LECTURE 3 THE SCOPE OF THE PROFESSION Physiotherapy practice, which is limited to the care and services provided by or under the direction and supervision of a physical therapist, includes: 1. Examination (history taking, system review and tests and measurements) individuals with impairment, functional limitation, and disability or other health-related conditions in order to determine a diagnosis, prognosis, and intervention. The test and measurements include: aerobic capacity/endurance; anthropometric characteristics; assistive and adaptive devices; circulation (arterial, venous, lymphatic); cranial and peripheral nerve integrity; environmental, home, and work (job/school/play) barriers; ergonomics and body mechanics; gait and balance; joint integrity and mobility; motor function; muscle performance (including strength, power, and endurance); pain; posture; prosthetic requirements; respiration and gas exchange etc. 2. Alleviating impairment and functional limitation by designing, implementing, and modifying therapeutic intervention that includes: coordination, communication and documentation; client-related instruction; therapeutic exercise; functional training in self-care and home management (including QoL); manual therapy techniques (including mobilization/manipulation); prescription, application and application of supportive devices; airway clearance techniques; electrotherapeutic modalities; physical agents and mechanical modalities 3. Preventing injury, impairment, functional limitation, and disability, including the promotion and maintenance of health, wellness, fitness, and quality of life in all age populations 4. Engaging in consultation, education, and research PROFESSION CADRE IN PHYSIOTHERAPY This refers to the grading in the physiotherapy profession. Physiotherapists (PhD, DPT, MSc, Mphil, BSc) Physiotherapy Technicians Physiotherapy Assistants Physiotherapy Aids CODE OF ETHICS OF THE PHYSIOTHERAPY PROFESSION Ethics refers to principles of behavior that distinguishes between good, bad , right and wrong. Therefore code of ethics is a set of written principles designed to help professional within various professions to conduct themselves with honesty and integrity. A code of ethics document may also outline the professions mission and vision and how professional are suppose to approach problems. The ethical principles are based on the profession’s core values and the standards to which the professional will be held. No code of ethics is exhaustive nor can it address every situation. Physical therapists are encouraged to seek additional advice or consultation in instances where the guidance of the Code of Ethics may not be definitive. The physiotherapy Code of Ethics is built upon the five roles of the physiotherapist management of patients/clients Consultation Education Research Physiotherapist practice is guided by a set of seven core values: accountability altruism-regard for others compassion/caring excellence integrity professional duty social responsibility Fundamental to the Code of Ethics is the special obligation of physiotherapists to empower, educate, and enable those with impairments, activity limitations, participation restrictions, and disabilities to facilitate greater independence, health, wellness, and enhanced quality of life. Principle 1: Physiotherapists shall respect the inherent dignity and rights of all individuals.(Core Values: Compassion, Integrity) Principle 2: Physiotherapists shall be trustworthy and compassionate in addressing the rights and needs of patients/clients. (Core Values: Altruism, Compassion, Professional Duty) Principle 3: Physiotherapists shall be accountable for making sound professional judgments. (Core Values: Excellence, Integrity) Principle 4: Physiotherapists shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, research participants, other health care providers, employers, payers, and the public. (Core Value: Integrity) Principle 5:Physiotherapists shall fulfill their legal and professional obligations. (Core Values: Professional Duty, Accountability) Principle 6: Physiotherapists shall enhance their expertise through the lifelong acquisition and refinement of knowledge, skills, abilities, and professional behaviors. (Core Value: Excellence) Principle 7: Physiotherapists shall promote organizational behaviors and business practices that benefit patients/clients and society. (Core Values: Integrity, Accountability) Principle 8: Physiotherapists shall participate in efforts to meet the health needs of people locally, nationally, or globally. (Core Value: Social Responsibility) THE IMPORTANCE OF PHYSIOTHERAPY IN HEALTH CARE DELIVERY Physical therapists and physical therapist assistants should strive to apply principles of altruism, excellence, caring, ethics, respect, communication and accountability in working together with other professionals to achieve optimal health and wellness in individuals and communities.