What is considered a “boundary violation” in medical practice?

A boundary violation in medical practice refers to actions or behaviors that blur the professional lines between a healthcare provider and a patient, potentially leading to exploitation or harm. Engaging in inappropriate relationships that compromise professional interactions falls squarely within this definition. Such relationships can undermine the trust essential to the therapeutic process, can exploit the patient’s vulnerability, and can lead to ethical and legal ramifications for the healthcare provider.

In contrast, therapeutic touch techniques are generally acceptable as long as they are part of a recognized treatment modality and performed with the patient's consent. Discussing personal life details with patients can be considered a boundary issue depending on the context, but it does not inherently constitute a violation; rather, it can depend on how it affects the patient-provider relationship. Giving gifts to patients is often discouraged or regulated in practice because it can create a sense of obligation or favoritism, but it may not necessarily constitute a boundary violation unless it significantly impacts the professional relationship.