Mrs. E, is the first patient of the afternoon in your periodontal office. She is new to the practice. She is a 50 year old lady who has only lived in the United States for the last 3 years. Her English skills are minimal, but she works as a medical researcher, so you assume that she understand medical terminology. Mrs. E has generalized moderate chronic periodontitis with generalized horizontal bone loss on her posterior teeth. You determine that periodontitis instrumentation using local anesthesia is indicated. The next phase of treatment will be based on the findings at the time of the reevaluation, and will be determined by Dr. Evans, one of the periodontitis in the office. You review your dental hygiene treatment plan with her . She ask no question and signs at the bottom of the consent for treatment for, on the signature line. You tell her that you will begin the recommended treatment at today’s appointment. You prepare the anesthesia syringe and as you approach Mrs. E, she becomes very agitated, screaming and covering her mouth with her hands. She refuses to allow any further treatment today. She gets up abruptly and leaves the office. What could the hygienist have done differently, to avoid the above situation? What ethical principles are in conflict in this dilemma? Now, what Mrs. E’s experience has been a negative one for her; what is the best way to handle this ethical dilemma? What changes might the hygienist make when explaining proposed treatment to future patients?
As Mrs. E got agitated, screaming by seeing anesthesia syringe. This may happen when Mrs. E is not prepared for the treatment and surgical procedures are happening too faster than what she expected. Before approaching Mrs. E directly hygienist have to follow some things differently. They are;- maintaining a good rapport with the client, build and treatment.p of trust relation between hygienist (doctor) and patient. Explain the importance of doing the procedure, Clarify doubts of patient regarding surgery, Explain detail procedure by teaching practically to reduce anxiety, agitation and screaming.
Ethical principles that are in conflict in the dilemma are :- Beneficence (good health and welfare of patient). Because the patient is not allowing doctor to do further procedures on her teeth and is escaping from the situation by seeing of anesthesia syringe. the benefit that will cause by the procedure is not accepted by the patient, if not done the procedure it will cause harmful effects on patients health.
To handle this ethical dilemma first the thinking of Mrs. E has to change. The experience she got by seeing of syringes may have a great negative impact on the doctor and hospital. To handle this situation she has to go for counselling regarding procedure, keep discussions with the doctor and team members, clarification of her doubts, make experiences of other patients to be listened by her can change her expression towards her thinking about surgery.
Based of different chain of emotional reactions of all the patients, the hygienist has to make some changes regarding proposed treatment to future patients. The changes includes : Distribution of pamphlets about he procedure, make patient comfortable, hearing of all the fears the patients are having on treatment, highlighting on the fears and anxiety of patients, should make patients willing towards treatment in a happy way is important.
Mrs. E, is the first patient of the afternoon in your periodontal office. She is new...
Philomena C is your first patient of the morning. SHe was born in Italy, and moved to the united states with her family when she was 10. She is a 60 year old homemaker, who appears slightly overweight, and admits to high blood pressure and high cholesterol, both controlled by medication. She has been a patient in the practice of your dentist’s sister, Dr. Lynne, who has an office across town, for the last 30 years. She recently decided to...
Mrs. Belvedere, the office manager in Dr. Grain’s office, has online access to all electronic patient records from her computer at home. With Dr. Grain’s permission, she often uses her home e-mail to contact patients and insurance companies regarding treatment plans, insurance coverage, or financial records. Patients receive HIPAA information about confidentiality and security of their information, but are not told that Mrs. Belvedere has access to their records at her home. Hanna, who is a new dental hygienist in...
Your first day at on Monday morning is joyce Robbins. she is new to your practice. She has filled out a parodontal assessment questionnaire to assist you and determining her assessment. She states that she has never filled one out before and is concerned that she has received poor quality dental work as a result. As she entered your operatory you notice that she is very petite well-dressed woman her medical history and periodontal assessment questionnaire reveals about Joyce is...
A new patient in your dental office is a 3 month pregnant with her first child. She is 38 years old and has chronic periodontitis. What counsel would you provide this patient about the association between adverse pregnancy outcomes and periodontitis?
Mrs. Smith leaves the office in tears, stating that she has no idea what Dr. Olsen just told her and she was not given explanation regarding the tests the doctor ordered. She thinks that something must be terribly wrong with her for the doctor to order these tests. You know that in the past Mrs. Smith has been unhappy with her medical treatment and has threatened to sue Dr. Olsen. After reviewing the Patients’ Bill of Rights, explain what the...
Your next two patients are identical twin sisters who are new to the practice, mary and Katherine. They request that you review their health histories together. You learn that they are 68 years old, both widowed, and live together. They have received routine dental care from their longtime friend and dentist Dr. Lipman, who just retired at 80, so they have decided to become patients in your dental office. They inform you that their mother is still alive at 90,...
I wonder if someone can help me with these questions! Thank you. Your small private dental practice, which is within an urban city, has many long-standing patients. A number of patients within the practice are on public assistance and struggle with money issues. Dr. Gordon is very generous and understanding about her patients’ limitations and often provides free dental services. Your next patient of the morning is Jason S, a 14-year-old junior high school soccer player. His mother has made...
Your next patient, Josiah S, has recently relocated to your town, approximately 6 months ago, and is a new patient to your practice. He is a 45 year old divorced male, who admits to smoking approximately 15 cigarette per day, and drinks a night alcoholic cocktail. He works in sales, and due to his hectic travel schedule, tells you that he has had to cancel his last few dental hygiene appointments. Your intraoral exam reveals that Josiah presents with moderate...
A new patient in your office reports that she has recently been diagnosed with diabetes mellitus and that her physician suggested that she should have a dental checkup. The patient confides in you that she feels like this disease is really changing her lifestyle. She laughingly says “I have always had such good reports from my previous dentist, and I just don't really see why I need to be worried about my teeth now” Based upon what is known about...
DENTAL HYGIENE QUESTIONS********** Ethics Questions Scenario 1- Mr. Sands, a patient returning for his regular maintenance appointment is scheduled with jenny, one of the two dental hygienists available that day; one of the two dental hygienists available that day. Mr. Sands has a history of hepatitis C. When Jenny reviewed the history prior to seating the patient, she immediately makes up an excuse and asks Marilyn, the other hygienist, to treat this patient while she attends to two children in...