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A Patient-Centered Care Ethics Analysis Model for Rehabilitation
American Journal of Physical Medicine and Rehabilitation (2013)
  • Matthew R Hunt, McGill University
  • Carolyn Ells

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.

  • Decision-Making,
  • Ethics,
  • Patient-Centered Care,
  • Rehabilitation
Publication Date
Citation Information
Matthew R Hunt and Carolyn Ells. "A Patient-Centered Care Ethics Analysis Model for Rehabilitation" American Journal of Physical Medicine and Rehabilitation Vol. 92 Iss. 9 (2013)
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