I’m writing about an ethical problem, that occured while working as a physitherapist.
My patient is suffering from a severe pulmonary disease (COPD) and is an incomplete paraplegic. He denied the standing training together with the nursing staff and would only like physiotherapeutic support. In addition, he refused to carry out a home program. Because of this, I decided to stop the therapy because he shows too little self-initiative. I made this decision after an enlightening conversation with my patient by explain the situation to him. Now, however, I feel a discomfort. Perhaps I have not decided correctly. If I analyze this situation on the basis of ethical principles, I have acted only in the sense of justice (society and other patients), but not justice of my acutal patient. I think that’s not enough. I feel like i have not done the best for my patient.
Can someone help me? What do you think, did I act fairly? Do you have any further analysis possibility?
Thank you very much for your help!