Highestlevel of degree attained
Delegationhas been one of the most explored concepts in the contemporary humansociety. It refers to the assignment of authority or responsibilityto another individual to undertake particular activities. In mostcases, the authority is assigned by a senior individual to his or hersubordinates. Of particular note is the importance of ensuring thatthe individual to whom the authority is assigned has the requisitequalifications and competencies1.In instances where something goes wrong, the senior individual wouldhave to bear the blame.
Inthe scenario, the physical therapist was informed by the patient thatthe later has been undertaking sports activities despite the factthat his physician had strongly advised him not to continue withthem. However, the bone of contention is in the final scheduledphysical therapy visit when the PT asked a certified athletic trainerto supervise the intervention as the former attended a meeting. Whilethe ATC may have been the clinic manager, it is well acknowledgedthat the performance of supervision on the intervention was notwithin the scope of his competence. This, therefore, contravenedguideline 7.1 of the APTA, which states that physical therapyactivities may be delegated as long as they are within anotherlicensed professional’s scope, and as long as the licensee has thenecessary competence for the performance of those activities2.It is not in doubt that the task was beyond the personal competenceof the ATC, which is why he ignored the patient’s insinuations thathe was feeling pain. In cases where the delegated tasks are above thepersonal competency and defined scope of the licensed individual,charges of professional misconduct may be brought against theprofessional who delegated the activity, as well as against thelicensee.
Uncementedtotal hip arthroplasty has become extremely popular as a result ofits proven reliability and effectiveness. The avoidance ofmicromotion to enable bone ingrowth before weight bearing isadvocated for in the prevention of implant subsidence, as well as theaversion of the possibility of fibrous ingrowth at the bone implantinterface3.In the case provided, the PT had evaluated the patient and come pwith a plan of care before determining that a physical therapistassistant (PTA) from a private PT practice could undertake thetherapy interventions. While this may have been a good move, it iswell noted that Physicla therapist did not personally render thephysical therapy interventions and determine the time when it wouldhave been appropriate to use the PTA. Irrespective of the setting forthe services, the physical therapist is required to constantlyre-examine the patient according to the goals of the plan and revisethe plan of care when shown. Further, he is required to undertakeoversight of every other documentation for the services provided toevery patient4.It is surprising that the physician never made any written indicationpertaining to the abnormal progression of the patient. Further, thePT did not indicate the specific restrictions pertaining to theweight-bearing status of the patient on the operated leg, nor wasthere anything to show that the physical therapist read theincorrectly translated information in the hospital dischargereferral. In instances where information is not clear or expresslystated, it is imperative that the individual to whom the task hasbeen delegated makes enquiries instead of making assumptionspertaining to the type of care5.Unfortunately, the PTA did not make such enquiries even after thepatient made abnormal progress in the plan.
Bandy,W. D., Sanders, B. Therapeuticexercise for physical therapist assistants.Philadelphia: Lippincott, Williams & Wilkins,2008.
Dreeben,O. PhysicalTherapy Clinical Handbook for Ptas.Sudbury, Mass: Jones and Bartlett Publishers, 2008
Dreeben-Irimia,O. Introductionto physical therapy for physical therapist assistants.Sudbury, MA: Jones & Bartlett Learning.2011
Donatelli,R. Physicaltherapy of the shoulder.St. Louis, Mo: Elsevier/Churchill Livingstone,2012
Tecklin,J.S. PediatricPhysical Therapy.Philadelphia: Lippincott Williams & Wilkins, 2008.
1 Dreeben-Irimia, O. Introduction to physical therapy for physical therapist assistants. Sudbury, MA: Jones & Bartlett Learning.2011
2 Tecklin, J. S. Pediatric Physical Therapy. Philadelphia: Lippincott Williams & Wilkins, 2008.
3 Donatelli, R. Physical therapy of the shoulder. St. Louis, Mo: Elsevier/Churchill Livingstone, 2012
4 Dreeben, O. Physical Therapy Clinical Handbook for Ptas. Sudbury, Mass: Jones and Bartlett Publishers, 2008
5 Bandy, W. D., Sanders, B. Therapeutic exercise for physical therapist assistants. Philadelphia: Lippincott, Williams & Wilkins, 2008.