title: Rehabilitation team disagreement: guidelines for resolution.
abstract: 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.
authors.affiliation: Rehabilitation Institute of Chicago, Donnelley Family Disability Ethics Program, 345 E Superior St, Mezzanine South, Chicago, IL 60611, USA. tsavage@ric.org
authors.forename: Teresa A
authors.initials: TA
authors.lastname: Savage
authors.forename: John
authors.initials: J
authors.lastname: Parson
authors.forename: Felise
authors.initials: F
authors.lastname: Zollman
authors.forename: Kristi L
authors.initials: KL
authors.lastname: Kirschner
mesh_terms: D000328:Adult; D000368:Aged; D026688:Bioethical Issues; D003220:Conflict, Psychological; D005260:Female; D005774:Gastrostomy / Q000534:rehabilitation; D017408:Guidelines as Topic; D006801:Humans; D007258:Informed Consent; D007400:Interprofessional Relations; D007857:Leadership; D008297:Male; D016743:Mental Competency; D017008:Negotiating; D010348:Patient Care Team / Q000941:ethics / Q000458:organization & administration; D010819:Physician's Role; D016079:Refusal to Treat; D012046:Rehabilitation / Q000941:ethics / Q000458:organization & administration*; D012138:Respiratory Therapy; D013066:Speech-Language Pathology; D014139:Tracheostomy / Q000534:rehabilitation