There exists a paucity of ethics resources tailored to rehabilitation. To help fill this ethics resource gap, we developed an ethics analysis model specifically for use in rehabilitation care. The Patient-Centered Ethics Analysis Model for Rehabilitation (PCEAM-R) is a process model to guide careful moral reasoning for particularly complex or challenging matters in rehabilitation. The PCEAM-R was developed over several iterations with feedback at different stages from rehabilitation professionals and bioethics experts. Development of the model was explicitly informed by the theoretical grounding of patient-centered care and the context of rehabilitation, including the international classification of functioning, disability, and health. Being patient-centered, the model encourages: (a) shared control of consultations, decisions about interventions, and management of the health problems with the patient, and (b) understanding the patient as a whole person who has individual preferences situated within social contexts. While the major process headings of PCEAM-R resemble typical ethical decision-making and problem-solving models, the probes under those headings direct attention to considerations relevant to rehabilitation care. The PCEAM-R is a suitable tool for rehabilitation professionals to use (in real time, for retrospective review and for training purposes) to help arrive at ethical outcomes.
- Patient-Centered Care,
Available at: http://works.bepress.com/matthew_hunt/37/