9780130191380

A successful dental hygienist requires a complete understanding of how ethical issues interrelate to knowledge of the latest advances in practice management. Appropriate for use in ethics and jurisprudence courses, practice management and seminar courses or as a resource for practicing hygienists, Ethics & Practice Management in Dental Hygiene provides a current and comprehensive overview. Features bull; bull;Detailed discussion of common ethical situations bull;A focus on technology in the workplace bull;Comprehensive coverage of practice management for those in independent practice bull;Chapter activities and exercises that provide real-life examples of topics

Preface

xi

Introduction

xiii

Introduction to Moral Philosophy and Moral Reasoning

1

(18)

Objectives

1

(1)

Introduction

1

(2)

Ethical Theories: A Survey of Moral Theories

3

(5)

Utilitarianism

3

(3)

Kantian Ethics

6

(2)

Virtue Ethics

8

(1)

Social Philosophy

8

(8)

Utilitarianism and Justice

9

(1)

Liberalism and Rights

9

(3)

Rawls's Theory of Justice

12

(4)

Summary

16

(1)

Self-Test

16

(1)

Activities

17

(2)

Ethical Principles and Core Values

19

(14)

Objectives

19

(1)

Introduction

19

(1)

Ethical Principles

20

(9)

Autonomy

20

(1)

Confidentiality

21

(2)

Societal Trust

23

(1)

Nonmaleficence

23

(1)

Beneficence

24

Justice

25

(25)

Veracity

25

(1)

Fidelity

26

(1)

Paternalism/Parentalism

26

(2)

Utility

28

(1)

Summary

29

(1)

Self-Test

29

(1)

Activities

30

(1)

Case Study

30

(3)

Informed Consent

33

(20)

Objectives

33

(1)

Introduction

33

(2)

Rights and Duties Involved in Informed Consent

35

Evolution of the Concept of Informed Consent

35

(38)

Exceptions to the Rule

38

(3)

The Ideal Context

41

(1)

Disclosure in the Office: Practical Hints

42

(3)

Informed Consent and Research

45

(1)

Disclosure by Infected Health Care Providers

45

(2)

Patients' Bill of Rights

47

(1)

Summary

48

(1)

Self-Test

49

(1)

Activities

50

(1)

Case Study

50

(3)

Decision Making

53

(14)

Objectives

53

(1)

Introduction

53

(2)

Ethical Dilemma

55

(2)

Developing the Ability to Solve Ethical Problems

57

(3)

Steps of Decision Making

60

(4)

Explaining Decision Making Steps

61

(3)

Summary

64

(1)

Self-Test

64

(1)

Activities

65

(1)

Case Study

66

(1)

Jurisprudence

67

(22)

Objectives

67

(1)

Introduction

68

(1)

Criminal Law

68

(2)

Civil Law

70

(1)

Tort Law

70

(5)

Professional Negligence and Malpractice

71

(2)

Assault and Battery

73

(1)

Defamation

74

(1)

Contract Law

75

(3)

Abandonment

76

(1)

Risk Management

77

(1)

Licensure

78

(3)

Educational Requirements

78

(1)

Written Board Exams

79

(1)

Practical Board Exams

79

(1)

Other Requirements for Licensure

80

(1)

Credentialing

80

(1)

Certification

81

(1)

State Dental Practice Act

81

(3)

Regulation

82

(1)

Scope of Practice

83

(1)

Supervision

83

(1)

Summary

84

(1)

Self-Test

84

(1)

Activities

85

(1)

Case Study

86

(3)

Social Issues

89

(22)

Objectives

89

(1)

Introduction

89

(1)

Workplace Legislation

90

(6)

Affirmative Action

90

(1)

Pregnancy Discrimination

91

(1)

Family and Medical Leave Act

92

(1)

Americans with Disabilities

92

(1)

Age Discrimination

93

(1)

Sexual Harassment

94

(1)

Occupational Safety and Health Act

95

(1)

Reporting Domestic Violence

96

(5)

Child Abuse

96

(2)

Spouse Abuse

98

(1)

Elderly Abuse

99

(2)

Access to Care

101

(7)

Justice

101

(2)

Financial Barriers

103

(1)

Managed Care

104

(1)

Government Assistance

105

(1)

Location Barriers

106

(1)

Sociological Barriers

107

(1)

Summary

108

(1)

Self-Test

108

(1)

Activities

109

(1)

Case Study

110

(1)

Aspects of Practice Management

111

(24)

Objectives

111

(1)

Introduction

112

(2)

Pros and Cons of Management Consultants

114

(1)

Management Styles

115

(1)

The Team Concept

116

(1)

Defining Staff Roles

117

(1)

Cross training

118

(1)

Staff Meetings and Their Benefits

119

(1)

Expectations and Public Relations

120

(4)

Employers' Expectations

120

(2)

Your Expectations

122

(1)

Expectations of Staff

123

(1)

Expectations of Patients

123

(1)

Marketing and the Dental Practice

124

(7)

Marketing: The Patient's Health Care

126

(1)

Marketing: The Practice

127

(1)

Marketing: Yourself

128

(1)

Marketing Strategies

129

(1)

Marketing and Profit Centers

129

(2)

Summary

131

(2)

Self-Test

133

(2)

The Business of Dental Hygiene

135

(18)

Objectives

135

(1)

Introduction

135

(3)

Maximizing Skills

138

(1)

The Business of Dental Hygiene

139

(2)

Dental Insurance and Hygiene Services

141

(2)

Continuing Care and Recall Systems

143

(4)

Time Management

147

(1)

Working With Other Dental Hygienists

148

(1)

Alternative Practice Settings/Independent Practice

149

(1)

Summary

150

(1)

Self-Test

151

(1)

Case Study

151

(2)

Technology and Dental Hygiene

153

(18)

Objectives

153

(1)

Introduction

153

(2)

Intraoral Camera

155

(3)

Digital Radiography

158

(2)

Legal Considerations

160

(1)

Computerized Periodontal Charting Systems

161

(2)

Lasers

163

(1)

Pain-Free Injections

164

(1)

Cosmetic Imaging and In-Office Fabrication of Restorations

164

(2)

Chartless Patient Records

166

(1)

Does Patient Care Suffer?

166

(1)

How Technology Benefits Dental Hygiene

167

(1)

Other Technology Options

167

(1)

Summary

168

(1)

Self-Test

168

(3)

Seeking the Dental Hygiene Position

171

(26)

Objectives

171

(1)

Introduction

171

(2)

Working as a Temporary

173

(1)

Employment Resources

173

(1)

Preparing for Interviews

174

(13)

The Employer's Interview

176

(2)

Your Interview

178

(1)

The Working Interview

179

(1)

Interviews and Personality Tests

180

(1)

Attire

180

(1)

Resumes

181

(5)

Post-Interview Acknowledgments

186

(1)

Beginning the New Job

187

(8)

Compensation

187

(2)

Benefits

189

(2)

Negotiating

191

(1)

Employment Contracts

192

(1)

Policy Manuals

193

(2)

Summary

195

(1)

Self-Test

196

(1)

Planning for the Future and Career Longevity

197

(38)

Objectives

197

(1)

Introduction

197

(1)

The Basics of Investing

198

(3)

Spend Money Wisely

201

(1)

Insurance Coverage for Dental Hygienists

202

(2)

Professional Membership

204

(1)

Self-Care

205

(2)

Summary

207

(1)

Self-Test

208

(1)

Appendices

Appendix A Code of Ethics of American Dental Hygienists' Association

209

(8)

Appendix B Regional Board Examination Agencies

217

(2)

Appendix C States Participation in Board Exams

219

(2)

Appendix D Permitted Dental Hygiene Functions and Levels of Supervision

221

(4)

Appendix E Components of a Marketing Plan (Alternative Practice)

225

(2)

Appendix F Interview Tips: The Basics

227

(2)

Appendix G Sample Interview Questions

229

(4)

Appendix H Internet Resources

233

(2)

Glossary

235

(4)

Works Cited

239

(6)

Other References

245

(12)

Index

257

The information and examples in this book are designed to orient dental hygiene students to clinical practice and its many applications in an office setting. Although dentists, dental practices, and dental hygiene can be generalized, each practice will be unique in its daily operations and policies. As you read and participate in the exercises, keep in mind that experiences will be unique. In this new millennium, the art and science of dental hygiene continues to progress and evolve. More states have entered into independent or alternative practice settings for experienced dental hygienists. Upon becoming a registered or licensed dental hygienist, you are encouraged to actively participate in furthering the development of patient education and dental hygiene research as well as your own education. Reach out to communities that are not able to access dental care in a traditional setting and continually stay abreast of the link between periodontal disease and total body health, as patients see the dental hygienist as the oral health care specialist. The knowledge and relationships that build from networking with other professionals will be invaluable. We hope that you find personal and professional satisfaction in your dental hygiene career and as a member of the dental hygiene profession. Thank you to the reviewers of this manuscript: W. Gail Barnes, RDH, Ph.D., Assistant Professor, East Tennessee State University; Chris French Beatty, RDH, Ph.D., Associate Professor, Department Chair Texas Woman's University; Barbara Paige, RDH, MS, Ed.D., Professor, Cabrillo College; Angelina E. Riccelli, RDH, MS, Associate Professor and Director, University of Pittsburgh; Donna J. Stach, RDH, M.Ed., Associate Professor, University of Colorado.