that ev..-( 1 'tmethi~aJ ·and.abC!l!1~ a p!l!tient .o.mmts awa:_re of w. Tile .tl!t -" ..ii! !U lhepatienit.og:~ nosits.. lS· ~B!Q.ll'.tioo Ico:n~em_in. whi!rn 10 info~~edl sh.f a friendI's.iltation.ation ofmca..r.e'ffibe~ of the h~ltib ~ni._j:fi" l'~' .ou.b)i}/wthim.. H:Owe'l1!er. .tm'ePiIr:s om ofrughls was .(mfidentiial and! does riot [] indudekti.. . k~:""~ ...~ .lep £OE .hehea~m.n. IS ooethicaJ.h is oo:n K • 'DIE PAnEKI' AND 11HE HEALTH CAIE WOIKE!I The IPatient's II'ilU of: Rights .r..~" .gal.. (figu_re3-l)i.tlh. ms~tfum . be: oons:cienfiQ. b) ~ both thepatDie:Af has a. pa. amd.g. -.:oo.F.ts..m. ~ L difference' ''.volved in mepa:Henl!'s cere Copyr'ghtod materia .• . J.m~tatSpoot Qf :p!I\()v. >eOR~t: om!! ~. !(QU1IpWe .e besl "OU: (lan .~!I!\. '1' "'l".rmed.U$ID doing YO. .act.e paIti.t 'caD be It.c - .isks and I:J let the patient knoiwtha:t it is apri. by 'lh@ O~rui1liti:M :!:!ii!/embe:rso.@d:rlcu condJUd prescribed by .) camdFoF (he pll!tie~t. 1..eWlthas if) rig~t: to '~Grtt of suCh <:I..l that: is uneth1caJ.so:nablyexpeded ~ounderstand . wl~ere yOIl.

pon an.WJ'Ih Ctmi! !IlNlvirn.~g . o~a!.setJt~ !iJfI1011&~!I)U~ pa..oUjt th@ country dio d!ill'er.W5 thm~.ICENSING Of HEALJ1H CARE WORKlEllS. .mstanoes.Weu. bii.gher the .. Grounds . For the med!ica1work..too.l enoo!il.'e.[ si1Mhu.fifty slaites~uLre lite Uceming . arsen.g vmo[ated varteus :mV\Il)!h/led.uty of 'calle.cam proI1essi.... . rutystaks. attempts to~der aid. :~eql:dr.win. 'e.tion N!I!sU.- law.II!.J:i... professiOmilal I~ are' ~egaJry :re.. tlw Clom.for lcsing:a nled~l Ho~ :in:crnudese._ .w:'oo. meiLUlSooing assmOO '1)£ safe· ci!in!.heald~.w m. by a !P:~ kVlow~. Li(@~ can 'be ft!''Vlo:ked er sUISpendoo when a.~y.The duty be responsib~e for th>eif' adiom. ~bility (lfll nmlprndi.~ the ].\l~wrp'irude.mm anu. in some Pl'ioletti:on U:nu:ilu' the iLaw In . The patient is harmed beeaase the .i!rng ~d f{lf faJ~ st~re.Jjts Io.n.heililthp.cemfirn.d ~h_royghout the Uvdted States: b.of p'.able . crimes .~ the COillIHly. iLa.w"w.l!icense.emer:lts..~ aets.. toa:s medicalpl'adh.onSbO oiler meaaent Wilfw~lttearing . W'iHl.ils~. ~~.meet sudra standard MId! hafmooHl@S to· the ~tjen~ asa resUl!t. of ~e mdivid. is a iecmthai.0:£ nu~wmbl.ucilDGnal ~ry that he Of.tioot to safe care by makJn:g it Di!(II_nda.y theissuin.g'Mil.keT to have :hIs Of her . uJiide:r the thepa:lien:t' fo.oo~pared to fell!g.The p'a. If~f~5 provien iliat the health al1eworlk:er failed to .. AI . 'who COl1!Ies u.a'I.\.~.of hoopUa]s.vor.te[y. loss of ~he ll~.Fc:tthepatiefitt ·tms. TheterD1! ma~p'~C'lice"W1for:m.negl!iigence ma.tact~oo e.ssio-naJls.mdi~e: ail!d~ n"e 'Good Samaritan Law and . lhe'n"lediad profi::l5SruOQ andRilar:!Y of tb. ..etb:iirng ~hath~ (lit she shQl[lld have done sta.af file :samena:l:tJm. ma!5onab~. . Law is a ~~W UiAt ·t:hepmblem of medical malpF~tke sl. of ~'mOif.ssiooaJ d~d! romethtng wrong IQ[failed to dOOODl.~ bel'S of heeltlh. Crimes.ood that they may Copyriphted materia .ea. .lw.medicl1~professffio:n~~ has been found!guUty of navin.trtl'!'r the l..ta:_n>Ce5.ti!mtisproti~ted.meemtg level Md.u.(iceJ1l:5e suspended Ot f()~ teVoikOOimcllJJdem.'bo.~. dtJh.a[lp." stllch as la!)( in tJile' lioo.aI.mge5menTI.certilu(:aoo.i:l:m:t .e m. pwrecl:!ion ·of ·biul·.are comrn. 1" SU1~ I~wg .. atddenJt~e and drug addiction.. This en.eheaJ~:t:h Callie worker m'ust be a!SSured.rm:in . under5~Rlila:1' dOCIJJ~5.w.U1Icapacity ~i¥ or excessive 1Ill5eof due to ak:ohQ~ Ol!' The Good Sill~!l!rita..!I1. i~ SOO'ms thaJtth.d~vidUial~he~~fhC.a.only referred.o: aU of beeaese of the ex~h.as d. The statutes amd.f~:ton.er.oo. '11~.The la.mOI:1l. ~rgtmCJ sihlati'Q.ca:r'.t:l'te . (l.l:1IIsin8 unde[the dr:ru.ttlies proeess.~ pmysidilJ1.prorediolii.h£Il.genJl:eisthe failLm} togiv'e: .g~lare. yOlM' own state in erneit' to detennill~wJ!:at pmfess~Ql:ilal ~jjabil~ty m~'exisl dwifl.m. a siJma. to iIhe vkitiim. irlit:Io:r .idesthat the' patient be tre<:l.tutes flle profess~onal~.r.• Me(n{aj~ M.y w(. OtherC'rlmes ~at 1lliay ca:Uisetile .l11.~ :I:1iWltoo:r iO:f b.hic:h has been ooaded.and.. ~shebe treated by .e~itedinthe commJufilHy .~ ~blecatle or the giv.tR pro:fn5io:m by law if ltca.e. FQ:t the healthca:re fFQllt1IIiJFresPQ'Mjlb:leh~!wsui~.care.:Ii .ro.!Ilbeproven that he or she RUed ·oJ(are aloo prov.~J(utt1 (lfJ¢~j' ments while app.mg: ofunfelillsorl.t: .can abiO 00 ~und!5.f aJ]Y t:rnJmed healO1l cM~p.ual heaWth care p!t1of.e: .na. deillmg wUh 'lheindiv:idIrull li()lm!5:mg oopf1..tieS.nousrnmesstu:nas mnmer~ :rape. S(I' i~is wise k:D<.kers of ·tlle same :reasonablyas .r .x.Cf' suit.~.g of licenses and.vemge stand~ .itMeans be~g proteded isfamil!IDar iI.runmt:. both ..'l ~. 0.ibJiih. too gm..

'. A. ~t oouw.an il!lness.!Iegal act..of' ilili>:rmin.enUaHty· a~t'ld OOPOrOO!~l o....any suggested p~dure. issue Births.cas.th ~_rermtd._mu._. held.:'es.:"" 'w1.g th~ patlefl1t ~f! w·oKis toot he orshe can understand as ta the t..e physidan has ~Iained.tus or 1.i..wIUU.fwmtwo pa1ients and thenmisla~ are 10. respcmsibiJily ..r' Pw..\..ip. ..nosmg and tr:eatiJ:l:g. . :~ I _ bineld these'types of.-·. t.al.. or rape . sp«'jfic :mooe of treat~ mak.l~:es.ay also you 1iaJble.~ " I ~r.. De mId that bis s. Subsequem1~ the. MW 'beenPJieYMted lithe an&iolia.~h:..osis and. or oc:cldl'mlt may :fiilea.llis...uct or lad o..'~....idail .:1.report wh!:!it msoc-ooned. "You um._.s.er mml....~. for the~~e oj the eD'lploy. oiIOO· be ..rwho is mvolv-oomao il.c~.. antibiUtics.-'uit'".~m~slabeladrniinistered mgthe'~~ Jaw...:5o mthe stare in wmdi you... The paltient msthe is ascm1a!tl1Sdtnlll.. and YO. iba. <c Yrist. Plrt~ liab1e ior tbfl· adirutS of tbtrir' empl~ees whlfe 'the employee . ~. that iley learn abourwhen pra.''" o t ~d~.t everything was a1lr. . aans .tsl:y destdbed~.!l_-. 'lbesped~~ oons. keep current as to Ut@ l· dentlaJiltyand . th. _ offioo or :hos.:po:H~wh!lclt isU5li1. . fherefore it ~s important that you..t1IeRlt'w. any employee ~ginehe health ...·.professions~ mal.. .. SlClMilLIIi?lS. as the Ctnee~-p~le'previoli... '~A'.es~ rn.If' .... tozy~ishmt who aocepts a.hy~ ical medicine team" you can also beheld cme:. lh. negllgetll.'stmlploy005:.fOrlh.ho has 'been told.lewould.-.-examp..#-·. _ ~p.p:r.of Hm'C8 whmth."L..~.clilldo:r .. ."a"..helter o:rnot to accept au the e~p]!lined.Wllmused in the medkal. _0 the Ib. these rogtilationsseemtobe oonst31ntly changi:i_ng.risks.~ !iI__ such. be .e:di~ such. medica._ . some imtam.mmed!.~s bound by la...As a. oorn_.. dea. ollm.···_. .d' '''.ally 'qwte ~~¥e..~ In a .t' deve:lops. ..f skill ~t restJ!lis in 'the patients mjury.--.. diagn... merolbel' of the p. .1 madea~ jomUy ~pons~bl~ \"dlh. t.is ~. with patioots :swffuring from ATDS~ for .:'''''' .cpbysiiclal!l . -. patient'...Onceit Copyriphted materia' .fail to :~port it.. tbeitr .~: ph. 'YI-C .srec:!oros in treat .hi:nks thaJt . had boon admmistered.-.l.."L.vnno:.. 1-0.of . m~ !'...__ ..ng this i d~~.• aoc-OWih 'u. '-~"'Lt" fe5JXm5'i:bUity 'ofdecJding w.acti'oo cla:o...e orf' Pef:S(lnalLtaJblnt.pm~tmg plltiMt:confidoot'iilllli..~4~ .a:m .envUnril:m1oolt can.p.a~~. are'W'fi!rDng ~rd!ing roIDi- Ilowwer.. be a ]abarca...and ·the lahor. The-ph..y~ .s· and ~ilI~ lions whiCh ta_ke :LIiiIID aorottnt6he ~:::onJ1~ dentiaJ! nature of the paliiwtt~.to 6 . ·the dOOOfooukl.-_.Mild ctiuwsiucilUe. ....1il re a aware 01' the airne -but~..ection. ~ag. IJICT P .ct\icing ~m. .eJidler abuse.w to .I.. ... -~-~.~gbtro.l dOCltO:r <I.pecl" me is nrumal and the other k_iing b@1is. claims·.aWindj....:L. on duly.e.illiu~ss.~~.en.' .the law is: very spedik: regarding confid.. If you fa~ .held joinLiJyOlMpcm5ible if YOl~w'l'J. the physidrnrn. 'd~:"'''_ l1t.te 'pri· vag oj their reeerds doesrwt . ".v~duals are lin he._~ . asa ~ooting.~i~.. wl!-e.:as wei.eqpen~f >CaJUS-mg onepaitienl: to.h: Y". if you :fail to report such c:rimes.and regulatiQ-ll. In cases aeaJl:~.r_kfor adocto. In. but::.illy :p.ployees m_ayafsowish to pmdlase ~~. .bofhthe phis.. Apatieli!t who t.xamp!es .md..!how~ver.t~.l mmpr.ll.any' miSco. in a rnalpradke mwsuit. . an :lnf.t ttI.c....f bllormaJion.~.n..nicable diseases.eir own personal...~ . .r.es:a. .". pa.In some (li19l!$...!' Ja.pitalem.ty Fny. mal '''i''"'''.example .be sued.m~umn..im.nd..hyslcial'ils.~.fur medicMmalptactke.~banda1terml'li:ves .bl!bspecimen. thepo1:tient has tile :respa_nsibility ~~nds.1·' jAMtc:y win aIlso oove1"tne ":..i.actice :rereflS to .app:~y..p.rOCool!lm artlld .aM Smww. oy..\\:r.._ mn..fuj.skians mQtii!!~sorepodcrimes.... L'I:'::'U .a~to:ry Q61st'ml!t ·~be: held jointly liabJe: .' It"m.. 1.~_.the patient's r.rulW:~e ..lv.

"J. eJjfa~ Hslledrega_n1ing the dietaiJs and $~gmll"!g cf ~hcoonsent€o'rm.cy sib!.ge may enee of alooholor dn1gs.~z~jLIt .nltis hand!i<:appoo cxprnllrmUon should be g~ven an ul:iJider:stood ~omFJe. emergefl. pa!liefll\'s. with the ..g . .gned.w.fWJ.'" >.f{!~. any Qrarnl. __e aU. o A .tidp.lm4l_ny fu..up-to'[0. if the.A pa!tientwhQ hasno] been pmPe.t s:i:gru::d by one p'I!Rn~ or . that he or she funy a~ts.k~1:1I th e •• I:.has boon dedJllr..otISmi'Iit .lUI...MEDICAL... as w.til:_nguage•.m~y m. usually sugg.iItgll!ii~l an.t and 1115 sLreb . RECORDS AND. legalnamesused.consent for.1a.lete.~ ·the· pi\ltien.flu~ _ 1:1 AU siWl. .portruru that th:ese: tmd(!1"lh~m.of it mn. 01 Because any breLkm . deuce ·fif tnl..usf be w~m~d.a_nd m:Ulstniot . ou1Jl'aderrut and the propcrty of ·the hosp~tU i1the pa.la:sposslibLc in ruder r:ooo:ms 00 aSI . OOM:I'ItW!nml.alSthereis no clEng:e:w Um an.pedmental befo:~ an mustbav'e a. meeucanon. . (l~ S. o Ell Always ma~e :sure fully -ulld~rst~nds lliat: the paJtient tooCO~SCt.111!t fur trea.m~ (liNn p!?ri(Jrmedin the·off.J' pmv.me.medki1~.l5 mMidi.s()required ·t'h(N:::mlscrn.m.of both parents :15.tely~'with as lew oonMWig that can ~ ered a ~~ o ~e' patierntmus-t n~ve:r be for(edtQ S:igtl rnil:1i:l.. PA111H .'!'void lialbUUy fo.(peilL .rre is a .tiC[u~swldiC'alRXlo!id.tienth_ilS been hospital" . he ~ hospiita~.lyresp. CJI Irje'ncy. a st~ .U: and walizes..m.a~ mentaly Jor.g.y hav. be ka.p~um.parts . ['II An..w!heth~ U~S tobe be a~ . bCall(lweci tlle .respomibiUty.tlM.the 'p~pert:y of the physidan. Y0il:l.~-.ff·t' c:~IIrt. ~~"n. 1(. Specific gu~delrufles hav>e been. These include the foUowmg: pbtysidL'lill fUTRilalptolctioo. is ·called.hy.ootlrt of law to 00 ]ega~.aturesm.gal g~ua:r.eonserl.~ded that the tilepJiooed (. tremely im.of p~tlro.Im. if tbe pati.ti~nltis inrompetent and... y~ . ~(I:n.r I.!ltdl" 10:1' (oun case'.rly i:rn£o.li'lreJ:1Itsare a.nslaJed crp!rep!U!Cd in Ule Plliti.ts ~.iUiIiJ!J'5i Unmarried. 101 Married mJnommay signtnek OOOse.. en1:Cl:1lCip'atedimilH.el~ as evi . ' ~'IL -] .o:r she has si.IrlM!efSli'!i!__ Lg.hGrovm mnsen!tforrn.om~mu5t: be SIgned.'eSted.e. who is under theilg@ of .rocordsare cOll'l'sili.~nse_nt ..aocurate" (i(!1mp. experimental pr'~:llJ'e or prior' to any other unusual p:rocedure taking p]ace.S as possibJe.rnan.~:'ii.l!rod.ise.--.ent .·.l: .cnt·S nattive .eighteen and. ood uscC during ms: Copyriphted materia' .ms:lble for !It]::.roay to prepare thcco.staff fn.l!.yoo~OfiE!d:.a.The. --0. throuigh the :in_fbrrned consent pnx:ess cansue the .J . dJatedl.edi. pare:nt . the risk ofHlepJ'(!ICOOUffi. and as ne.ln f(!'Fmed: A5 pad of your ~he piltien:t ful~yIi.ssed by two people and i:)irotmedii)j~ly fOirnawed bya wri.e skin maybe oofisJdered an optmltiofifa oom:cnt form must oosj~ in Q'cder to sign his or ..rnloo. eRilelT~ SlgJ'l his or he'!: own eensent ~reatment...ioo or . . in which 'ca5e~ hvo p.gs or -~.li'bnJt:ter:y' Tclcph-Qu(l W~l.r any type.'· . dille". CO. . . p'wtectmembers of the .h. by Ute paticnti mdlmting.lnderstands· it and the ri:5b.lljn .lHELAW The' p". ~rh~U. iSilLli:I..niid!enti:al.mreillJiiligafi:o:!:1J.~· •.th..i!i'~ci!WS must signilhe ... -.e ~:.ynotsign.: orrn J]'UJlSi.. d··· :m.fo. leases where' the: paticnt fi'I.<'i.t .dlXiumen.who'.latioo. for areaseaable tililme after slgnLing: las lOllg . a ~o~t: f.th.~t is vallid... t:J An:y adult: over eighteen yeats of a.. a ()o~tf:Otm.~CUh.co. . vliliidm.Yihat he .. COrlSlit!l~ forms are also used [p'riO!f b" the admin~stratiO!n o~· a:rJ:Y (l).ered .patlents who .hcrwev'ru'.£~nn...I'''' ~: hi.)fil1$iM~t is wl.5t1'n't.•and signed in jnk.~e.t'sc:~l'n~ 'or bas a ~ard~an! or there unless the pa. bya.~Ii'I..ma.pn)cess. i:f. <WI.IDlI_mt.$~gni.

J o:1.od.h:ys.t wben they aliei ... Therefore" :mosthosp. The firs~ eode ·01 ethks~wh:iih 'was adop.. always rem.r-. ih!n. and ..1) F~~ --..~~~_~"'..a:ndL:never tkatiQn and."""1l....erican P.ged.Id... Membm .3. .ibenpbb~..r-"~I.y line. timel:tlitess of the cumml: Am.epreJ1l. con- profession as a.utill!$ of the phy:.em. ~.-...judplmt.~~~~~~ti(mlQ·~~~~~..~..~---.md. set by iLls prede~.~ .'•• II..:~~-1 y..1.. Ph~_'"~I~righb~. ."...1_.P'-~ as '""''6''"1 '...net·s fu.ai..."l:"" .. 1948 anda~1 i. !lhiIlbe~DIIP~~~:wOO.~~.~-~~ ~'_U_t..trt:actjion.~...ini).n~""..patlent The imd:i. liM:pilIik Lnd tb!'pmfmian."....whole 'WUllbe jud..00i6~rtm dWlitS ttl iIdd.. ~...tW_ M1b.rma:t1M.an Ph. . 19....'---- ..waysbeen.medli:\':a1prarna!S :make ita standardpraCDQeto rdbtaina signed.". """.ed~mn.i(S stands i. ~I""".!'IQ..".. 11 _.~ Phpiadtbetap~~~·6I:ill!·~fii~. . nd .ic. PRJNClP'[Fl7Ph~~ nu~.~t.~ siion.Dc'an Physiutherapy AS5()('~aHont initia!JIy' f~ aim..involvedJ.rl:ginallyadoprod byi:he Amerh:..1 iEHNQP!E.. ber w' useo.ents and pdnd.any' IE:OOmMtk eililet of these ean 'be auto:Dila_!IlI~l.I".M8lE' 1::'01..te .ioo lliatsucl1. .o1fid.~Ian.u.o:m... ".(lSitsolely 00 the d... ftmnmom~ the pa'lie..a OOl....:1.ghigh:!!tan~ dHdsare' the best indicators of hQwthe pra.. ~tb~" ~Ph~.field. .Ihm.ysi~al Therapy &5ociatio-rt in May..~t'~ ..t"'t. a code is. =l:n~~. .therapi.iI. and revnitethe mby above or ooxtto the orlgbIl enb)r.«<th~ -...~I ~." ..vidual Practitio:ne1'c5 .IL....~o1"n~vid~k Physka]~'b~1wiibih. .bnpo.:~:!. ..essq .'y. W1ijleuin 'peru:i or ~__t[ .pn. .itooeptabk.PhpieW.. .~Mc...nstal"):. ~ -""".~ -~ _e .pimF..u6.. :fromW1~1 !ht...oidU ~.. .-nd.dS. lIm.t-"'J.R: LIIJl!I._.. 'I<!""''''P'Y .tioo m. '~~11 :If 'Yoo . 1t!J."""""... .~ 51 _ r oommmnentsto ·theprofession and to 1fIe...mf'S.all...~·lIIe~·adph.. .j. in the .ee.ic... ..l'-""""jyjpri)· ~ -_ PR£.~k"" .. ~t 'IhlI~lIIIlbb ~.ted cerned arout the ethics of their pror~ :release or lnio.~ code ofelh. . -1 '-'---~-~'~Y·"'''·-''.d...~. til group ..--."""""""...2: ~.aJ set a/broad 'moral guide:iblieSmld asa . _ L':":~~~ U. priVD..=rr:t~~~~ oor:red mth er:asttres are ..f:Or&e..-.first seen Oil' i:... N?cdoamtmtatiion.':md .ve .6.'.my penruuilet\rt ink. lheypzmidec.~j ~ _._".tial it.~. ANa ILEG_A!.lpb)U::a:JiI~pn~."..ms Ihe ~ln ~~ Copyriphted materia' .::."'. m".al1'tll~rap-yASiSOda.Iti'lls and. J...c:tUiu..p~!_~..~ Ph~.'.='!'~enre.uid!e]i!rnes..... fimIIy' on th.QI'~ Phpi~ ih.~:t_. 1he «Ki_e o.~ -.~"..publi~ document • !DnCAL..n.~ PRJNOPIi.plcs sl::lm....lSSUI!!S liN PHYSICAl M:RDY -".'.. rommUme:nt to upho~din.(!Jfl!!J!..~..f :ethics o...3S by th~ Arne.m:~offrle·~......ts sub~enf amendm..si~ theri!PY haJ.. ... 'Qont:rast to earltef g...IOrIIhM~'t!lil~Ddesm-i'!d.. ~4: '~S' ~..~ :in... _ ....of phy.pw~ljgluundUd!rot.. :..ap~~'1ImT1 ~'m~fiily .ani! ~~ ~ .!W:!. whiile the oophjs.-". ... _...mediGilI.i.o1n .rtant as .Pl'._.. the· patU.!1..

ili.~~_I ~~:~!I!Ir'.. lbeMwre ·o:frhe hE-aUh.•_OO :f'.mJ·~..agrees and oondititms OtjIUStke.cilre pmfessJDO...tierrt: aiiatiorusbiip. A.lriIg and! fusterin.eorles . mu~' m "..cll.m~~~Ihe~·W~. .lire and Ute right ..mon_g them.. exceptio..en-· flids of d!ti..~'an1!~fu!'.fl..ha.. the corkii..lI ~'~I5tMst..~· pmfesslcmajsto be ...a!f!e nP. By adh~g to theseru~ and 'ideals.into a«(JUfit~ and cftar. .l.!G.. :rightst respons:iibUitJi. ~t.1ke~i. ~J_n..".:11_ .enabtea pt'!r:so:ilI..er~1 categories.te a. ~ter· baits•. mneand! .fled' on..• ef!d of the moral spectn:Jm amBrini- ru":hts' ~~6'. incitldil1g d.R: 1 . "I .~~ =I'iiu ~ .raUy groulpOO into sev.• ~"". ..l'..~ht:IJIl·~dihi!ir~~~ lphf5icajj'tMr~~. ·tne' soc-iety .'~OiI.ASSOaATiIO!N ~ FORmE Pff'rSIC:MlMEIMIST ['1h~ OF IE1HICAI.. ."AI.~ '1VI1~-S t. [n ..)1icaillihtnp~~ 1~'i&!~·~·~··1Iw IIJ ..soclety .. COMJI._ ~~." ~~'Ihmlp&~m. ...."IU. AddltiMalUy. ·lo·re. morals since it is the .framework.Sh~~I~.._ n~!lJi' er :pit-_ien~ 'IN changed.•' .j.. order tomaxMnize fheAl'al~zatlol1! Q. mUM.." tU' '../~are the atli:bo..~~"~~ ~Ofi~KI!. mond judgmMts.·~~~·.tl:tete. :scdety.ti~ 'of lleatth pmfess~onab._ ~ .)I_g .from destroyiirilg itself~At: t!he othe:reFId~ .tion ~ . While some mtoes arniideals ha:ve we in'e :res.:mmns ·areespeda11.reserv..~. ~~1 '-1I.0.~. and OOfISCiien..: .ve had.:. ~1i.f t!por1:a:s ..and to..uttes.i . PUNMLE OJ! rh~tliIrmpist ~IS! woo ate afflliale'~ $Uper'I. E~l tt.. _.an'll to . L_ • U~UY~I :U...smdyofmorals M\d.aphysbl~ ni. n{)nli"I8. some of ·the hasitcmoral.ata.. :patieIl1ts~ nd :society as ..tbe . :_-'_._I 1. Wle ate (jontin1!lo~y Copyriphted materia' their.. w:~.till$~rlghml (If :te$potJ$jb.00 tudes and bemviofS th..~ prontiseto patienl:st .. Ul!I!UgsUlt:~G. ..nMlo.. .anbmllioUin.. _. r __ LUJli.ed .-o._.T.of health. 'T'L:~ is' .b . ·teD the trultb ..-:: .•.. of $l. 'iIiI:BAPY'..-...1~'I@': d .(1...$fet:t:railts~ ~ .1iAD". ."'.""". d"~__' """d·lo· """'" '~.. Wlthin.hea~lh('ate.es.1.AMERICAN PIIrSICAI... :BtlMcs IsreJated ·to...' " ~ .th desu-able and :necessaryin.pOnsi6m.yu ._.<_ -L_~_'l..:~_-lI• .. ~ ~ ti·· 1'.I..1he IimfuI of !be ~!I.•n illiMl.st power. "L_t soa"'~..JCf AS5IS'I1ANI' of d'!M~OOn.tions-necessarrfur :rr:-vingto.ought to be taken .f( .rfud.md!~Idgh~ndM.~o!o_.fktd.UK ln~.aying MOf!\ds are 8ene..d!ofnmutt·~~ Ethlc.&eeto :make the best possmlejl.. to ma.tiousness1liJ'Illt ate vallu.m. ~ .. a...•.getherm.gf~~~~ wd~Dl:pilimtr...1 ~oot' for the l1'hysica:!'ima.aSOOJI!J~honestyl.' the ideals ~towar:dwhi.dgmmts. -.al and. arehelpecl inp.a whole" that a .pIsf ~ WUI be bind~ F'IlI. dW :hlgbe5t:~ Pliipnl!. '.. and. 11 . pa. peaa! and harmony. mles..ut. '~ aM.ha.~!_.iI' to- "L. designed tO~.cLUI •.\J.y rmponml~. ·tMre .~N.g.-.'ties. .rnail..-.of me-ilhh care.veslood.... others . mara. Mora18~ or '~:mQtal.fnmpi5t ~ pP!!'!'id~!trVm wiJhin. m~ (an strive in tr:ui1?g-.sum..m . es ...~.~'th.

.wa.phi.ihtmum ilifeand the promo-'tion of . uml~ pmu:..pt yOlll~o "'talk.S to medicine.. ~:h.are asked such questions yoli.:L· .~5. patieruts..lt' :OOSpOruieSlhauld always be' dile same. abiethase whose l~v.ra.:p'f aide" wbat role or ~pol1iSibiLity d. or progllosis.Y!!!'OaLnS. 'Y. YO'UB'llru!!.rnaj..volvedwUh their care siderod.ou may be asking you:rself.1~~lyaCOO'ptablle a.:·· • !!.tmatment .ale mom :rathe:f rhan . ..healll1l.~.re living wills 'wJilidl have-bEen 'Wrltt:im.ty.e' of tile' ~lmas dn.otmWa!YS ~ ro . as ill pbys~.s.umellie :m:spm\sJbWty . ..oJ .rise ~ha.is a set of nd~ lIhiJIl uides 0.i!t'remate. in ill. :n._ . 'L. deaills.ethics.g I pJay in fulfiU~ng medim-~.r tlie' Copyrghtocl rna eria . in a tactful a.. a .!l). You must asvisiton.deUy-. veii)f cblla. legal hmv'ebee:j"jj.t w~U 1le. and 5{lm~. . may question you!l!bout t!lne'patien.ese a:rnd many olher medical .md how it relates te his or :he].. . Il!v'ery. Now...uCh.c:M~hc.Ulil!sta. FrequmtiY.and . . ~'_IlV' l!eQiI. 'by a ~ally miil!lUler~ Whene'V.g of .m.@ittime :in I1lisWrrY hav~ the .~ pab. &'1.iy memibers.~ovel'llS the conduct 10.1: 't:eetiOD of. \¥." .s remember' that one ofthe most ersnot i_Q.: .• MEDICAL miles AND DIE: IPKYSICA11HEIWY AIDE mp~ne.t's condi- P..l'M'~or tlhe phyakwanruspons~b]e' fo.ol1ll! who hi mV 01Ved in the ~ Qlf patients ID-ustput the iSiliVm.~~ GmetaDy :~. lUte _1:_. goivembh..skaJthef3!py ..V'.~_~ 1 .. you are also a._.tlI1i1d iam.• .1!.lLtWi!.qPRStions of medroa[ . ~. 'Y'O~.. tl!at t' nd .rect: the inqwky to your 5'Up&VjOOl. gossspingruld ered eitmcaUy wrong:.1' g .iS oo:ntbluO'lI!s~y surround.job asa physicalUlerapy E'lhics. IL.As a D'lemiber .thks. Ui thitt :lfie is pmdou:s. to evade' such questi. o. UPOJiil.nt? Th.. .fl'oos will a~w.- .-.1ilgor patienJs . patUmf.ed._ "'" !:i:.seedoo me I:Jt: l@anil.ever yQul\Iear or saY' w~thilil tile mediad €1lviroruntrJ1lt must nl.eya..smbility ls Ii') preserve me' ~ "Ilk_a.rl. you.subjeeti.'t redi. •.11t:ieWl. under mdl WlltdtfW.\. wi.Pi.. ith@ 8~bjed of med!im!l eHtigj: . aoove .. . one of the :iIi:lOOt i. Living in the 199{ls1 Of'l~ mi:ght say O\Iat pmbaibly ahlO . alw.erylel1m~. . m:re ~g fur a pati@Jttwho maybe suIfe:~g to dymg" .-imit .to-day basis? You ~ust alway.ti:~es (](~he. ques'l'iiOMar:ilse tha~triig:ger'dee. . aJ ~n en a life support system? How muclt heroic . whlCh. emotional! reaction.ephysim~ ~PJ aide lis.!ti)Jooti.ve:.aU :indivk1uai1ls WAO eeme m:to <JOIiItact wiiitih..lega! questi"D11.StiI.oJ us involved illl.( . Di~U!SSi:ng p'ati:en~ wUhoth~ raJmifications of . 'court of 1a:w. within 'trurt . __ :11"'" . with.bili.. .de" a5s. y. • _u. what.. shop:' you must nev'er break the oonfidenreU1e health alim erlvoo:ru:nent has besto!\'!l. .am EUe" fur' :m05~ L.~ deli''I''e'1J' clfheaU!h ..Q<.ove Ii\.n.m:g: fora. one .. is dyms ~. . you.aJys a.. (hat you "rilll be expected toO fu!l1ow will deal '\YUh confidentiality. ..aJ.e :l'iIJl~ (l1f' gu:ide]Jines... 'a.~.II •• _'~ 1~!!iU 'ca:reproyweJ:'S" lit :115....gf basic rules. thepa!tiMt.e' medical.Ililect f me' on a day .oft:he health mfIe .. ..greemg to U""e up' tic the ~uu.fact Ilem~~Fl.~O'nge:r.or :t:eSpOl:'iiS'i.onsand inqoiries. a wheine'v.as.esmblisiled.ef )'IOU . wmm .effort mould. . 'the lIIItI.lln.f e. and th_ilt l"'eSpon. been 1 'Llue'..IDr cat.·]ega~ 'tare ish_axe .'dniaii?' How doth. These rules.mti5.ott.il\&Vns "VU':l~U.espedaUy if' you know Ite patient :is in pain 'orM5.onal ~spo:n~responses. While :i:rndjvwdmtl dl'Cili...L ~ru.ca.'IItiel'h:.il.~~I 'eventually be decided.. \\I:he:n is gone from..for''the pm. Thewmif-e.'!:s •. d proifessionaJ n l ticm.ys mmiiiil'il.~ ._ .k rules.~ 'tms :ruiJ)e m Ii'iii:ndwhlm.rs~ such 'Ii.iliys is consld- . OOIlJEn"lOO.ve point o:f view and mpla:~~'itwHh a mom .RI...•mited i polm'tWl :for a p:rodudive' tile... C1Ofl- ernoti. us mdl~y and. 'mmWti:i :iiIlIlness? How 'v..[.er possjblet and make' comfort·.e'smay fUll last :m.rJi'tho~ .s.nvi:m:nment.wd..de'.