PM&R
Volume 1, Issue 12 , Pages 1091-1097, December 2009

Rehabilitation Team Disagreement: Guidelines for Resolution

  • Teresa A. Savage, PhD, RN

      Affiliations

    • Rehabilitation Institute of Chicago, Donnelley Family Disability Ethics Program, 345 E Superior St, Mezzanine South, Chicago, IL 60611†
    • Corresponding Author InformationAddress correspondence to: T.A.S.
    • ,
  • John Parson, RRT

      Affiliations

    • Rehabilitation Institute of Chicago, Chicago, IL‡
    • ,
  • Felise Zollman, MD

      Affiliations

    • Rehabilitation Institute of Chicago, Chicago, IL§
    • ,
  • Kristi L. Kirschner, MD

      Affiliations

    • Rehabilitation Institute of Chicago, Chicago, IL

Received 19 December 2008; accepted 25 September 2009.

Rehabilitation care is provided by interdisciplinary teams including physicians, nurses, therapists, social workers, psychologists, and others. When there is disagreement or miscommunication among team members, progress toward patient goals can be thwarted. This paper will discuss differing models by which teams function, and what happens when a nonphysician member of the team disagrees with the plan of care. An analysis of the ethical issues embedded in two cases will be presented, and suggestions for resolution of team disagreement will be recommended.

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  • † Disclosure: nothing to disclose
  • ‡ Disclosure: nothing to disclose
  • § Disclosure: nothing to disclose
  •  Disclosure: nothing to disclose

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(09)01401-4

doi:10.1016/j.pmrj.2009.09.017

PM&R
Volume 1, Issue 12 , Pages 1091-1097, December 2009

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