01 Jul ethical paper
- A 41 yrs. old, African American female came into the dental clinic for her cleaning appointment; however the dental student had just realized that she is well overdue for her POE. Her chief complaint was to get her teeth cleaned as soon as possible. Her medical history revealed that she was (-) for medications, (-) for hypertension, (+) for allergies and (-) for infectious diseases. She has few PFM crowns, missing third molars, and presents with slight calculus. The patient has been a patient of record for the past 5 years. The date of service this ethical dilemma occurred was on 12/7/2011.
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- Identification of the ethical dilemma-
- Identify what information is needed to be collected
- Alternatives to resolve the dilemma
- Potential Outcome for Alternatives and discussion
- Identification and discussion of ethical and professional issues at stake
- Choice of best alternative
- Justification of Choice
- What is the ethical dilemma in Ms. Smith situation?
- The dental student didn’t inform the patient that she is due for POE, but rather entered insufficient probing depth; rushing to get the cleaning done.
- Is there more than one ethical dilemma in this situation?
- The dental hygiene student was debating whether to inform the faculty of the dental student ethical misconduct, but she was afraid she would get involved in the scenario thus get in trouble.
- What do you think the most relevant dilemma is when treating Mrs. Smith?
- Dental student is rushing into the appointment without actually collecting the accurate probing depth , so the patient can get the cleaning done in the same day.
- What additional information we need to learn about the dental student?
- Has she done this previously with another patient?
- How many times did she not probe the entire dentition thus misdiagnosed her patients?
- Did she have back to back patients and was running behind?
- Did the dental student check Mrs. Smith chart before the appointment or did she just find out that she is due for her POE after she scheduled her cleaning appointment.
- What’s the schools policy for students misconduct and breaching of patient’s rights?
- What are the possible solutions?
- The dental student can tell the patient that she is running behind and would like to re-schedule her for the cleaning at a different day.
- The dental student can ask the dental hygiene student to assist in entering the probing depth in the computer, while she calls off the pocket depth so the process would go by quicker and possibly get the cleaning done in the same appointment.
- The dental student can ask the hygienist to start the cleaning, while she is entering the treatment plan in axium and checking with the faculty.
- The dental student can just do nothing and not give the patient the option to re-schedule.
- BEST: The dental student can tell the patient that she is due for POE and would like to re-schedule her for the cleaning at a different day.
Potential outcome: Patient is willing to re-schedule and gets a cleaning after the accurate diagnosis is discussed.
- The dental student can ask the dental hygiene student to assist in entering the probing depth in the computer, while she calls off the pocket depth so the process would go by quicker and possibly get the cleaning done in the same appointment.
- Potential outcomes: With team out the POE and the cleaning can be done at the same appointment.
- The dental student can ask the hygienist to start the cleaning, while she is entering the treatment plan in axium and checking with the faculty
- Potential outcome: The dental faculty may approve the dental hygiene actually starts the cleaning while the dental student is working on her treatment plan, so both procedures can be accurately done at the same time , thus the patient is glad
- WORST: The dental student can continue with the procedure without giving the patient an option to re-schedule.
- Potential outcome: The patients autonomy would be breached and the dental student would be violating the ethical codes.
- Which ethical principles are being violated in Mrs. Smith case?
- Autonomy: the duty to maximize the individual’s right to make his or her own decisions.
- Beneficence: the duty to do good both individually and for all.
- Justice: the duty to treat all fairly, distributing the risks and benefits equally.
- Non-maleficence: the duty to cause no harm, both individually and for all.
- Veracity: the duty to tell the truth.
- Trust issues are being violated between the patient and the student
- Autonomy: The student did not give the patient an option to re-schedule, but rather made her decisions for her.
- The dental student is not benefiting the patient by entering random probing depth numbers to save time and rush into the appointment.
- Non-maleficence: The dental student told her patient her gums are healthy without conducting an intraoral exam, misdiagnosing her patient, what if the patient had lesions of concern?
- Justice: The quality of the care was not fair nor justice to the patients right.
- Veracity: The dental student did not tell the patient that she was due for POE and she has an option to get the cleaning done at a later date.
- What is the best decision?
- The dental student can tell the patient the truth, that she is due for her POE appointment and would like to re-schedule her for the cleaning at a different day.
- Potential outcome: Patient is willing to re-schedule and gets a cleaning after the accurate diagnosis is discussed.
- 1. Explain to the patient that the POE is past due and it is essential to get a current diagnosis before treatment,
2. The patient will be probably accept the treatment and thus come back for the cleaning at a different date.
- 3. Patient’s rights will not be breached and she will be able to make her own decisions and choices.
- 4. The patient will eventually receive the correct treatment based on level of boneless and oral diagnosis.
Thanks!!
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