OT / Client
Your client knows you are getting married and has offered you her wedding ring, she is very persistent, and places it on your finger: How do you react?
Set a clear boundary with the client, possible answer: “this is a really beautiful ring and I appreciate it but my husband and I already have plans”
OT is better than PT
True or false?
TRUE!!
T or F: Professional Boundaries can be breached unintentionally.
True!
Your current fieldwork coordinator sends you a friend request on instagram. She then continuously asks you why you have not accepted it yet. Is she crossing a professional boundary?
Yes! Let her know you can accept once you have finished your fieldwork.
Should Rhonda go on a date with Jose?
NO, this a professional boundary.
Your client is being discharged and wants to buy cookies for the staff, is this crossing professional boundaries?
NO, small tokens of appreciations are appropriate, but accepting gifts of value is a conflict of interest.
PT comes to your patient and talks about how OT is only to treat hand related problems, you overhear this conversation - what do you do?
Approach the PT and have a discussion about OT scope of practice
You are working in a SNF and a person asks you to break them out, they offer you $10,000 if you can help them. Respond with a possible action, positive outcome, and negative consequence.
:)
Your professor says they will change your exam grade to an A if you go on a date with them. Who can you tell about this breach in professional boundaries?
- University Human Resources
- another trusted professor
Rhonda should flirt back with Jose but not accept his request for a date.
No, Rhonda should maintain a professional relationship with Jose.
Your client leads in for a kiss. Should you engage?
No, set a firm boundary about physical limitations.
Your clients states that he called PT “pure torture” and OT “other torture”
Using the ethical dillema framwork: provide a possible action, positive outcome, and negative consequence
Possible action: ignore the comment
Positive outcome: avoid confrontation
Negative consequence: didn’t defend the profession and address why treatment feels like torture
Name two resources you can turn to if faced with an ethical dilemma regarding professional boundaries.
Policy manuals
Association documents
Ethics committees
Ethics standards of other professions.
You just got accepted in the OT graduate program, on the first day of class you realize your professor is an ex. Who should report the relationship?
Name one principle Rhonda might be breaking if she goes on a date with Jose?
2G (avoid engaging in any sexual activity with a recipient of service)
2I (avoid exploiting any relationship established as an occupational therapy)
Your grandmother is a resident at the SNF you work at, can you treat her?
No
You are co-treating with PT and you go to do ROM on LE and the PT slaps your hand out of the way and says "that's my job". How do you respond?
Let the PT do ROM and then speak with them after the session.
Cats or Dogs?
DOGS or cats....
Provide a possible action, positive outcome, and negative consequence for this case.
Answers may vary :)
You find out that the woman you are treating is the grandmother of someone you went to middle school with years ago. Can you still treat her, or is there a conflict of interest?
You can treat her!
You notice that your patient is having trouble with their new ACC device on their wheelchair. You adjust it slightly so it is easier for the patient to use. The SLP approaches you later and said you overstepped into her domain. Did you breach a professional boundary?
No! As OTs we can help with positioning a device so our client can use it effectively and comfortably!
What three CORE VALUES are associated with professional boundaries
Altruism, truth, prudence
If Rhonda engaged in a sexual relationship with Jose, what principle would Rhonda be violating?
Principle 2G: Avoid in engaging in sexual activity with clients