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Occupational Therapy Code of Ethics

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Clinical Reasoning

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Clinical reasoning in OT is the process used by practitioners to plan, direct, perform, and reflect on client care. It involves synthesizing client information and applying theoretical frameworks to guide interventions.

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Cultural Competence

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Cultural competence is the ability of the OT to interact effectively with people of different cultures. This involves being aware of one's own world view, gaining knowledge of different cultural practices, and developing cross-cultural skills.

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Altruism

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Altruism is the principle or practice of concern for the welfare of others, often at a cost or sacrifice to oneself. In OT practice, this can reflect in the therapist's dedication to service and the client's best interests.

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Interprofessional Collaboration

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Interprofessional Collaboration is when multiple health workers from different professions work together with patients, families, carers, and communities to deliver the highest quality of care. OTs engage in this to ensure holistic care.

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Fidelity

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Fidelity entails faithfulness and honoring commitments and promises, especially in professional relationships. OTs should build trusting relationships, respect colleagues, and maintain confidentiality.

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Scope of Practice

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The OT scope of practice defines the domain and processes of OT services and outlines the range of responsibilities and activities OTs are educated and authorized to perform.

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Beneficence

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Beneficence involves therapists contributing to the well-being of the client by providing appropriate care. In OT practice, this ensures interventions are in the clients' best interests and contribute positively to their health and welfare.

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Nonmaleficence

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Nonmaleficence is the commitment to not inflict harm intentionally. OTs must avoid actions or omissions that could harm the client, ensuring their safety and avoiding exploitative relationships.

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Dual Relationships

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Dual relationships occur when an OT has another, different relationship with the client outside of the therapeutic context. This should be avoided to prevent bias, conflict of interest, and compromised judgment.

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Therapeutic Use of Self

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Therapeutic Use of Self is the practitioner's planned use of their personality, insights, perceptions, and judgments as part of the therapeutic process to engage clients effectively.

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Occupational Balance

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Occupational balance refers to having a satisfying distribution of activities across various occupations such as work, leisure, and self-care. OTs strive to help clients achieve this balance for better health and well-being.

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Professionalism

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Professionalism in OT involves adherence to a set of standards, behaviors, and ethical principles that reflect competency and accountability while serving clients and interacting with other professionals.

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Environmental Modification

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Environmental Modification involves changing or adapting the physical, social, and attitudinal environment to enhance occupational performance and participation. It is a key intervention strategy in OT to promote accessibility and function.

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Confidentiality

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Confidentiality is the ethical principle of keeping client information private unless consent to release the information is provided. OTs must safeguard all forms of client communication to maintain trust.

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Client-Centered Practice

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Client-Centered Practice entails placing the client's needs, preferences, and interests at the forefront of the therapeutic process. This approach respects the client's perspective and fosters collaboration in therapy.

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Autonomy

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Autonomy is respecting the right of the client to self-determination, privacy, consent, and confidentiality. OTs must provide information to clients so they can make informed decisions about their therapy.

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Veracity

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Veracity is based on honesty and requires the OT to provide accurate information when representing the profession. This includes being truthful with clients, documenting honestly, and maintaining professional integrity.

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Prudence

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Prudence in OT practice involves the ability to govern and discipline oneself through the use of reason. It is crucial in making judicious decisions regarding client care and treatment planning.

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Occupational Justice

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Occupational justice is a commitment to fairness and equity in opportunities for engagement in diverse and meaningful occupations. OTs advocate for the clients' rights to participate fully in society.

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Accountability

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Accountability in OT involves taking responsibility for one's actions and behaviors, particularly in delivering professional service, maintaining competency, and adhering to ethical guidelines.

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Occupational Deprivation

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Occupational deprivation is a state in which a person is unable to do what is necessary or meaningful in life due to external restrictions. OTs address this through interventions aimed at reducing barriers to participation.

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Justice

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Justice refers to promoting fairness and objectivity in the provision of OT services. This includes equitable distribution of resources, challenging barriers to accessibility, and treating all individuals impartially.

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Informed Consent

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Informed consent is the process whereby clients are given comprehensive information about their treatment options and they agree to the proposed interventions. OTs must ensure clients understand the potential risks and benefits.

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Evidence-Based Practice

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Evidence-Based Practice is the integration of clinical expertise, client values, and the best research evidence into the decision-making process for client care. In OT, this improves efficacy and outcomes of interventions.

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Service Competence

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Service competence means that an OT provides services at the same quality and expertise level as another similarly qualified professional. Continuing education and evidence-based practice contribute to maintaining this standard.

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