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Glossary of RSPT 526 - Professionalism

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Created by bramnewman

CPTBC Code of Ethics Bylaw 55
- Responsibilities to the Client
- Responsibilities to Society
- Responsibilities to the Profession

Professional Promise
- To always act in the best interests of our patients
- To put patients’ interests above our own
When providers can refuse treatment
- “futile”
- Harmful to patient
- Harmful to others
- Costly
- Conflicts with conscience



2 types of futility
- Physiological futility = impossible to meet therapeutic objective (e.g. antibiotics for viral infections)
- Nonphysiological futility = (a) unlikely vs impossible to achieve therapeutic goal or (b) likely to achieve the objective but there is something problematic with that objective (e.g. ventilation for patients in permanent coma)
Refusing treatment based on futility
- Refusing treatment on the basis of futility alone is not permissible
- To refuse treatment must put patient at risk, harm others or be overly costly
Risk of harm to patient
- Providers should subordinate judgment to that of the patient in proportion to the following:
- degree patient is capable
- Potential physiological/psychological
benefits of treatment increase
- Potential harm decreases



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