. Confirm that you would like to Remove Email Alerts for your question. DPLA is a Corporate Authorised Representative of MDA with CAR No. Sincerely, Please confirm that you would like to report this for an admin to review. Paternalism violates this patient’s autonomy and self-determination, and ethically involves nonmaleficence due to not giving the patient the right to informed consent; thus, paternalism is the opposite of informed consent. To Colgate, I say thank you. However, there are some ethical areas that are more common and will be highlighted here. 1) A long-term periodontal patient is currently receiving periodontal maintenance recalls every three months. 31 (part of a three-unit bridge). The purpose of this study was to determine the types and frequency of ethical problems encountered by dental hygienists, and to determine the type of instruction they have received in ethical theory and problem solving. Ethics is the study of moral values and moral reasoning. Test your oral pathology and dental hygiene knowledge against these cases. Show the pros and cons of each option and its consequences discussed in step three. It’s not for the faint of heart, but forensics can be a very rewarding area. The medically challenging patient needs compassion and education: A case study. They can be helpful in many situations, but each office should have rules in place so that all staff are on the same page regarding when they can use them. The dental hygiene oath was originally adopted by the ADHA in 1948 and included a reference to Alfred Fones, DDS—the founder of the dental hygiene profession. How long after surgery should a patient wait to get a dental cleaning? Description: Case Studies in Dental Hygiene, Third Edition, is designed to guide the development of criti-cal-thinking skills and the application of theory to care at all levels of dental hygiene education–from beginning to advanced students. But her dentist’s enthusiasm was infectious. Paperback. Gagging in the dental chair is embarrassing and awkward for everyone. That I understand, and I’ve chosen 4 possibilities already. Too often a war of opinions between hygienists and assistants breaks out in dental offices, which can result in a miserable or even hostile work environment for the entire staff. There are several things that dental hygienists can do to help their patients who gag, including sprinkling with salt. This revised edition also is an excellent review text for the graduating dental hygiene student who is preparing to take the National Board Dental Hygiene Examination. Nonetheless, patients do have an involvement in their care, and if the provider feels a patient’s refusal of X-rays is limiting diagnostic capabilities, a dentist “may consider discussing with the patient options regarding consultation with or treatment by another dentist.”8, These ethical dilemmas, though typical, are still difficult to work through in each situation. “Beneficence and nonmaleficence are often linked because both are found in the Hippocratic tradition, which requires the physician [dentist or hygienist] to do what will best benefit the patient.”1 It is important for the dental hygienist to consider all four ethical principles when weighing a moral dilemma regarding patients. I’m positive that I’m right on point with everything except the ethics question. Maintenance of restorations, prostheses, and oral tissues should also be considered. You will study ethics and apply the Canadian Dental Hygienists’ Association’s Code of Ethics to various case studies. The patient is given a treatment plan of extracting a painful tooth and fabricating a three-unit bridge for tooth replacement. The book I find most useful on the subject is by Dr. Laurence Le Shan, How to Meditate. Weighing all outcomes is necessary to reach a fair resolution for each party. Patients deserve to exercise their self-determination, but not at the risk of their dental health. Why bother with ethics and law? You can always change this if a better answer is given. Case Studies in Dental Hygiene @inproceedings{Thomson2002CaseSI, title={Case Studies in Dental Hygiene}, author={Evelyn M Thomson}, year={2002} } Ethics is a difficult concept to define because it is viewed very differently depending on the particular dilemma. Her new setup makes it more comfortable for her to practice, makes it easier to educate patients, and is HIPAA friendly. The patient feels awful, and the dentist feels terrible for the patient, but he does not see that this as a case of supervised neglect. She addresses patient refusal, as well as offers suggestions about how and when to take radiographs in specific situations. It’s a situation of a hygienist seeing a patient for a routine scaling in the office of a general dentist. She discusses the patient’s options during a few maintenance appointments and stresses he will eventually lose some teeth if further treatment is not considered. Yes, that is seven years without an X-ray! Here is an example of paternalism. When instituted within the curriculum, hygienists have the opportunity to participate in group instruction and use workshops to role-play. Three organizations have produced ethical guidelines for industrial hygienists: the American Board of Industrial Hygiene, the Joint Industrial Hygiene Ethics Education Committee, and the International Commission on Occupational Health. Learn. http://www.merriam-webster.com/dictionary/ethic. Share. This patient did not have all the information needed to make an informed decision for care. I’m going to ask for further clarity, as to me, it seems as though the hygienist in the study already took action by suggesting the patient see a periodontist. It is true that the ADA ethical code’s first principle is “patient autonomy” [it states in part], “professionals have a duty to treat the patient according to the patient’s desires, within the bounds of accepted treatment.”8 Seven years without X-rays is not within the bounds of accepted treatment. Dental hygienists interested in an intriguing side job might want to look into becoming trained in dental forensics. 30 DAY RE-EVALUATION Treatment Goals Restore gingival tone and health Eliminate hard and soft deposits Reduce plaque levels by 10% Reduce pocket depths Reduce caries potential/risk Reduce oral cancer risk Overview Medical History Review (Update) Vital Signs Extra/Intraoral Exam The doctor merely picked a course of treatment he or she thought was best for the patient. Created by. ; Real-world relevance helps you confidently manage the realities of clinical practice. Does dental hygiene really work for a maximum of 4 days/32 hours per week? *FREE* shipping on eligible orders. ; Real-world relevance helps you confidently manage the realities of clinical practice. Tooth avulsion is one of the most common and serious dental injuries, responsible for up to 16% of all dental injuries in the permanent dentition. Each case includes the patient documentation (Patient History and Periodontal Charting) and images (Radiographs and Intraoral images). This will bring this answer to to top and be highlighted as "Best Answer". Not surprisingly, this patient did not want to lose his teeth and agreed to see the periodontist for further treatment (informed consent in action). Does your office allow them during work hours? For a test drive at your office call 833.BIOLASE ; Content organization with separate sections on ethics, law, and the application of both builds a logical and solid foundation for practical application. As a clinical consultant, Nancy Miller, RDH, saw plenty of enviable operatories. Step five, make the decision, is now apparent by evaluating your pro and con worksheet. Contact our office for more information. Pain can have a substantial effect on the treatment options patients consider. Jamie Collins, RDH, recently had the honor of treating a medically challenging patient whose autoimmune disorders and multiple risk factors complicated her dental care considerably. The accreditation standards for dental hygiene education state that graduates must be competent in applying ethical concepts to the provision and/or support of oral health care services. A 40-item questionnaire mailed to 2,251 American Dental Hygienists' Association … Case Studies Introduction. (Nov. 2010). Dental hygiene-focused coverage highlights need-to-know concepts and information. noy1704. Interestingly, many providers do not take into account the pain people will experience as an ethical problem — “for some, pain still seems to be only a technical problem solved by treatment.”6 Pain is an ethical concern for patients and should be incorporated into the informed consent information when presenting options for patients. Veracity, Autonomy, Beneficence, and non-maleficence . In the most general case, Ethics, Jurisprudence and Practice Management in Dental Hygiene by Kimbrough, Vickie, Lautar, Charla [Prentice Hall, 2006] (Paperback) 2nd Edition [Paperback] by Kimbrough pdf free the expectation of exactly Mandates the small front. Dental Protection members who hold membership independently need to apply for, and where applicable maintain, an individual Dental Indemnity Policy underwritten by MDA National Insurance Pty Ltd (“MDA”), ABN 56 058 271 417, AFS Licence No. This textbook is designed to be used throughout the dental hygiene curriculum. Inspired Hygiene Coach Charlotte shares case studies. I`d like to add a note about your article on Transcendental Meditation (TM) (March 1999 issue). Wentworth R. (Sept. 2010). PLAY. An abnormally large and misshapen mandibular tooth was noted during the clinical exam. Corpus ID: 160447137. $88.98. Do you have a legitimate ethical dilemma? Case Study: Unethical Treatment Leads to Lawsuit and Dental Board Action. Does dental hygiene really work for a maximum of 4 days/32 hours per week? The case is a 12 yr old boy, that has tried smokeless tobacco once and his mother does not know about it. I’m doing my first case study analysis in my final term of school, and I’m having a bit of trouble trying to decide which ethical principles the situation would fall under, as my text book only lists the Dentist Principles of Ethics and Codes of Conduct. The tooth is completely decayed from the gingival margin, under the crown, and it continues deep into the apices. _ Apply the ADHA Code of Ethics _ Apply the State Dental Practice Act whenever relevant. Ethical Dilemmas in Oral Health Care The two main goals involved in ethics are the ability to discern right from wrong and the commitment to act on a decision. During one prophylaxis recall, he stated he could not receive X-rays because he just paid for his rental car to the Bahamas, and besides, he did not have insurance! Due to the patient’s age, the dentist feels this is the easiest approach so the tooth will not give the patient any problems in the future. Retrieved Dec. 27, 2011 from http://www.merriam-webster.com/dictionary/ethic3. Essay writing on hard work, synonym for further in an essay. Case Studies in Dental Hygiene, Third Edition, is designed to guide the development of criti-cal-thinking skills and the application of theory to care at all levels of dental hygiene education–from beginning to advanced students. Continued learning is a hallmark of our profession. Marcy Ortiz, RDH, BA, is a practicing dental hygienist for 25 years, the last 16 years in a geriatric dental practice in Sun City West, Ariz. She is a 2010 Arizona State University alumna graduating summa cum laude and a member of the Golden Key International Honour Society. The question is should I tell her and if I do… is there or isn’t there a law saying that Im obligated to. The patient asks her what she would do if she were in the patient’s position, and the hygienist answers with “I would see a periodontist.”. Brought to you by AndyRDH, ValerieRDH and various dental hygiene faculty nationwide. Working through an ethical dilemma does not come easily, but takes practice and careful consideration. . Her best friend`s husband, Bob McComb, has been a … STUDY. Ethical moment: what ethical responsibilities do I have with regard to radiographs for my patient? The site's search features will allow you to find information specific to your field and requirements, covering everything from Publications and Case Studies, to Conferences, e-Learning and membership information. One patient had a lesion that hurt when she ate, and another felt like she had an infection in her wisdom tooth. Ethical reflection in dentistry: first steps at the faculty of dental surgery of Toulouse. If the decay had been detected earlier via routine X-rays, a new three-unit bridge could have been fabricated because this tooth had enough bone to warrant a new bridge. Retreived online Dec. 9, 2011 from http://jada.ada.org/content/141/9/1125.full8. Do you tell your brother his partner has HIV? Ethics and law in dental hygiene. In step six, you are now ready to implement the decision. COUPON: RENT Case Studies in Dental Hygiene 1st edition (9780130185716) and save up to 80% on textbook rentals and 90% on used textbooks. Share. Gravity. Any input is appreciated! Get FREE 7-day instant eTextbook access! An effective model for dental health-care professionals to evaluate and solve ethical dilemmas is illustrated in “Ethics and Law in Dental Hygiene” (2010) by Phyllis L. Beemsterboer. Dental offices, like medical offices, are able to “provide patients a financial estimate for prostheses and other treatments,” and even have patients sign a document acknowledging their financial agreement.6 This agreement helps patients understand their alternatives regarding treatment. Beemsterboer (2001) suggests these attributes to be as follows: Doing the right thing when confronted with a difficult circumstance is one way to define ethical behavior. Dental hygiene-focused coverage highlights need-to-know concepts and information. Then hygienists can address, analyze, and solve ethical dilemmas properly using their ethical training within the “context of clinical, workplace, and professional situation[s].”4 RDH. What are some core values of Dental Hygiene Code of Ethics? I’m also reading the text and doing research on my own until it’s due on Jan 10th. What? Shaw DD. Updated: Mar 25, 2020 Mar 25, 2020 Dental case studies of successful integration of Waterlase All-Tissue Laser systems, the resulting ROI, and the increased quality of care for patients. Spell. A celebrity dentist performed excessive treatment and committed ethical violations. 141 (10): 718-720. Choose from 500 different sets of law ethics final exam dental hygiene flashcards on Quizlet. With this app, you will rock on the Board exam! In step four, apply the ethical principles to the options. Studying for case studies is challenging and difficult. Case Studies in Dental Hygiene hygienists, by working on a one-on-one basis with their patients, can increase patient oral health literacy. 1. Unfortunately, the patient did lose several teeth that had advanced periodontal pocketing, but he is now receiving active periodontal therapy via the periodontist (beneficence). ... Aligning your ethics. The purpose of this study was to determine the types and frequency of ethical problems encountered by dental hygienists, and to determine the type of instruction they have received in ethical theory and problem solving. The hygienist tells the patient she isn’t comfortable doing only a routine scaling and she should maybe reschedule at another time with the other hygienist in the office. This is the definitive, up-to-date guide to ethics, jurisprudence, and practice management for all dental hygiene students, new graduates, and licensed practitioners. Of course, paternalism is not acceptable today because it eliminates patients’ right to choose the treatment they feel is right for them, even if their choice is not what the doctor feels is best. Find out more about our range of courses, including communication skills workshops, in-practice workshops and online tools. 3 min read; Case Studies In Dental Hygiene Books Pdf File. Case Studies in Dental Hygiene [Thomson, Evelyn] on Amazon.com.au. In today’s economic climate, one would assume overselling or overtreatment would be more widespread than supervised neglect, but surprisingly, supervised neglect does occur, even in good dental practices. This allows for patient autonomy, self-determination, and beneficence, thus avoiding paternalism. Flashcards. Paternalism is the practice of acting as the “parent,” which is taking it upon oneself to make decisions for the patient. I applaud your effort in asking for help, however, it may be best to discuss homework questions directly with your instructor for clarity. Kristin Goodfellow, AS, RDH, explains the importance of taking patient x-rays. The CDHA Code of Ethics sets out the ethical principles and responsibilities which apply to all members of the dental hygiene profession across all practice areas including clinical care, education, research, administration and any other role related to the profession of dental hygiene. Read all about it here! Dianne Glasscoe Watterson, MBA, RDH, provides some tips for temping as a dental hygienist. 30 DAY RE-EVALUATION Treatment Goals Restore gingival tone and health Eliminate hard and soft deposits Reduce plaque levels by 10% Reduce pocket depths Reduce caries potential/risk Reduce oral cancer risk Overview Medical History Review (Update) Vital Signs Extra/Intraoral Exam Part II. This textbook is designed to be used throughout the dental hygiene curriculum. This practical textbook covers many oral manifestations of drugs of which the dental hygiene student should be aware Studying for the California Dental Law and Ethics Exam. She can be contacted at nicolerdh03@neo.rr.com. Information collection is necessary to make a balanced ethical decision. Beneficence now becomes a concern. Brondani MA, Rossoff LP. Sign up for Registered Dental Hygienist (RDH) Magazine eNewsletters. 1 Identify the ethical dilemma or problem 31 is not so lucky. The treating hygienist explained, once again, the need for X-rays. In this case, there is no mention of possible endodontic treatment or replacing the extracted tooth (if extraction is required) with an implant. The patient was practicing his autonomy; however, the dentist was not considering beneficence for this patient. 2 College of Dental Hygienists of Ontario Besides having a Code of Ethics, the dental hygienist must possess and continue to develop professional traits that are paramount (central) to ethical behaviour, ethical decision-making and the maintenance of ethical standards. Vital [serial online] 7(2): 37-39. 2) Radiographic refusal is a huge problem in many practices due to the economy and lack of insurance. There are conditions when patients slip through the cracks, or long-term patients become so comfortable in a practice they’re allowed a great amount of autonomy, which becomes a detriment to their best interest. The questions involve not only dental materials but clinical dental hygiene as well. ; Content organization with separate sections on ethics, law, and the application of both builds a logical and solid foundation for practical application. These case studies may be used in a number of ways, such as: • Individual study followed by in class testing. St Louis, MO: Saunders Elsevier.2. (2006). 31?” Reluctantly, the patient agreed to an FMX the next visit. An effective model for dental health-care professionals to evaluate and solve ethical dilemmas is illustrated in “Ethics and Law in Dental Hygiene” (2010) by Phyllis L. Beemsterboer. Troubleshoot as many options and their full consequences before proceeding to the next step. Case Study. 2 College of Dental Hygienists of Ontario Besides having a Code of Ethics, the dental hygienist must possess and continue to develop professional traits that are paramount (central) to ethical behaviour, ethical decision-making and the maintenance of ethical standards. The black, white, and very gray areas of radiology. Step two, collect specific information, is critical to the case in question. Knowing the major principles of health-care ethics and how to use a model to solve an ethical conflict is the best way to solve a dilemma. . Case Studies in Dental Hygiene, Third Edition, is designed to guide the development of critical thinking skills and the application of theory to care at all levels of dental hygiene education—from beginning to advanced students. This article presents three examples of ethical dilemmas I’ve faced. How do I stand out for being accepted into dental hygiene school? Wentworth R. (June 2010). However, allowing students a personal experience via instruction and role-playing engages students in realistic ethical discernment, which gives them the “tools necessary to deconstruct an ethical dilemma.”4 Continuing and broadening school-setting ethical training instruction is necessary to increase hygienists’ awareness in solving ethical conflicts. The latter section contains 25 case studies with accompanying discussion and thought questions, along with testlets that mirror the style of the newly revised National Board Dental Hygiene Examination (NBDHE) and suggested activities. 31 October 2019 A lucky escape. The patient merely signed a release and spent the money he saved on his next vacation. J Am Dental Assoc. ; Content organization with separate sections on ethics, law, and the application of both builds a logical and solid foundation for practical application. My teacher gave us the syllabus that asks us to format a case of action for each case (we have 5 total to do every week). Working Ethics And Dental Hygiene Students Harvard Case Study Solution and Analysis of Harvard Business Case Studies Solutions – Assignment HelpIn most courses studied at Harvard Business schools, students are provided with a case study. Case 1. Each case includes the patient documentation (Patient History and Periodontal Charting) and images (Radiographs and Intraoral images). Dental trauma: A hygiene student's case study. J Am Coll Dent., 73(3): 36-39.7. She is the current vice president of education for Camelback Toastmasters in Glendale, Ariz. and recently awarded 2010-11 Outstanding Area Y7 Toastmaster of the year. Dental hygiene-focused coverage highlights need-to-know concepts and information. She communicates to the dentist in private that she feels the patient exhibits a moderately advanced stage of periodontal disease; the probing depths of 6mm pockets are mentioned and the tissue being inflamed and enlarged. The “hot seat” experience: a multifaceted approach to the teaching of ethics in a dental curriculum. Short essay on mera vidyalaya in hindi essayer dans le future examples of essay title washu supplemental essay 2020 achieve your career goals essay kfc and mcdonalds in china case study how to use words in an essay dental law Ethics study hygiene case and answers in: download paid research papers for free. An ethical dilemma occurs when one of the above principles conflicts with another.1 For example, a patient decides he or she wants to save money by refusing X-rays for the fourth year in a row. Beemsterboer outlines the following six-step decision-making model.1. Practicing in the dental profession, dental hygienists see an array of ethical concerns while treating patients. [Phyllis Beemsterboer] -- This book is written in the context of "real-world" situations that might be encountered on a regular basis in dental hygiene practice. Match. Instead, the dentist puts the blame on the patient for refusing the care offered. Surprisingly, the patient has no pain. Complete the cases below utilizing the guidelines below: _ Identify the ethical, legal and or regulatory issues involved _ Identify the affected parties. Case Studies in Dental Hygiene, Third Edition, is designed to guide the development of criti-cal-thinking skills and the application of theory to care at all levels of dental hygiene education–from beginning to advanced students. But I’m just not sure I “get” this case. The agreement may even state estimates relating to each treatment option. Effectively motivating patients to modify destructive habits is challenging, particularly when multiple behaviors are involved. Beemsterboer P. (2010). Dental Protection Limited (“DPL”) is registered in England (No. Ethical codes are formal statements that guide members of a profession in their obligations to clients, colleagues, the larger society, and to global health. It’s a situation of a hygienist seeing a patient for a routine scaling in the office of a general dentist. This textbook is designed to be used throughout the dental hygiene curriculum. Ethical moment: what ethical issues should general dentists consider when the state of the economy affects decisions regarding referral of patients to specialists.