What is the principle of autonomy in PT ethics as it relates to goal setting?

• A. Patients have the right to make their own decisions; therapists should support goals chosen by the patient, with informed consent.
• B. Therapists should decide goals for the patient.
• C. Family should always set goals.
• D. Autonomy is not applicable to PT.

Answer: (A)

Autonomy in physical therapy means the patient is the primary decision-maker about their care, including what goals to pursue. In goal setting, this centers on collaboration: the therapist presents information about options, risks, and potential outcomes, while the patient shares their values, daily priorities, and desired activities. Together they select goals that reflect the patient’s preferences, and the patient gives informed consent before aiming for those goals. This approach builds motivation, engagement, and a sense of control over recovery, which are all important for successful outcomes.

Choosing goals for the patient or letting family dictate goals would sideline the patient’s preferences and undermine autonomy. Saying autonomy doesn’t apply to PT is inaccurate, since ethical practice in PT emphasizes patient self-determination and informed consent.