Ethical Decision-Making in Physical Therapy

  By Susan McPhail Wittjen, PT, PhD

CASE 10

You are a physical therapist who has been practicing for ten years. You have taken many continuing education courses on manual therapy and believe that you are a good clinician. Recently you had a 22-year-old patient who came to you for back pain. You determined that the patient had an SI dysfunction by performing several tests, including checking the level of the pubic bones. The patient was in severe distress not only from the back pain, but she also told you that she was going through a divorce and had two small children at home. After your treatment, the patient left the clinic without making a follow-up appointment. Two months later you receive a notice from the State Board of Physical Therapy Examiners telling you that you have been accused of sexual misconduct by this patient. You are told that you need to make the files of this patient available for an investigator to view. Simultaneously this patient filed an ethics complaint with the TPTA Ethics Committee stating that you had touched her inappropriately and accuses you of sexual misconduct.

What do you think prompted this accusation? 

What issues do you think that the board and the ethics committee need to address? 

How could it be determined what had actually happened in the treatment room with this patient? 

How could this have been prevented?

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