Dental Ethics at Chairside Professional Principles and Practical Applications

ISBN-10: 0878403760

ISBN-13: 9780878403769

Edition: 2nd 2002 (Revised)

List price: $44.95
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Book details

List price: $44.95
Edition: 2nd
Copyright year: 2002
Publisher: Georgetown University Press
Publication date: 8/27/2002
Binding: Paperback
Pages: 360
Size: 7.00" wide x 10.00" long x 0.75" tall
Weight: 1.628
Language: English

Preface to Second Edition
The Dental Profession and Professional Ethics
Ethical Issues in Dental Practice
Ethical Questions and Legal Questions
Choosing to Be Ethical
Published Codes of Conduct and Ethics Committees
The Terms Moral and Ethical, Obligation and Principle
Do Ethical Questions Have Answers?
Sources of Ethical Views and Convictions
Who Writes a Book on-Dental Ethics?
Profession and Professional Obligation
Case: Grind it Out!
Dentistry as a Profession
Dentistry: The Commercial Picture
Dentistry: The Normative Picture
The Content of Professional Obligations
The Introductory Cases
Thinking about the Case
The Questions of Professional Ethics
Case: When Everything Works Right
Why This Kind of Case?
Commentary on the Case
Nine Categories of Professional Obligation
The Chief Client
The Ideal Relationship between Dentist and Patient
The Central Values of the Dental Profession
Sacrifice and the Relative Priority of the Patient's Well-Being
Ideal Relationships between Coprofessionals
The Relationship between Dentistry and the Larger Community
Availability of Services
Integrity and Education
The Relationship between Patient and Professional
Case: The Dreaded Root Canal
The Dentist--Patient Relationship
Four Models of the Dentist--Patient Relationship
The Guild Model
The Agent Model
The Commercial Model
The Interactive Model
Autonomy and the Question of Justifiable Paternalism
Truth Telling and Informed Consent
Thinking about the Case
The Central Values of Dental Practice
Case: The Cheapest Will Have to Do
Studying a Profession's Central Values
The Central Values of Dental Practice
The Patient's Life and General Health
The Patient's Oral Health
The Patient's Autonomy
The Dentist's Preferred Patterns of Practice
Aesthetic Values
Efficiency in the Use of Resources
Ranking Dentistry's Central Values
Thinking about the Case
Ethical Decision Making and Conflicting Obligations
Case: How Much Sacrifice?
Difficult Professional-Ethical Judgments
A Model of Professional-Ethical Decision Making
Identifying the Alternatives
Determining What Is Professionally at Stake
Determining What Else Is Ethically at Stake
Determining What Ought to Be Done (Ranking the Alternatives)
Sacrifice and the Relative Priority of Patients' Well-Being
Conflicting Professional Obligations
Conflicts Between Professional and Other Obligations
Conscientious Disobedience of Professional Obligations
Habits, Moral Reasoning, and Conscience
Thinking about the Case
Identifying the Alternatives
Determining What Is Professionally at Stake
Determining What Else Is Ethically at Stake
Determining What Ought to Be Done
After Judging: Choosing a Course of Action
Transition to Part Two
Ethical Issues in Dental Practice
Patients with Compromised Capacity
Case: Mrs. Morris's Wonderful Teeth
Treatment Decisions for Patients with Compromised Capacity
The Role of Parents and Legal Guardians
The Capacity for Autonomous Decision Making
Dealing with Patients with Partially Compromised Capacity
Thinking about the Case
Education and Cooperation
Case: Fear of Drowning
Supporting Patient Education and Cooperation
The Ideal Relationship, Respecting Autonomy, and Education
Integrity and Education
How Much Sacrifice Is Required?
Firing the Extremely Noncooperative Patient
Thinking about the Case
Bad Outcomes and Bad Work
Case: Dr. Singer's Vacation
Applying Professional Norms to Bad Outcomes
When the Patient Is Another Dentist's Patient
Three Situations
If the Patient Asks in the Third Situation
The First and Second Situations Revisited
When the Patient Doesn't Ask
Calling the Other Dentist
When My Patient Has Another Dentist's Bad Outcome
When the Bad Outcome or Bad Work Is My Own
Thinking about the Case
Working Together
Two Sets of Gums
Collaboration versus the Myth of the Lone Ranger
Collaboration between Generalists and Specialists
Working Together through Conflict
Impaired Dentists
Other Collaborators and Other Challenges
Thinking about the Case
HIV and AIDS in Patients and Dentists
Case: Best Friends
The Ethical Challenges of HIV and AIDS
The Obligation to Accept Risk and Its Limits
Caution Beyond the Universal Precautions
A Distinctive Pattern of Thinking
The HIV-Positive Dentist and the Risk to Patients
Should Patients Be Informed of the Dentist's HIV Status?
Testing Dentists for HIV
The Community's Responsibility to Seropositive Practitioners
A Dentist's Staff and Seroconversion
Thinking about the Case
Confidentiality and Patient Records
Case: An Unexpected Phone Call
The General Obligation of Confidentiality
The Health Professions and Confidentiality
HIV/AIDS, Confidentiality, and Other Caregivers
Confidentiality and Risk to Other Third Parties
Legally Mandated Reporting
Maintaining Appropriate Records
The Era of Electronic Record Keeping
Thinking about the Case
Social Justice and Access to Dental Care
Case: Distributing Health Care Resources
Social Justice
Basic Needs and the Just Distribution of Dental Care
Contribution and Effort as Possible Criteria
The Free Market View of Justice
Basic Dental Care
Thinking about the Case
Third-Party Payers and Managed Care
Case: But It Will Show!
The Arrival of Third-Party Payers and Managed Care
Impact on the Dentist--Patient Relationship
Capitation Programs
Adequate Treatment
The Obligations of Third-Party Payers and Managed Care Organizations
Advocating for Change
Thinking about the Case
Dentistry as a Business
Case: Happy Smiles
New Challenges for Dentistry
Ethical Advertising
The Competitive Spirit and Professional Integrity
Different Models and Philosophies of Dental Practice
Thinking about the Case
The Dental Profession and the Community
Case: Professional Organization or Commercial Enterprise
The Obligations of the Profession as a Whole
Chief Client, Central Values, and Competence
More on Competence
More on Central Values
Relationship to Coprofessionals
Availability of Services
Integrity and Education, and the Priority of the Patient
Thinking about the Case
Relationship to the Patient and to the Larger Community
Bibliographic Essay
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