Patient Autonomy Flashcards
ADA Principles of Ethics and
Code of Professional Conduct
nSection 1: Patient Autonomy
nSection 2: Nonmaleficence
nSection 3: Beneficence
nSection 4: Justice
nSection 5: Veracity
“These principles should be thought of as moral nucleotides constituting moral DNA - capable, alone or in combination, of explaining and justifying all the substantive and universal moral norms of health care ethics.”
nSection 1: Patient Autonomy
nSection 2: Nonmaleficence
nSection 3: Beneficence
nSection 4: Justice
nSection 5: Veracity
“These principles should be thought of as moral nucleotides constituting moral DNA - capable, alone or in combination, of explaining and justifying all the substantive and universal moral norms of health care ethics.”
ADA Principles of Ethics and
Code of Professional Conduct
Patient Autonomy
(“self-governance”)
This principle expresses the concept that professionals have a duty
n to treat the patient according to the patient’s desires,
n within the bounds of accepted treatment, and
n to protect the patient’s confidentiality.
Patient Autonomy
(“self-governance”)
This principle expresses the concept that professionals have a duty
n to treat the patient according to the patient’s desires,
n within the bounds of accepted treatment, and
n to protect the patient’s confidentiality.
Patient Autonomy
(“self-governance”)
Under this principle, the dentist’s primary obligations include
- involving patients in treatment decisions in a meaningful way,
- with due consideration being given to the patient’s needs, desires and abilities, and
- safeguarding the patient’s privacy.
n
Patient Autonomy
(“self-governance”)
Under this principle, the dentist’s primary obligations include
- involving patients in treatment decisions in a meaningful way,
- with due consideration being given to the patient’s needs, desires and abilities, and
- safeguarding the patient’s privacy.
n
Patient Autonomy
(“self-governance”)
Code of Professional Conduct
1.A. Patient Involvement. The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.
Patient Autonomy
(“self-governance”)
Code of Professional Conduct
1.A. Patient Involvement. The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.
Patient Autonomy
(“self-governance”)
Code of Professional Conduct
n1.B. Patient Records.
1.Dentists are obliged to safeguard the confidentiality of patient records.
2.Dentists shall maintain patient records in a manner consistent with the protection of the welfare of the patient.
3.Upon request of a patient or another dental practitioner, dentists shall provide any information in accordance with applicable law that will be beneficial for the future treatment of that patient.
n
Patient Autonomy
(“self-governance”)
Code of Professional Conduct
n1.B. Patient Records.
1.Dentists are obliged to safeguard the confidentiality of patient records.
2.Dentists shall maintain patient records in a manner consistent with the protection of the welfare of the patient.
3.Upon request of a patient or another dental practitioner, dentists shall provide any information in accordance with applicable law that will be beneficial for the future treatment of that patient.
n
Patient Autonomy
(“self-governance”)
nAdvisory Opinions
n1.B.1. Furnishing Copies of Records. A dentist has the ethical obligation on request of either the patient or the patient’s new dentist to furnish in accordance with applicable law, either gratuitously or for nominal cost, such dental records or copies or summaries of them, including dental X-rays or copies of them, as will be beneficial for the future treatment of that patient. This obligation exists whether or not the patient’s account is paid in full.
Patient Autonomy
(“self-governance”)
nAdvisory Opinions
n1.B.1. Furnishing Copies of Records. A dentist has the ethical obligation on request of either the patient or the patient’s new dentist to furnish in accordance with applicable law, either gratuitously or for nominal cost, such dental records or copies or summaries of them, including dental X-rays or copies of them, as will be beneficial for the future treatment of that patient. This obligation exists whether or not the patient’s account is paid in full.
Which of the following “patient attitudes toward informed consent” do you identify with the most:
1.This information is too complex and too confusing to understand. I’m not interested in reading all this information so, I’ll just sign the paper. I’ll do what the doctor wants. They’re the expert.
●
2.I must know everything about what I can expect before I can make a decision. I want all the information available on this procedure so that I will understand what will happen.
Which of the following “doctor attitudes toward informed consent” do you identify with the most?
Informed Consent
nEthically mandated
nWhen a person seeks another’s consent, it shows that they recognize that people should be able to make their own autonomous decisions. It shows respect for another’s right to self-govern, to control their own destiny.nThe concept of informed consent builds on this idea and stresses the importance of giving a person making a decision enough relevant information to enable them to make meaningful decisions about themselves and their lives.
nEthically mandated
nWhen a person seeks another’s consent, it shows that they recognize that people should be able to make their own autonomous decisions. It shows respect for another’s right to self-govern, to control their own destiny.nThe concept of informed consent builds on this idea and stresses the importance of giving a person making a decision enough relevant information to enable them to make meaningful decisions about themselves and their lives.
Informed Consent
nLegally required in Texas -
nTSBDE Rule 108.7 Minimum Standard of Care, General
nEach dentist licensed by the State Board of Dental Examiners and practicing in Texas…
n(6) Should maintain a written informed consent signed by the patient, or a parent or legal guardian of the patient if the patient is a minor, or a legal guardian of the patient if the patient has been adjudicated incompetent to manage the patient’s personal affairs. Such consent is required for all treatment plans and procedures where a reasonable possibility of complications from the treatment planned or a procedure exists, and such consent should disclose risks or hazards that could influence a reasonable person in making a decision to give or withhold consent.
Informed Consent
nTwo essential parts:
na document
nThe informed consent document provides a summary of the treatment (including its purpose, the treatment procedures and schedule, potential risks and benefits, alternatives, etc.) and explains your rights as a patient.
nIt is designed to begin the informed consent process.
na process
nconversations between the patient and the doctor. If the patient then decides to proceed with the recommended treatment, the patient gives official and legal consent by signing the document.
n
nThe informed consent process provides the patient with ongoing explanations that will help them make educated decisions about whether to begin or continue treatment.
nA written document alone may not ensure that the patient fully understands the treatment.
nTherefore, the doctor will discuss with the patient the purpose, procedures, risks and potential benefits, and the patient rights, and will continue to update the patient on any new information.
nInformed consent is an ongoing, interactive process, rather than a one-time information session or a simple form sign-off.
nThe informed consent process provides the patient with ongoing explanations that will help them make educated decisions about whether to begin or continue treatment.
nA written document alone may not ensure that the patient fully understands the treatment.
nTherefore, the doctor will discuss with the patient the purpose, procedures, risks and potential benefits, and the patient rights, and will continue to update the patient on any new information.
nInformed consent is an ongoing, interactive process, rather than a one-time information session or a simple form sign-off.
