Sunday, May 20, 2012

Ethical Dilemma For Dental Hygienists

Dental Hygienist - Ethical Dilemma For Dental Hygienists
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Step-1: identify the Ethical principles at Stake

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Beneficence

* Caring about and acting to promote the good of other
* The hygienist must all the time give priority to the best interests of his/her clients
* In this scenario the hygienist must care for and act to promote the condition of his/her clients, rather than giving more importance to the monetary interests of the dentist.

Autonomy

* Pertains to the right to make one's own option
* By communicating the relevant data openly and truthfully, dental hygienists sustain client's to make informed choices and to share in achieving and maintaining optimum oral health.
* The hygienist must enumerate openly and unmistakably with the clients about all the treatment options ready and their pros and cons to gain optimum oral condition rather than promoting the most expensive option recommended by the dentist.

Professionalism

* Professionalism means being competent, honest and fair
* Competence: refers to providing high quality care
* Honesty: being rigorous both in your statement and your omission.
* Fairness: appropriately balancing competitive interest
* In this scenario the dental hygienist must be wholly honest and fair to her clients even when it competes with her personal monetary interests and boss pressure.

Conflict of Interest

* A disagreement of interest occurs when a dentist/dental hygienist has a personal interest (monetary, moral or personal belief) that a uncostly someone might think could improperly influence his/her pro judgment
* In this situation the hygienist must not allow her personal monetary interests or employment prospects to jeopardize the client's oral condition or influence her pro judgment.

Step-2: identify the varied options for action

* Take no activity and do as the physician has mentioned
* suggest the client to explore his or her options and conclude what is best for them.
* Try again by explaining to the dentist about why you think the policy is not in the best interest of the clients
* Call the regulatory authority and article the dentist and or ask for their recommendations in solving the issue
* supervene the right informed consent way by telling the varied options of treatment and advantage and disadvantage of each treatment.
* Leave the office and find other that is suitable to your ethics.

Step-3: collate Options

* You are misleading the dentist by being silent, and preventing the office from taking suitable steps to ensure suitable treatment measures are in place and are failing to look after the best interest of your client. Harm the client loose reputation from your client.
* You may lose clients
* You may lose the dentists trust
* The dentist may agree or disagree with your opinion.
* If you call the regulatory authority to article the dentist, his license may get revoked
* If you leave the gift job you will be relieved from the gift ethical dilemma

Step-4: Implement the action

* furnish varied policy to literal, or remedy his/her dental issue.
* furnish data about the necessity of performing each policy on the client.
* enumerate the benefits of the procedure.
* enumerate any harmful effects of the policy according to the healing condition of the client even if those effects are minor or negligible.
* fill in about the cost of each procedure.
* fill in the client about the gain sharing policy of the convention
* Tell the client that his/her option of policy will contribute proportionately to the offices gain sharing policy.

Step-5: evaluate outcomes

* The Dental hygienist will gain the client's trust for her being honest.
* The Dentist could lose the client's trust because he/she would think that the office's primary goal is to optimize its profit margin.
* Client might check the costs of similar policy at other offices and potentially have/his treatment done at a dissimilar office.
* Dentist/Dental hygienist might lose clients.
* Dental hygienist might lose his/her job.

The data is based on Cdho guide updated in 2008.

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