Ethical Considerations for Client-Centered Telepractice

2019 ◽  
Vol 4 (4) ◽  
pp. 704-711
Author(s):  
Ellen R. Cohn ◽  
Jana Cason

Purpose This article addresses the ethical conduct of client-centered telepractice, with the following purposes: to define ethical communication, to describe state licensure requirements for practicing clinicians, and to provide examples of lawful and unlawful telepractice. Conclusions The hypothetical scenarios presented in this article employed examples from telespeech; however, the guiding ethical principles are similarly relevant to tele-audiology service delivery. The driving force for telepractice is to improve the quality of life of clients with communication disorders.

2019 ◽  
Vol 97 (1) ◽  
pp. 113-175 ◽  
Author(s):  
CATHERINE J. EVANS ◽  
LUCY ISON ◽  
CLARE ELLIS‐SMITH ◽  
CAROLINE NICHOLSON ◽  
ALESSIA COSTA ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Asif Salam ◽  
Saleh Bajaba

Purpose The purpose of this study is to investigate the role of the COVID-19 health-care system quality (HSQ) and its impact on the individual (satisfaction) and social (quality of life [QOL]) outcomes in the context of a transformative health-care delivery system using service-dominant logic (SDL). Design/methodology/approach A sample consisting of 1,008 individuals who have experienced the COVID-19 health-care system was drawn from four different regions of Saudi Arabia using the simple random sampling technique. The survey was conducted using an online survey and 1,008 respondents answered, based on their experience and knowledge of the COVID-19 health-care system. Partial least squares structural equation modeling was applied to test the proposed research model. Findings The study findings suggest that service system satisfaction (SAT) significantly mediates the role of the HSQ in delivering and enhancing the QOL. HSQ also has a significant role to play on the SAT as well as the QOL. These findings contribute to the body of knowledge on SDL in the context of HSQ in understanding the significant role of technologies can play in enhancing service satisfaction and better QOL during a crisis such as COVID-19. This study also improves the understanding of the importance of customer-centricity, real-time visibility through tracking and tracing of service flow, agile decision-making, fewer but better-defined service objectives, and finally shaping mindsets and behaviors of all the relevant parties involved in the HSQ service delivery process. Research limitations/implications One of the major limitations of this study is that, although COVID-19 is an ongoing global pandemic, cross-sectional data were collected in only one country. The findings may not be generalizable across subsequent waves of the pandemic. The best practices of HSQ could be studied around the globe and the results used to support continuous improvement. Originality/value This study advances the understanding of the SDL in the context of a transformative health-care system for a transitional economy by focusing on individual and social well-being during an unexpected crisis such as the COVID-19 pandemic. This study also contributes toward the understanding of the roles of enabling technologies to improve the service delivery system which results in an improved SAT, as well as better QOL for the society at large. Based on SDL this research validates the HSQ model, relevant measures and its overall impact on SAT and QOL in the context of a transformative health-care service system in Saudi Arabia.


2018 ◽  
Vol 3 (1) ◽  

As dementia progresses, the elderly with dementia often have difficulties finishing their meals and weight loss is a common feature at this stage of their dementia journey. Eating disorders cause tremendous caregiver stress and burden. In considering provision of best care for this group of elderly, the hospital is probably not the best place and yet, they are frequently brought in to the hospital to seek help for fever, pneumonia, dislodged feeding tube, medical complications arising from poor feeding and dehydration. It is important to understand the aetiology of poor feeding among this group of patients and advise the patients and their family on the appropriate management strategies to improve the intake of food and to maximize their quality of life. At this stage of dementia, focusing on means to ensure nutritional needs are met may end up causing further harm and distress.


2018 ◽  
Vol 5 (1) ◽  
pp. 101-120
Author(s):  
Wahyudi Setiawan ◽  
Fitriah M Suud ◽  
Moh Toriqul Chaer ◽  
Azam Syukur Rahmatullah

Abstract: Happiness is the essence of everyone's life. Its existence in itself has always been the driving force of man to do the best in his life. Civilization is constantly changing, but the happiness and meaningfulness of life remain the ultimate human choice of life. The industrial revolution 4 challenges people to do more quickly to achieve the quality of life through technology. The happiness education and meaningfulness of life are challenged to face the massive disruptions happening globally. In the end, the millennial generation as the holder of the industrial revolution 4 will be a superior generation of intelligent and qualified in running a global civilization. Live with a high level of intelligence that is comparable to quality life. This paper will present a discussion to open the higher-order thinking with a combination of the dimensions of religiosity and science as well as a healthy personality.


Author(s):  
Gayathri Krishnan ◽  
S. P. Goswami

Dysphagia (swallowing disorders) is any difficulty in swallowing that interferes with safe and adequate intake of nutrition and hydration requirements in an individual. It may present itself as a symptom of another underlying medical condition or as a consequence of surgical and pharmacological treatment. While in few, dysphagia resolves itself as a transient phase; in the rest, dysphagia demands immediate treatment. It may be seen as an associated dysfunction in persons with communication disorders (PsWCD) as speech and swallowing functions share many neuro-musculo-skeletal structures at the oral, pharyngeal, and laryngeal level along with their central control processes. This chapter aims at introducing the readers to the signs and symptoms of dysphagia in PsWCD. This is expected to guide the team of professionals working with PsWCDin identification and making appropriate referrals to the concerned professional for effective intervention. This further can accelerate the progress and prognosis of PsWCD towards improved health, development, and quality of life.


2012 ◽  
pp. 992-1004
Author(s):  
Enovwor Laura Ogbah

This chapter focuses on the objectives, issues and influencing factors of national ICT policies in developing countries. It points out how policy has become the driving force for ICT growth; how it can empower a nation and transform its social and economic life thereby improving on the quality of life of its citizens. It further discusses the objectives and issues of ICT policy. It later examines the factors that affect ICT policy Examples of some developing countries in Africa and Asia with national ICT policies were also given. The chapter concludes that unless a strong national policy institution with dedicated policy decision makers charged with the responsibility of monitoring ICT policy implementation are in place, ICT policies will not be effective in developing countries.


Author(s):  
Enovwor Laura Ogbah

This chapter focuses on the objectives, issues and influencing factors of national ICT policies in developing countries. It points out how policy has become the driving force for ICT growth; how it can empower a nation and transform its social and economic life thereby improving on the quality of life of its citizens. It further discusses the objectives and issues of ICT policy. It later examines the factors that affect ICT policy Examples of some developing countries in Africa and Asia with national ICT policies were also given. The chapter concludes that unless a strong national policy institution with dedicated policy decision makers charged with the responsibility of monitoring ICT policy implementation are in place, ICT policies will not be effective in developing countries.


Author(s):  
Roman Ossowski ◽  
Paweł Izdebski

A very important role in the diagnosing process is played by the conversation with a patient, which should always have a diagnostic-therapeutic character. The subject of interest of this paper are the relations between medical personnel and patients. The chapter aimed to explain the application of main ethical theories in conversation with patients as a diagnostic-therapeutic instrument. As an example, a case study illustrates basic ethical principles of such a conversation. It as an instrument of diagnosis and therapy retained its value despite introducing numerous methods of diagnosis based on the findings of modern physics or electronics. In our view, the conversation should always aim at the benefit of the patient and the results of treatment as well as sustaining patient's subjectivity and hope for achieving a higher quality of life.


Author(s):  
Chris Dodds ◽  
Chandra M. Kumar ◽  
Frédérique Servin

The role of ethics in the care of the elderly is discussed, and some of the aspects of importance to anaesthesia are reviewed. Ethical principles are commonly viewed as either consequential, where the risk/benefit balance between necessary harm (surgery) provides improved quality of life, or deontological, where it is simply the action that is judged and not the outcome. The lack of individualized outcome data is identified as a major issue for the consequential process. Consent for surgery (and anaesthesia) is described in the context of the UK, but it is applicable worldwide. The validity of informed consent is reviewed against the criteria of competence, lack of duress, and appropriately provided information. The capacity to give consent and the use of legal alternatives such as health attorneys is detailed. Finally, the debate on excellent palliative care rather than assisted death is reviewed.


2020 ◽  
Vol 29 (4) ◽  
pp. 557-573
Author(s):  
KATRINA A. MUÑOZ ◽  
JENNIFER BLUMENTHAL-BARBY ◽  
ERIC A. STORCH ◽  
LAURA TORGERSON ◽  
GABRIEL LÁZARO-MUÑOZ

AbstractDystonia is a movement disorder that can have a debilitating impact on motor functions and quality of life. There are 250,000 cases in the United States, most with childhood onset. Due to the limited effectiveness and side effects of available treatments, pediatric deep brain stimulation (pDBS) has emerged as an intervention for refractory dystonia. However, there is limited clinical and neuroethics research in this area of clinical practice. This paper examines whether it is ethically justified to offer pDBS to children with refractory dystonia. Given the favorable risk-benefit profile, it is concluded that offering pDBS is ethically justified for certain etiologies of dystonia, but it is less clear for others. In addition, various ethical and policy concerns are discussed, which need to be addressed to optimize the practice of offering pDBS for dystonia. Strategies are proposed to help address these concerns as pDBS continues to expand.


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