Kinetoterapeutical rehabilitation: medical, social and bioethical aspects

Abstract

The concept of medical ethics occurred with the development of medical act and medical science to help the main character of health system-the patient. The basic principles of bioethics focused on beneficence and on patient autonomy are complementary with medical rehabilitation specialization, converging to the same destination: patient independence. Over the last decade both disciplines have benefit from expansion and development,but most often not converged, being raised ethical and moral judgment related to behaviour and conduct of medical staff and reported in the scientific and academic therapists activity.

This work wants to raise awareness of physical therapists and medical specialists in recovering, providing data on the evolution of these disciplines. Medical ethics is the discipline that puts above all integrity,autonomy, physical and mental health of the patient. And the rehabilitation can not be achieved without being primarily a professional with knowledge and without ethical, moral judgment and no ability of choice and selection of the best decisions for the benefit of the patient.The therapist and the patient work together, if this process fails, it will not fully recover medical act. There is the issue of liability patient rehabilitation process.The most important skill is communication appreciated by patients, therapists focus on the patient followed by itself and not just the present condition.This confirms the need to develop a different kind of professional relationship between patient and therapist, precisely because the primary goal of reabiltation - autonomy and because of time spent with the patient physical therapist. The moral judgment in ethical decision making include the ability to have vision on both sides described above to make connections between theory and practice ethics and recognize the importance and influence developed relationships with patients, families and other health professionals of the recovery team.

Medical rehabilitation although not faced with cases exalted and extreme, still present with difficult cases to solve in a clinical setting. Associated with moral judgment and ethical norms of principle due to the distinct relationship developed between therapist and patient, the goal principled medical rehabilitation, patient autonomy and due to incomplete knowledge of the medical personnel involved in the act of rehabilitation. We believe that this area of ethical and moral decisions concepts in rehabilitation should be studied further for easier resolution of ethical and moral judgment occurred in practice therapists and rehabilitation process of patients. Also the existence of a code of medical ethics of physical therapists would eliminate certain negative aspects that occur in the recovery process.