Dr. Decker 's For Restorative Treatment

Not only did the dentist have possible legal violations, but there is evident failure to follow ethical principles. One of the applications of the

Autonomy includes three primary conditions: (1) liberty (independence from controlling influences), (2) agency (capacity for intentional action), and (3) understanding (through informed consent) (Beauchamp & Childress, 2009, p. 100). According to Beauchamp & Childress (2009) to respect autonomous agents, one must acknowledge their right to hold views, to make choices, and to take actions based on their personal values and beliefs (p. 103). Respect for autonomy implies thaturges caregivers to respect theassist a patient in achieving? Heed? the autonomous choices of their patients. From there, patients can act intentionally and with full understanding when evaluating medical treatment modalities. Autonomy also includes a set of rules, one of which requires that providers honor patient decision-making rights by providing the truth, also known as veracity (Beauchamp & Childress, 2009, p. 103). In this case, several facets of the principle of respecting autonomy, specifically veracity, informed

These plaintiffs (patients) desire admission to the defendant hospitals for the treatment of their illness, and to be treated by their present physician or dentist, without discrimination on the basis of race.

better the process and the causes of periodontal disease ( I talked to the patient

“Too many times we see special needs patients who have been held down, papoosed and head-boarded while receiving brief treatment at other offices. While we understand that the care of these individuals can be challenging, they shouldn’t be shortchanged by a quick cleaning, no x-rays or an extraction instead of saving a tooth because that office can’t stabilize the individual in a comfortable and humane fashion.” (Dr.Kaminski) Patients with disabilities and special needs deserve the same kind of dental care as a patient who does not. Special needs patients require more care and attention than patients that do not have special needs or disabilities. Patients with medical conditions that

Finally, the third alternative to the paternalistic model is the contractual model. This model is similar to paternalism, in that it questions the assumptions of equality, however it differs in that there is a “contract” between both parties, leaving each with their own dignity and moral authority. What is crucial about this model is that it does not neglect the fact that there is an obvious difference in the degree of knowledge between the patient and the physician. Instead of focusing on that discrepancy, the model concentrates on the agreement between the two parties to exchange goods and services and the enforcement of that by government sanctions. In other words, this model compromises between partnership and the reality of medical care, and according to Veatch, is the only realistic way to share all responsibility, while protecting various parties in health care. For example, both parties are freely entering this contract, and therefore are both given the right to leave it, given proper notice. However, while partaking in the contract, there are duties and obligations of each, which may neglect virtues of benevolence, care and compassion, which we do see stressed in other models.

After all, we have gladly provided exceptional care in our offices – how can we ethically fail to address the need for ongoing dental care for those who may have many years still ahead of them but lack the ability to come to us? (Brown, 5)

As a result, this challenges the ethical principles of autonomy, beneficence and nonmaleficence. At some point in our lives, we will be a patient in one way or another. As patients, we have the legal right to decide what’s in our best interest when it comes to the management of our health. The concept of autonomy is centered on the idea of self-governance. This means that patients have the right to play an active role in their treatment and medical care plan and have the right to receive or refuse treatment, the right to confidentiality, the right to select a healthcare proxy and the right for informed consent.

The patient-provider relationship is at the core of medical ethics and along with it are three major models that determine the medical decision making of each provider. The three models are the paternalistic model, the autonomy model and the deliberative model. The paternalistic model is defined as a patient-provider relationship model that involves the provider's professional knowledge to decide what is best for the patient. The paternalistic model denies the patients right to autonomy and the provider acts as the patient's guardian. The autonomy model is defined as a patient-provider relationship model that gives the patient their full autonomy in deciding what treatment to choose.

The IRAC (issue, rule, application, and conclusion) method was the tool Learning Team “D” (LTD) used to analyze the case Nelson v. James H. Knight DDS, P.C. LTD will discuss all the components of IRAC while desiring to provide a clear and an unequivocally understanding of the case between a reputable dentist (Dr. Knight) in Iowa and his former dental assistant (Ms. Nelson). Furthermore, the learning team will discuss if Ms. Nelson civil right according to Iowa law, Title VII of the act of 1964 were violated.

I, Dr. Abhinav P. Wadkar, Assistant Professor, Department of Restorative Dentistry at the Rutgers School of Dental Medicine have known Ezra Brown for almost two years as his preclinical and clinical faculty member. I have had the privilege of working a number of fixed and removable Prosthodontic cases with Ezra over a short period of time. As soon as I started working with Ezra as a Clinical Supervisor what struck me was his sincerity and true passion for helping others. He completely understands that apart from being a profession, dentistry is a great way to help the community.

In the US, the initial system concentrated on physician knowledge about an intervention and not the patient requirement, i.e., the physician was to decide the best practice as well as information to disclose to a patient. However, there was a recognizable trend towards the informed consent (Culhane et al., 2012). A case between Salgo and Leland Stanfors Jr. University Board of Trustees clearly provided a clear indication of the court resistance and struggle to adopt the autonomous approach rather than the physician paternalism (Culhane et al., 2012). The jury argued that the patient has the right to information of any risk associated with a practice. However, they argued for the physician in the sense that he/she is placed in a position to make choices that protect the patient.

One of the major medical concerns in our society today is that of patient’s rights. Is it morally okay to allow a patient to have complete autonomy? Should a doctor do what a patient wants or what is in the best interest of the patient? Every individual should have the right to decide on what is beneficial for him or her and such an idea needs to be respected. A patient’s autonomy should not be disregarded in any way, and we should allow each individual to make a rational choice on what he or she wants.

Dentistry is a unique and beautiful healthcare field. We as individuals whom work in the dental office can impact the lives of those around us. There are those who abuse the system, instead of having the patient’s best interest at heart. This causes many patients to become fearful, and loose trust within the professionals whom work in the dental field. Not only are there ethical issues that arise across the country; there are legal issues as well. It is common that the two go hand-in-hand. Dental insurance fraud is one of the most common hardships that people come across. Dental fraud not only affects the company that pay for the care, it affects the business in which it occurred, it affects those who pay for the insurance, and ultimately the patient. The patient should be the primary concern of the whole dental team.

Providers may also prefer to see a certain sex depending on the reason that patient is seeking care. How a provider communicates and listens to a patent is influenced by race, gender, age, and class. Treatment may not be rendered properly if there is poor communication between the provider and patient (Govender 2007). Attention was brought to the patient provider relationship with The International Declaration on the Rights of the Patient. Patient rights and the responsibilities of the healthcare provider were outlined in this declaration.