Dental Hygienist Case Study

Improved Essays
Define the Problem
New patient has no records/radiographs and is refusing radiographs. The hygienist continued with the appointment without obtaining the necessary radiographs.
The patient denies using any tobacco products or recreational drugs when asked during the medical history but admits to it at the end of the appointment.
The patient asks the hygienist to smoke weed with him.
The patient admits to stealing his dad’s medical marijuana.
The patient asks the hygienist not to say anything to the dentist since he is good friends with the patient’s father.

Identify the Ethical Issue
As a dental hygienist it is our responsibility to ensure that the patient is receiving proper care. The hygienist should refuse to see the patient without
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The hygienist continued on with the appointment the patient then admitted to the use of the products.
The hygienist should also inform the dentist of the oral exam findings and the patients use of tobacco products and marijuana. It is important for the hygienist and dentist to know these things because they affect the patient’s health and could affect certain treatment that they might need to provide to the patient.

Gather Relevant Information
There could be a reason that Jacob doesn’t remember the name or have any records from the previous dental office. He was obviously trying to hide his use of tobacco products and marijuana so there was probably previous information on his records about his use of these products that he didn’t want the new office to know about.
The patient was also very agitated due to the cost and the radiation exposure from the recommended radiographs.
They hygienist may want to ask the patient how long he has been using smokeless tobacco and how long he has been smoking weed. The hygienist could recommend the patient to look into different services that may be available help with substance abuse and
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Refer the patient to an organization that can help with substance abuse.

Establish an Ethical Position
The dental hygienist refuses to do a cleaning until the necessary radiographs are obtained. The dental hygienist speaks to the dentist about the findings in the patients mouth and about the patient using smokeless tobacco and smoking marijuana. The dentist and hygienist don’t mention anything to the patient’s father since he is 28 years old, over the age of 18. It is their responsibility to follow HIPPA guidelines and not release any patient information.

Select, Justify, and Defend the Alternatives
Discussing the importance of radiographs to the patient is very important. If the hygienist refuses to treat the patient without the necessary radiographs the patient may agree to get the radiographs if he really wants a cleaning.
The hygienist must discuss all findings with the dentist because they work as a team and it is important for both the dentist and hygienist to know what is going on in the patients mouth and if they are using any tobacco products or marijuana. The patient might get upset with the hygienist for sharing this information with the dentist since he asked her not to but the hygienist must comply with HIPPA and can’t release any patient information to his father since the patient is over the age of

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