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Analyse case study 6 in ethics and law dental hygienist
Roles and responsibilities of professionalism
Example of ethical dilemma in dental setting
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CASE 1 In this case, there are several ethical and legal issues involved. Societal trust: Patients trust in us, as dental professionals, and this trust is based on our actions and behaviors. Patient trusted in dentist treatment plan. Malpractice and negligence: The careless conduct of the dentist may result in malpractice. He is in violation of the standard of care due to the inappropriate diagnosis and treatment plan. Beneficence: As health care professionals, we are required to do what will best benefit the patient. In this case is evident that the dentist awareness of periodontal status of the patient and failing to refer, is not beneficial to the patient. Paternalism: Per the description of the case, it seems that the patient is not aware of his condition. The dentist is the one who is making the decisions for the patient, not …show more content…
Does the ADHA code of ethics address the issue? Yes. Societal trust, nonmaleficency and beneficence. It also addresses the standards of professional responsibility of promote ethical behavior, high standards of care and to serve as advocate for the welfare of the clients. Ethical Decision Making Model Step 1. Identify the ethical dilemma or problem The dental hygienist is concerned about patient’s current periodontal status. Should she don’t worry about it, as the dentist told her? Or should she explain to the patient his/her current condition? Step 2 and 3. Gather the information and list possible options. The dental hygienist can tell the dentist to please check together patients probing depths, attachment loss and radiographs. She has three options: 1. Convince the dentist that patient needs a referral. 2. Explain patient current condition and suggest patient to request dentist a referral to a periodontist. 3. Do nothing and reschedule patient appointment with another
Medical malpractice has been a controversial issue in the healthcare setting for centuries. Apparently, there are laws to protect patients’ from medical mistakes and errors that are the result of negligence. After researching various laws and medical liability cases based on allegations of negligence, this paper will discuss and provide details on the medical malpractice case of Dorrence Kenneth versus Charleston Community Memorial Hospital. The case analysis will briefly explain information from the beginning to end, including: laws that were violated, codes in the healthcare industry that were breached by the physician and Charlesto...
An ethical issue or dilemma is a situation that is usually complex and it often involves an apparent mental conflict between moral imperatives. The moral imperatives must be obeyed resulting in transgressing another. When it comes to medical assisting, ethical issues frequently arise in health care according to the article on the ANM healthcare website. A medical assistant is an unlicensed support person who must work under the direction of a licensed professional and also may come upon ethical issues related to the field of practice. Ethical codes in the health care often derive from medical ethics in which they include expectations such as compassion, competency, and professionalism. “The AAMA Medical Assistant Code of Ethics requires medical
At CADH, I was taught how to act upon the eight competencies in different aspects for the public. As a clinician I was taught how to apply the dental hygiene process of care; assessing signs and symptoms, as well as risks factors related to oral disease, and then make a diagnosis, plan, implement, and evaluate the treatment within the dental hygiene scope of practice. One of many important roles of being a dental hygienist is being part of a dental care team where I we work in collaboration with a dentist or a dental specialist. I have been able to extensively develop my management skills to understand the administrative setting of the school, as well as the authority responsibilities and roles of my faculty and other professionals involved. As an administrator, I am responsible to manage my clients’ periodontal status, by identifying presence of disease, setting care priorities, eliminating risk factors, and deciding whether the client is already in the maintenance state or needs further special treatment. As ...
Medical malpractice has become a controversial social issue. From a doctor’s standpoint, decisions and preventative actions can alter the medical malpractice lawsuits filed against them. In order to protect their career and professional life medical malpractice insurance is available. Medical professional liability insurance, sometimes known as medical malpractice insurance, is one type of professional liability insurance. “Professional liability refers to liability that arises from a failure to use due care and the standard of care expected from a person in a particular profession, in this case a doctor, dentist, nurse, hospital or other health-related organization” (Brandenburg, 2014).
Slosar, J. P. (2004). Ethical decisions in health care. Health Progress. pp. 38-43. Retrieved from http://www.chausa.org/publications/health-progress/article/january-february-2004/ethical-decisions-in-health-care
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
Providing the steps to ethically sound excellent care, healthcare providers must acknowledge first the legal and ethical matters involved with proper investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at a constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice. Codes of nursing ethics and legal legislation have addressed almost all the necessary actions in making decisions in consideration to the best interest of the patient. Nurses must make sure that they are all guided by the set standard to lead their action and produce desirable and ethically sound outcomes.
Ethics is the moral principle of doing that is right for our patients. However, there are some situations in where doing what is right conflict with other principles. As dental hygienist we have to provide the best care for our patients. The services we offer need to avoid injuring or hurting the patients. Also, they need to be able to remove any existing condition that is affecting patients. However, the first thing we need to have in mind is that patients have the right to accept or refuse treatment. When our duty conflict with the patient’s decision of not receive treatment, this put us in an ethical dilemma.
By having the information in the patient’s chart, Annette could refer back to it and follow up to see if anything has changed since the last visit. Most patients she sees do not have oral cancer, but she is able to identify abnormalities and encourage the patient to have them checked to determine if they are precancerous. o Is there anything else you would like to share with me about the head, neck and oral exam in relation to comprehensive, individualized patient care? As a hygienist, you are the number one defense because not everyone sees his or her primary care physician on a regular basis or only for his or her annual physical.
In the Dental Hygiene field, many challenges come about every day and during different situations. Every day there are new challenges and unusual situations that occur in the dental field, but one challenge that continues to come about and has been a big dispute over the years is the ability to provide beneficial information about oral health care for the underprivileged. For the individuals that are not fortunate enough to pay to have services done in the dental office, lack the knowledge of how important good oral health care is. They do not receive the one on one conversations explaining the significance of taking care of your teeth and gums that the patients who can afford to make appointments and receive essential services do. That
In the profession of Dental Hygiene, ethical dilemmas are nearly impossible to avoid, and most hygienists at some point in their professional life will have to face and answer ethical questions. Some ethical conflicts the dental hygienist may encounter can be quite complex and an obvious answer may not be readily available. In the article Ethical Decision Making, Phyllis Beemsterboer suggests an ethical decision-making model can aide the dental hygienist in making appropriate decisions when confronted with an ethical situation, and that the six-step model can serve dental hygienists in making the most advantageous ethical decision (2010).
They then should look over the charts at the patient’s situation with their teeth and see what medical treatment they need. They then bring the patient in and perform the treatment. Lastly, they charge the patient for the certain treatments, like the cleaning, and then for say a filling, they will charge them separately, and then the patient will leave. Soon after, they will start all over again. Furthermore, there are a lot of skills required to be a Dental Hygienist, but yet simple ones.
On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues.
Beneficence is the obligation to benefit others while causing no harm.1 While using a patient on a clinical board exam may allow the patient to receive fee-waived treatment, is the overall process beneficial to the patient? Even if the patient does benefit for the treatment delivered during the exam, the patient’s oral health needs are not the priority at the time. The treatment delivered on the examination is typically not part of a comprehensive plan, which is how we are taught in dental school to provide treatment. A patient may have many more severe lesions that would typically be attended to first, but on this examination a smaller, more manageable lesion is preferred and would like be chosen for treatment by the student, regardless of patient need.2 According to a randomized survey of one thousand general dentists who graduated between 1984 and 1990, approximately 23% said that they did not arrange for follow-up care for their patients, even though they knew it was indicated.4 Additionally, the stressful work environment that is created by the examination can negatively affect not only the student’s performance, but also the patient’s perception of the experience, which could negate the benefits of free
The medical history was the next step. After this, the instructor proceeded to check the medical history and gave the OK to a clinician to initiate the examination. The clinician had to obtain a signed consent form from the patient’s mother before initiate the dental treatment. While the clinician was examining the patient, the clinician complimented her for doing a great job brushing her teeth since the last appointment. Communication between the clinician and the patient is very important to make the patient feel confident about the clinician’s ability.