Re: law -OSCE

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lyudmyla,that was fantasticdeepaFrom: Lyudmyla Huhley <huhley2006@...>" " < >Sent: Thursday, October 6, 2011 4:30 PMSubject: law -OSCE

Hi guysI found interesting stuff abt law and ethics.this one was in OSCEA request from the police to provide dental records of a patient may presentethical problems. There may be no problem if the records requested areonly to identify a corpse. If patients intentionally want their whereabouts tobe kept secret, they have every right to expect this and the dentist shouldnot disclose addresses or any other information that may be used to tracethem. Whenever faced with a dilemma a practitioner should carefullyweigh the interest of society with that of the patient. If in doubt, adviceshould be sought from the defence body. A dentist, by law, has to help thepolice in a case where a crime has been

committed.When a school telephonesto ask if a child had a dental appointment, the dentist shouldco-operate if the child is very young, say under 10, but seek advice from thedefence organisation if the child is older as maintaining con¢dentialitybecomes important.In one case a wife informed the practice that she was pregnant and wastherefore exempt from NHS charges. She said that her husband would beattending later that day and he should not know about her pregnancy.After his treatment, at the reception, the husband o¡ered to pay for hiswife. The receptionist, not knowing what to do, went to the dentist forhelp. She told the husband that his wife did not owe anything. Where apatient speci¢cally requests con¢dentiality, even if it is from a spouse, con-¢dentiality must be strictly observed.There may be instances where a wife may not want her husband to knowthat she wears

dentures. She is entitled to her rights of privacy. Somepatients may not wish even the postman to know who their dentist is orwhen they will be at the dentist (security reasons). That is why the GDCencourages dentists to send reminder cards in envelopes.A dentistmaywonderwhat to dowhen a young patient requests the extrationof a painful upper anterior tooth, refusing endodontic treatment advisedby the dentist. If such a patient is fully competent (has the capacity to consent)and the dentist has explained the consequences of extraction and thepatient still wishes an extraction, the approach may be to prescribe antibioticsfor the infection and to recall the patient after a few days. Often, if painhas been relieved, patientsmay change theirmind. Involve the parents if theyoungster is below age 16.If it is uncertain even after taking radiographs whether there is decay ina tooth, a practitioner may wish to

keep the surface under observation.The suspicion must be recorded. Good and clear records must be maintained.Clinical opinions can di¡er but the dentist must always act in thepatient’s best interest.When there is con£ict, the principles of patient autonomy shouldbe weighed against those of bene¢t to the patient. Professor Dworkinhas argued that mild paternalism may be considered as a ‘social insurancepolicy’.17 Treatment must not be forced on any patient. The wishes of thepatient should be respected and treatment refused if that may harmthe patient.- SincerelyLyudmyla

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thank you luda,,very helpfullFrom: shetty deepa <mrsiglesias2001@...>" " < >Sent: Thursday, 6 October 2011, 14:21Subject: Re: law

-OSCE

lyudmyla,that was fantasticdeepaFrom: Lyudmyla Huhley <huhley2006@...>" " < >Sent: Thursday, October 6, 2011 4:30 PMSubject: law -OSCE

Hi guysI found interesting stuff abt law and ethics.this one was in OSCEA request from the police to provide dental records of a patient may presentethical problems. There may be no problem if the records requested areonly to identify a corpse. If patients intentionally want their whereabouts tobe kept secret, they have every right to expect this and the dentist shouldnot disclose addresses or any other information that may be used to tracethem. Whenever faced with a dilemma a practitioner should carefullyweigh the interest of society with that of the patient. If in doubt, adviceshould be sought from the defence body. A dentist, by law, has to help thepolice in a case where a crime has been

committed.When a school telephonesto ask if a child had a dental appointment, the dentist shouldco-operate if the child is very young, say under 10, but seek advice from thedefence organisation if the child is older as maintaining con¢dentialitybecomes important.In one case a wife informed the practice that she was pregnant and wastherefore exempt from NHS charges. She said that her husband would beattending later that day and he should not know about her pregnancy.After his treatment, at the reception, the husband o¡ered to pay for hiswife. The receptionist, not knowing what to do, went to the dentist forhelp. She told the husband that his wife did not owe anything. Where apatient speci¢cally requests con¢dentiality, even if it is from a spouse, con-¢dentiality must be strictly observed.There may be instances where a wife may not want her husband to knowthat she wears

dentures. She is entitled to her rights of privacy. Somepatients may not wish even the postman to know who their dentist is orwhen they will be at the dentist (security reasons). That is why the GDCencourages dentists to send reminder cards in envelopes.A dentistmaywonderwhat to dowhen a young patient requests the extrationof a painful upper anterior tooth, refusing endodontic treatment advisedby the dentist. If such a patient is fully competent (has the capacity to consent)and the dentist has explained the consequences of extraction and thepatient still wishes an extraction, the approach may be to prescribe antibioticsfor the infection and to recall the patient after a few days. Often, if painhas been relieved, patientsmay change theirmind. Involve the parents if theyoungster is below age 16.If it is uncertain even after taking radiographs whether there is decay ina tooth, a practitioner may wish to

keep the surface under observation.The suspicion must be recorded. Good and clear records must be maintained.Clinical opinions can di¡er but the dentist must always act in thepatient’s best interest.When there is con£ict, the principles of patient autonomy shouldbe weighed against those of bene¢t to the patient. Professor Dworkinhas argued that mild paternalism may be considered as a ‘social insurancepolicy’.17 Treatment must not be forced on any patient. The wishes of thepatient should be respected and treatment refused if that may harmthe patient.- SincerelyLyudmyla

[Guest guest]

Thanks Lyudmyla, for sharing thisVanajaFrom: shetty deepa <mrsiglesias2001@...>Subject: Re: law -OSCE" " < >Date: Thursday, 6 October, 2011, 18:51

lyudmyla,that was fantasticdeepaFrom: Lyudmyla Huhley <huhley2006@...>" " < >Sent: Thursday, October 6, 2011 4:30 PMSubject: law -OSCE

Hi guysI found interesting stuff abt law and ethics.this one was in OSCEA request from the police to provide dental records of a patient may presentethical problems. There may be no problem if the records requested areonly to identify a corpse. If patients intentionally want their whereabouts tobe kept secret, they have every right to expect this and the dentist shouldnot disclose addresses or any other information that may be used to tracethem. Whenever faced with a dilemma a practitioner should carefullyweigh the interest of society with that of the patient. If in doubt, adviceshould be sought from the defence body. A dentist, by law, has to help thepolice in a case where a crime has been

committed.When a school telephonesto ask if a child had a dental appointment, the dentist shouldco-operate if the child is very young, say under 10, but seek advice from thedefence organisation if the child is older as maintaining con¢dentialitybecomes important.In one case a wife informed the practice that she was pregnant and wastherefore exempt from NHS charges. She said that her husband would beattending later that day and he should not know about her pregnancy.After his treatment, at the reception, the husband o¡ered to pay for hiswife. The receptionist, not knowing what to do, went to the dentist forhelp. She told the husband that his wife did not owe anything. Where apatient speci¢cally requests con¢dentiality, even if it is from a spouse, con-¢dentiality must be strictly observed.There may be instances where a wife may not want her husband to knowthat she wears

dentures. She is entitled to her rights of privacy. Somepatients may not wish even the postman to know who their dentist is orwhen they will be at the dentist (security reasons). That is why the GDCencourages dentists to send reminder cards in envelopes.A dentistmaywonderwhat to dowhen a young patient requests the extrationof a painful upper anterior tooth, refusing endodontic treatment advisedby the dentist. If such a patient is fully competent (has the capacity to consent)and the dentist has explained the consequences of extraction and thepatient still wishes an extraction, the approach may be to prescribe antibioticsfor the infection and to recall the patient after a few days. Often, if painhas been relieved, patientsmay change theirmind. Involve the parents if theyoungster is below age 16.If it is uncertain even after taking radiographs whether there is decay ina tooth, a practitioner may wish to

keep the surface under observation.The suspicion must be recorded. Good and clear records must be maintained.Clinical opinions can di¡er but the dentist must always act in thepatient’s best interest.When there is con£ict, the principles of patient autonomy shouldbe weighed against those of bene¢t to the patient. Professor Dworkinhas argued that mild paternalism may be considered as a ‘social insurancepolicy’.17 Treatment must not be forced on any patient. The wishes of thepatient should be respected and treatment refused if that may harmthe patient.- SincerelyLyudmyla