A dental hygienist noticed that one of her patients was having a periodontal disease that was not noted in the chart. She tried to discuss this with a dentist by stating that her patient have a moderately advanced stage of periodontal disease. The probing results showed that some of the patient's periodontal pockets were 6 mm deep. The dentist response was not to worry about the patient and to keep cleaning out the pockets periodically. The dental hygienist did not feel comfortable treating the patient and asked a dentist to excuse her from performing a treatment. When the patient heard the dental hygienist, she asked what the suggestions were and the dental hygienist's response was to see a periodontist.
Step 1: The ethical dilemma in this case is a substandard care. It happens in situations
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After talking to a dentist about a possible referral to a periodontist the dental hygienist had to excuse herself from treating a patient because the dentist brushed off the request and asked the dental hygienist to keep cleaning the patient's teeth no matter how deep the periodontal pockets were.
Step 3: The dental hygienist have two options. The first option is to treat a patient knowing that it will not be beneficial and that the patient will be better off seeing a specialized doctor. The second option is to let the dentist know that she will not be able to see a patient because she believes that the patient needs a referral to see a periodontist.
Step 4: If the dental hygienist would pick the option number one, she would violate one of the core values- beneficence. Beneficence core value focuses on doing well for the patient, therefore taking steps to improve/restore patient's health. On the other hand, if the dental hygienist would pick the option number two she would consider patient's best interests and would follow beneficence core value's