$25.00

i 1.25 Hours

Course Overview

Dealing with refusals in the clinical setting can be a challenge, particularly in settings such as SNF and IRF where therapists may feel pressure to treat a minimum number of minutes with each patient. Knowing what is within the patient's rights is vital, but it is also important to know when/if it is appropriate to use persuasion, inducements, and other forms of treatment pressure. It can be possible to prevent refusals in the first place, through education and relationship-building. Refusals not only cost facilities and practices time and money, they also limit access to patient care and can negatively affect future outcomes and access to resources.

About the Course Author

Andrea Salzman, MS, PT graduated from the University of Alabama at Birmingham with a Masters degree in physical therapy. Between 1996-2017, Salzman has instructed 100+ live instructions related to aquatic therapy and over 25 online courses related to geriatric therapy, ethics, and aquatic therapy. Her interest in topics related to scope of practice and ethics boundaries began in PT school where she served on a student-led honor council in a model which required its members to pass judgements on multiple ethics violations by peers. Between 1995-1998, Salzman served as Editor-in-Chief of an APTA section journal related to aquatic therapy, probing ethical topics within her Editor's column, such as "shading minutes" or refusing to allow patients to refuse PT in order to maintain Medicare Part A coverage. Between 1995-2002, Salzman served as a Lead Therapist and a PT Manager in both skilled nursing and hospital settings, roles which required her to provide inservice training as mandated by Joint Commission, including the use of the case study as a decision-making tool. In 2002, Advance for PT Magazine asked Salzman to create, referee and publish a series of point:counterpoint argumentative columns devoted to exploring hot button topics related to the ethical practice of physical therapy. Within this monthly column, "We Debate: You Decide", Salzman created a venue for 2 PT professionals to argue the merits of diametrically-opposed ethical stands on PT-related topics. In 2005, Salzman began serving as Vice President of 10K Rehab Corps, a temporary staffing company with an emphasis on providing on-call staff for the SNF and home health settings. One of her initial roles for this start-up company was the creation of policies on ethical standards for hiring and practice in the field. In 2009, Salzman began serving as the Director of Programming for Aquatic Therapy University (ATU) and in that role, has created over 500 hours of live instructionals for the post-graduate therapist. Salzman has spearheaded ATU's move towards obtaining PT continuing education credits through the Federation of State Boards of Physical Therapy, a move which required her to ensure the company met the intellectual property, ethical, disability access and diversity standards established by FSBPT. In 2010, Salzman received one of the highest honors given to a physical therapist from the American Physical Therapy Association, the Judy Cirullo Leadership Award. In 2012, Salzman began creating continuing education courses for Care2Learn, including discussions on the unintended ethical consequences of the Affordable Care Act (aka Obamacare) and rehospitalization risks for COPD, MI and CHF. Beginning in 2013, Salzman began creating Relias Learning online trainings related to medical errors and ethics and to perform critical reviews of existing CE courses, including reviews of Ethics and Jurisprudence courses, in order to ensure these courses met the standards required by the FSBPT and/or individual states. In addition to these roles, Salzman has served as: • Adjunct Faculty, College of St. Catherine's PT program: • Functional Design Consultant for facilities building aquatic centers; • Author, 5 physical therapy-related texts; • Monthly columnist, Aquatics International, Advance for PTs, Onsite Fitness, Ausmed.com Andrea Salzman, MS, Physical Therapy discloses the following potential conflict of interests/commercial interests with: Relevant Non-Financial Relationship with Aquatic Therapy University as (Owner); Relevant Non-Financial Relationship with Aquatic Resources Network as (Owner); Relevant Non-Financial Relationship with Consultant Business as Consultant; Relevant Financial Relationship with No Entities Exists as (N/A).

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Accreditation Information

Certificates provided by accrediting body (57 Match)

  • American Occupational Therapy Association

    0.10HOURS


    Relias LLC is an approved provider of continuing education for occupational therapists by the American Occupational Therapy Association. AOTA does not endorse specific course content, products, or clinical procedures.


    Course approval ID# Blanket Providership Approval Pre-2020. This Distance Learning-Independent is offered at 0.1 CEUs Introductory,Category 1 & 2.

  • Arkansas State Board of Physical Therapy

    1.25HOURS

    This course is approved by the Arkansas State Board of Physical Therapy and offered to PTs and PTAs for 1.25 contact hours.
  • Iowa Board of Physical and Occupational Therapy

    1.25HOURS

    The Iowa Bureau of Professional Licensure accepts Continuing Education hours obtained by completing online training courses related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
  • Massachusetts Board of Registration in Allied Health Professionals

    1.25HOURS

    This activity is approved for 1.25 contact hours.
  • Arizona Board of Physical Therapy Examiners

    1.25HOURS


    Arizona State Board of Physical Therapy (CEBroker Provider #50-290)

    This activity is approved for 1.25 contact hours.
  • Colorado Physical Therapy Licensure

    1.25HOURS

    The Colorado State Physical Therapy Board accepts Continuing Education courses as relevant to the licensee’s practice as a physical therapist and pertinent to his/her Learning Plan and goals. This course meets the requirements for Category I credit. This activity is approved for 1.25 contact hours.
  • Connecticut Physical Therapy Licensing

    1.25HOURS

    The Connecticut State Board of Examiners for Physical Therapists accepts internet-based and distance learning opportunities provided such coursework is related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours.
  • Florida Board of Occupational Therapy

    1.20HOURS


    Florida Board of Occupational Therapy (CEBroker Provider #50-290)

    Occupational Therapists will receive 1.2 contact hours.
  • Hawaii Board of Physical Therapy Licensing

    1.25HOURS

    The Hawaii Board of Physical Therapy accepts courses approved by another state or jurisdiction’s physical therapy board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours.
  • Idaho Physical Therapy Licensure Board

    1.25HOURS

    The Idaho Physical Therapy Licensure Board accepts Continuing Education courses sponsored by any section or chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Illinois Division of Professional Regulation of Physical Therapists

    1.25HOURS

    Relias LLC is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.25 contact hours.
  • Indiana Physical Therapy Committee

    1.25HOURS

    The Indiana Physical Therapy Committee accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Kentucky Board of Physical Therapy

    1.25HOURS

    The Kentucky Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.
  • Louisiana Physical Therapy Board

    1.25HOURS

    This course is approved by the Louisiana Physical Therapy Board for 1.25 clinical hours.
  • Maryland Board of Physical Therapy Examiners

    1.25HOURS

    This course meets the basic criteria of the Maryland Board of Physical Therapy Examiners for 0.1 CEUs.
  • Maine Physical Therapy Licensing Board

    1.25HOURS

    This activity is approved for 1.25 contact hours.
  • Michigan Board of Physical Therapy

    1.25HOURS

    The Michigan Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Minnesota State Board of Physical Therapy

    1.25HOURS

    This course is approved by the Minnesota Board of Physical Therapy for 1.25 Category 1 credits and offered to PTs and PTAs for CEUs.
  • Missouri Advisory Commission for Professional Physical Therapists

    1.25HOURS

    The Missouri State Board of Registration for the Healing Arts accepts Continuing Education courses sponsored/approved by any state chapter of the American Physical Therapy Association (APTA). Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Mississippi State Board of Physical Therapy

    1.25HOURS


    The Mississippi State Board of Physical Therapy accepts Continuing Education hours accrued through participation in educational activities approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This course meets approval under the Mississippi Regulation Part 3103 Rule 5.4 (1) (b).

    This activity is approved for 1.25 contact hours.
  • Montana Board of Physical Therapy Examiners

    1.25HOURS

    The Montana Board of Physical Therapy Examiners accepts Continuing Education courses approved by any state physical therapy association as Category A activities. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • North Carolina Board of Physical Therapy Examiners

    1.25HOURS

    The North Carolina Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • North Dakota Board of Physical Therapy

    1.25HOURS

    The North Dakota Board of Physical Therapy accepts Continuing Education courses sponsored by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Nebraska Board of Physical Therapy

    1.25HOURS

    The Nebraska State Board of Physical Therapy accepts Continuing Education courses relating to the theory or clinical application of theory pertaining to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
  • New Hampshire Board of Physical Therapy

    1.25HOURS

    The New Hampshire Physical Therapy Governing Board recognizes the completion of distance learning courses as maintenance of continuing competence. This activity is approved for 1.25 contact hours.
  • New Jersey State Board of Physical Therapy

    1.25HOURS

    This course was approved by the New Jersey Board of Physical Therapy Examiners. Approval #: 1910-192. This activity is approved for 1.25 contact hours.
  • New Mexico Physical Therapy Board

    1.25HOURS

    The New Mexico Physical Therapy Licensing Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • New York Physical Therapy

    1.25HOURS

    The New York State Education Department's State Board for Physical Therapy has recognized Relias Learning, LLC as an approved provider of physical therapy and physical therapy assistant continuing education. This activity is approved for 1.25 contact hours.
  • Oklahoma Board of Medical Licensure and Supervision

    1.25HOURS

    Oklahoma Physical Therapy Advisory Committee has approved this course under Category B. Approval # 202111222. This activity is approved for 1.25 contact hours.
  • Oregon Physical Therapist Licensing Board

    1.25HOURS

    The Oregon Physical Therapist Licensing Board accepts Continuing Education courses approved by any state physical therapy licensing board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
  • Pennsylvania State Board of Physical Therapy

    1.25HOURS

    Pennsylvania State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2202008TX. This activity is approved for 1.25 contact hours.
  • Georgia State Board of Physical Therapy

    1.25HOURS


    The Georgia State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.

    This activity is approved for 1.25 contact hours.
  • Rhode Island Board of Physical Therapy

    1.25HOURS

    The Rhode Island Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. This activity is approved for 1.25 contact hours.
  • South Carolina Board of Physical Therapy

    1.25HOURS


    The South Carolina Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.

    This activity is approved for 1.25 contact hours.
  • South Dakota State Board of Medical and Osteopathic Examiners

    1.25HOURS

    South Dakota State Board of Medical and Osteopathic Examiners accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Tennessee Board of Physical Therapy (General)

    1.25HOURS


    The Tennessee Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2202008TX.

    This activity is approved for 1.25 contact hours.
  • Texas Physical Therapy Association

    1.25HOURS

    This activity is provided by The Texas Board of Physical Therapy Examiners Accredited Provider #1902008TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This course is not approved as meeting the ethics and professional requirements for Texas physical therapists or physical therapist assistants. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This activity is approved for 1.25 contact hours.
  • Utah Board of Physical Therapy

    1.25HOURS

    The Utah Division of Occupational and Professional Licensing accepts Continuing Education courses conducted by commercial continuing education providers. This activity is approved for 1.25 contact hours.
  • Virginia Board of Physical Therapy

    1.25HOURS

    The Virginia Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association as Type 1 courses. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Vermont Board of Physical Therapy

    1.25HOURS

    The Vermont Office of Professional Regulation - Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Washington Board of Physical Therapy

    1.25HOURS

    The Washington Board of Physical Therapy accepts Continuing Education courses that are specifically related to the practice of physical therapy, with specified goals and objectives. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
  • Wisconsin Department of Regulation and Licensing - Physical Therapy

    1.25HOURS

    The Wisconsin Physical Therapy Examining Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • West Virginia Board of Physical Therapy

    1.25HOURS

    This course has been approved by the West Virginia Board of Physical Therapy, approval code REL-F21-131. Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor. This activity is approved for 1.25 contact hours.
  • Wyoming Board of Physical Therapy

    1.25HOURS

    The Wyoming Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Delaware Examining Board of Physical Therapists and Athletic Trainers

    1.25HOURS

    The Delaware Examining Board of Physical Therapists and Athletic Trainers accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.
  • Alaska Board of Physical Therapy

    1.25HOURS

    The Alaska State Physical Therapy and Occupational Therapy Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.. This activity is approved for 1.25 contact hours.
  • Alabama State Board of Physical Therapy

    1.25HOURS

    The Alabama Board of Physical Therapy recognizes the completion of distance learning courses as maintenance of continuing competence. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours.
  • Alabama State Board of Occupational Therapy

    1.25HOURS


    Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).

    Occupational Therapists will receive 1.25 contact hours for participating in this course.
  • CA Physical Therapy Board of California

    1.25HOURS

    Relias Learning, LLC is recognized as an approved provider of continuing competency courses by the Physical Therapy Board of California. This course is approved for 1.25 contact hours.
  • Florida Board of Physical Therapy

    1.25HOURS


    The Florida Board of Physical Therapy accepts courses approved by any state chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.25 contact hours.

  • Kansas Board of Healing Arts - Physical Therapy

    1.25HOURS

    This activity meets Kansas State Board of Healing Arts criteria for continuing education and is offered to PTs and PTAs for CEUs. This activity is approved for 1.25 contact hours.
  • Arizona Board of Occupational Therapy Examiners

    1.25HOURS


    Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).

    Occupational Therapists will receive 1.25 contact hours for participating in this course.
  • Georgia State Board of Occupational Therapy

    1.25HOURS


    Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)

    Occupational Therapists will receive 1.25 contact hours for participating in this course.
  • South Carolina Board of Occupational Therapy

    1.25HOURS


    South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)

    Occupational Therapists will receive 1.25 contact hours for participating in this course.
  • Louisiana State Board Medical Examiners- Occupational Therapy

    1.25HOURS


    Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)

    Occupational Therapists will receive 1.25 contact hours for participating in this course.
  • Mississippi State Department of Health- Occupational Therapy

    1.25HOURS


    Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)

    Occupational Therapists will receive 1.25 contact hours for participating in this course.
  • Tennessee Board of Occupational Therapy

    1.25HOURS


    Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)

    Occupational Therapists will receive 1.25 contact hours for participating in this course.


Course Details
  • Course Code:

    REL-SRC-0-25744
  • Hours:

    1.25
  • Type:

    Online Course
  • Release Date:

    2018-09-01
  • Expiration Date:

    2021-10-31
  • Learning Objectives:

    Compare and contrast at least 1 difference between patient satisfaction and patient improvement.; Define a patient's right of refusal and need for informed consent.; Describe what is meant by the “paradox of well-meaning care” as described in this course.; Discuss 2 factors that influence participation levels.; Identify 2 competing principles of health care related to treatment refusal.; Identify 3 scenarios in which patients may refuse therapy services.
  • Outline:

    When a Patient Refuses Rehabilitation Therapy
    Introduction
    The Paradox of Well-Meaning Care
    Patient Rights of Refusal: What is Informed Consent?
    Patient Rights of Refusal: Exceptions
    Patient Rights of Refusal
    Common Reason for Refusal: Scenario #1
    Common Reason for Refusal: Scenario #2
    Common Reason for Refusal: Scenario #3
    Common Reason for Refusal: Scenario #4
    Knowledge Check
    What Are the Ethical Considerations of Pushing for Minutes?
    Knowledge Check
    Competing Principles of Healthcare
    Competing Principles of Healthcare: Nonmaleficence
    Competing Principles of Healthcare: Beneficence
    Competing Principles of Healthcare: Autonomy
    Competing Principles of Healthcare: Justice
    Competing Principles of Healthcare: Altruism
    Methods of Treatment Pressure
    Methods of Treatment Pressure: Persuasion
    Methods of Treatment Pressure: Inducements
    Methods of Treatment Pressure: Interpersonal Leverage
    Knowledge Check
    Methods of Treatment Pressure: Threats
    Methods of Treatment Pressure: Compulsion
    Methods of Treatment Pressure: Which is Acceptable?
    Methods of Treatment Pressure
    Encouraging Patient Participation
    Knowledge Check
    References

     

  • Target Audience:

    The target audience for this course is: Entry level Occupational Therapists; Entry level Physical Therapists; Introductory level Speech and Language Pathologists; in the following settings: Rehabilitation Settings.
  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.