Summary ena tncc manual 9th edition patient management

Professional responsibility and reliability -
DOCUMENTATION is the most essential component

 -be specific
 -be objective
 -be complete
 -Be timely

I. Autonomy - self governance
II. Non maleficence - do no harm
III. beneficence - do good
IV. justice - fairness
V. veracity - truthfulness

Patient autonomy - -respect patient's right to SELF DETERMINE & PRIVACY

Informed consent - -Dentist must share information with and obtain consent from the patient

-base on ethical principle of AUTONOMY

-Must inform patient about nature of procedure, benefits, risks, and alternative treatment options
including no treatment-not cost of treatment



-Otherwise held accountable for ASSAULT AND BATTERY

Minors - -minors younger than 18 can give IMPLIED CONSENT OR ASSENT BUT NOT
ACTUALLY CONSENT



-Except if they are emancipated (freed from care control of parents) or in an EMERGENCY
SITUATION

Patient records - Keep all documents for AS LONG AS POSSIBLE

Risk management - -Constantly weigh RISKS AND BENEFITS OF YOUR PRACTICE

a) -Never make or sign an entry for someone else
b) -never delete or change anything you wrote-instead provide an addendum
c) -All writing are discoverable so do not write anything you ddont want read aloud in
court

, Nonmaleficence (do not harm) - -Primum no nocere: do no harm

-keep skills and KNOWLEDGE UP TO DATE through continuing education

-know your limitations and REFER DIFFICULT CASES to a specialist

Beneficence (do good) - -professionals have a duty to ACT FOR THE BENEFIT OF
OTHERS

 -Provide service to the patient and the public at large
 -promote patient's welfare
 -the same ethical standard exists no matter the financial arrangement

Justice (fairness) - -Be fair in dealing with patients, colleagues, and society

-deal with people justly and deliver dental care without prejustice



-NEVER SLANDER another dental professional

Veracity - -Be HONEST AND TRUSTWORTHY in dealing with the public

-must not represent CARE being rendered, fees being charged, or any form of advertising in a
false or misleading manner

 statute of limitations - law maximum time after event which legal action can be taken
 Occurrence rule - statue of limitations starts to run after injury or malpractice
occurred
 Discovery rule - statue of limitations starts to run after the injury or malpractice Is
discovered
 Witnesses - -ecpert testimony: an expert who has expertise in dentistry and can
testify to the existing STANDARD OF CARE and how it was breached by defendant

fact witness - someone who was there

Good Samaritan act - Offers LEGAL protection to health professionals and others who
provide "reasonable assistance" to individuals who are:

 -injured
 -ill
 -in peril
 -incapacitated

, communication and interpersonal skills -

Active listening - -prepare to listen by setting time aside free from distraction

 -repeat back what you hear: PARAPHRASE
 -lean forward
 -maintain food eye contact
 -face patient
 -ask questions
 -nod
 -smile
 -maintaining close proximity

rapport - -mutual sense of TRUST AND OPENNESS

a) -ask about patients family
b) -disclose some personal information

empathy - -understand and share feeling of another

 -reflection and SHOWING UNDERSTANDING
 -acknowledge their concerns
 -open-mindedness
 -NOT sharing personal experiences

Non verbal communications - -continuous, automatic, and informative

-first and most common reaction of discomfort is with EYE AND EYEBROW MOVEMENT

Verbal communication - -be simple, specific, and direct

 -do not just give advice-rather help them reach an informed decision
 -do not falsely reassure and say "everything will be fine" or "DONT WORRY"
 -Make expectations CLEAR