Dentist and Patient Relationships PDF

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Universiti Sains Islam Malaysia

Prof. Emeritus Dato' Dr. Wan Mohamad Nasir bin Wan Othman

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dental patient relationship dentistry

Summary

This document discusses the relationship between dentists and patients, including respect and equal treatment. It outlines principles of practitioner-patient relationships and emphasizes the importance of patient safety and well-being.

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FACULTY OF DENTISTRY – Fostering A Balanced Professional in Dentistry ‫اﻟر ْﺣ َﻣ ِن ﱠ‬...

FACULTY OF DENTISTRY – Fostering A Balanced Professional in Dentistry ‫اﻟر ْﺣ َﻣ ِن ﱠ‬ ‫اار ِﺣﯾم‬ ‫ــــــــــــــــــم اﷲِ ﱠ‬ ِ ْ‫ﺑِﺳ‬ Al-fathihah In the name of Allah, the most beneficent, the most merciful ‫اﻟر ۡﺣ ٰﻣ ِن‬ May peace, mercy, and blessings ‫ﺑِ ۡﺳ ِم ﷲِ ﱠ‬ ِ ّ‫﴾ اَ ۡﻟ َﺣ ۡﻣ ُد ِ ﱣ ِ َرب‬1:1﴿ ‫اﻟر ِﺣ ۡﯾ ِم‬ ‫ﱠ‬ of Allah be with you ‫اﻟرﺣ ٰﻣ ِن‬ ۡ ۙ ۡ ‫﴾ ﱠ‬1:2﴿ َ‫اﻟﻌٰ ﻠ ِﻣﯾن‬ َ ۡ Behavioural Science and Oral Health ‫﴾ ٰﻣ ِﻠ ِك ﯾَ ۡو ِم‬1:3﴿ ‫اﻟر ِﺣ ۡﯾ ِ ۙم‬ ‫ﱠ‬ َ‫﴾ اِﯾﱠﺎكَ ﻧ َۡﻌﺑُ ُد َواِﯾﱠﺎك‬1:4﴿ ‫اﻟ ِّد ۡﯾ ِؕن‬ Dental Practitioners and Patient Relationship: ‫ط‬َ ‫ﺻ َرا‬ ّ ِ ‫﴾ ا ِۡھ ِدﻧَﺎ اﻟ‬1:5﴿ ‫ﻧ َۡﺳﺗَ ِﻌ ۡﯾ ُؕن‬ - Overview َ‫ط اﻟﱠ ِذ ۡﯾنَ اَ ۡﻧﻌَ ۡﻣت‬ َ ‫ﺻ َرا‬ ِ ﴾1:6﴿ ‫ۡاﻟ ُﻣ ۡﺳﺗَ ِﻘ ۡﯾ ۙ َم‬ - Respect and Equal Treatment “Every praise be to ۡ‫ب َﻋﻠَ ۡﯾ ِﮭم‬ ِ ‫َﻏ ۡﯾ ِر ۡاﻟ َﻣ ۡﻐﺿ ُۡو‬ ۡ‫َﻋﻠَ ۡﯾ ِﮭم‬ Him, to Whom all ﴾ 1:7﴿ َ‫ﺿﺎ ٓ ِﻟّ ۡﯾن‬ ‫َو َﻻ اﻟ ﱠ‬ praise is due! And blessings and `peace be upon the compassionate Rabbish rahli sadri, Prophet, and upon his wa yassirli amri, wah Family and his lul uqdatan min Companions and upon lisaani, yaf kahu kauli all his true Followers after them!”. ”O my Lord expand me my breast, and ease my task for me and remove the impediment from my speech, so they may understand what I say,” Prof. Emeritus Dato’ Dr. Wan Mohamad Nasir bin Wan Othman FACULTY OF DENTISTRY – Fostering A Balanced Professional in Dentistry ‫اﻟر ْﺣ َﻣ ِن ﱠ‬ ‫اار ِﺣﯾم‬ ‫ــــــــــــــــــم اﷲِ ﱠ‬ ِ ْ‫ﺑِﺳ‬ Al-fathihah In the name of Allah, the most beneficent, the most merciful ‫اﻟر ۡﺣ ٰﻣ ِن‬ May peace, mercy, and blessings ‫ﺑِ ۡﺳ ِم ﷲِ ﱠ‬ ِ ّ‫﴾ اَ ۡﻟ َﺣ ۡﻣ ُد ِ ﱣ ِ َرب‬1:1﴿ ‫اﻟر ِﺣ ۡﯾ ِم‬ ‫ﱠ‬ of Allah be with you ‫اﻟرﺣ ٰﻣ ِن‬ ۡ ۙ ۡ ‫﴾ ﱠ‬1:2﴿ َ‫اﻟﻌٰ ﻠ ِﻣﯾن‬ َ ۡ Behavioural Science and Oral Health ‫﴾ ٰﻣ ِﻠ ِك ﯾَ ۡو ِم‬1:3﴿ ‫اﻟر ِﺣ ۡﯾ ِ ۙم‬ ‫ﱠ‬ َ‫﴾ اِﯾﱠﺎكَ ﻧ َۡﻌﺑُ ُد َواِﯾﱠﺎك‬1:4﴿ ‫اﻟ ِّد ۡﯾ ِؕن‬ Dental Practitioners and Patient Relationship: ‫ط‬َ ‫ﺻ َرا‬ ّ ِ ‫﴾ ا ِۡھ ِدﻧَﺎ اﻟ‬1:5﴿ ‫ﻧ َۡﺳﺗَ ِﻌ ۡﯾ ُؕن‬ - Overview َ‫ط اﻟﱠ ِذ ۡﯾنَ اَ ۡﻧﻌَ ۡﻣت‬ َ ‫ﺻ َرا‬ ِ ﴾1:6﴿ ‫ۡاﻟ ُﻣ ۡﺳﺗَ ِﻘ ۡﯾ ۙ َم‬ - Respect and Equal Treatment “Every praise be to ۡ‫ب َﻋﻠَ ۡﯾ ِﮭم‬ ِ ‫َﻏ ۡﯾ ِر ۡاﻟ َﻣ ۡﻐﺿ ُۡو‬ ۡ‫َﻋﻠَ ۡﯾ ِﮭم‬ Him, to Whom all ﴾ 1:7﴿ َ‫ﺿﺎ ٓ ِﻟّ ۡﯾن‬ ‫َو َﻻ اﻟ ﱠ‬ praise is due! And blessings and `peace be upon the compassionate Rabbish rahli sadri, Prophet, and upon his wa yassirli amri, wah Family and his lul uqdatan min Companions and upon lisaani, yaf kahu kauli all his true Followers after them!”. ”O my Lord expand me my breast, and ease my task for me and remove the impediment from my speech, so they may understand what I say,” Prof. Emeritus Dato’ Dr. Wan Mohamad Nasir bin Wan Othman Module Content: Practitioner and Patient Relationship in Dentistry 1. Overview of Dentist-Patient Relationship 2. Respect and Equal Treatment 3. Consent, Communication and Documentation 4. Confidentiality 5. Incompetent Patient 6. Dealing with Uncooperative Patients 7. Patients with Financial Restrain dental act - terminology based on In Malaysia, who provides oral health care? are dental surgan we Dental Surgeon Dental Practitioners Dentist who not to Practitioners - go formal education Dental Therapist - puansuhand Egietreatment Reference Documents only to children school Dental Act 2018 Code of Professional Conduct, MDC Dental Act 2018 Overview of Dentist-Patient Relationship Principles of practitioner-patient relationship Principle 1: Principle 2: Provide care to Consider patient’s those in need best interest G what is best to them Principle 4: Principle 3: Ensure safety of Practice patients independently Principle 1: Practitioners are morally obliged to provide professional care to those in need Responsible primarily to their patients, including the public. Make decisions involving suitable options in the provision of care for their patients. Consider the Code of Professional Conduct as a Download guide to make appropriate decisions. Principle 2 “Consider the patient’s best interests as paramount”. u DDWan Principle 3: Practice independently but must recognize their limitation not or Practice Independently go er rundes ↑ Recognise Act in the best interest of the Autonomy must w rain Limitation patient Know your limit: ↓ must make Decision based on: with a knowledge discuss prior learning but consult experience continual learning ans refer no external W to influence Labe kena sentras ca what ethical renew V consideration practicin certificate +y Can do p S Have faith and Y cevery integrity renews or acuunt do Principle 4: Ensure safety of patients Patient safety: “The absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care to an acceptable minimum”. (WHO, 2023) Non-maleficence: First do no harm The focus of this module is on the appropriate relationships between the OConsent, Communication dentist and their patients. and - Documentation Confidentiality ORespect and Equal Dental Dealing Treatment Practitioner With ~ O and Uncooperative Several case Patient Patient studies will be presented based on - these areas of concern. Financial Restrains / Incompetent Patient You are expected to examine the Spatient issues in the case study and present that possible solutions unable make desession Respect and Equal Treatment Introduction Respect and equal treatment means treating everyone fairly and with due regard for their feelings, wishes, or rights. It involves: – employees; workers - – our visitors; – patients seeking care; and – anyone with whom we come into contact. & Case Study on Respect to Patients A 40-year-old man from the local community came to a clinic with a complaint of pain in the back of the lower tooth for about 2 days. The man was shabbily dressed. His registration card indicated that he was unemployed. a. Can the practitioner refuse treatment for this man. Justify your answer. Yes - Justification: If No - Justification: drive (i) the patient does not comply not with - Human with the requirement of being Principle of -human rights Right admitted to the clinic; come - (United Nations) (ii) it is in the patient’s best WHO Constitution Code of Professional Conduct: interest; - it we can (iii) it is beyond his capacity to Malaysian Dental Council manage the patient’s patente (MDC) [1.1(a)]; and other professional bodies; it Patient’s perspective problems; or (iv) he is unable to manage the functio patient. to Islamic perspective by low In such cases, the patient should - esteblir udur of be referred. (COPC, page 3) MMDC take care raste dental profession - Human Rights: All human beings deserve respect and equal treatment 1. Universal 2. The WHO Declaration of Constitution(1948) Human Rights, envisages that United Nations, “…the highest 1948, Article 1: attainable “ All human beings standard of health are born free and as a fundamental equal in dignity and right of every rights” human being.” Code of Professional Conduct: Malaysian Dental Council (MDC) Patient Care “In the discharge of this duty, a practitioner shall not discriminate in selecting patients for their practices on the grounds of nationality, race, religion, gender, sexual orientation, creed, political views, or social standing”. [1.1a] “A practitioner shall not refuse treatment on the grounds that the individual has a communicable disease for which acceptable methods of protection are available”.[ 1.1(c] Principles of Ethics and Professional Conduct: American Dental association (ADA) Practitioners shall not “refuse to accept patients into their practice or deny dental service to patients because of the patient’s race, creed, color, sex or national origin” Patient’s Perspective Patients are vulnerable groups in the society because of their health condition They are expected to be provided with good health care They must be given complete and current information about their dental condition and treatment. They need to be treated with courtesy, respect, and confidentiality in the context of ethical practices Islamic Perspective of Justice Justice is a basic objective of Islam and a moral virtue. It also means giving others equal treatment. The standard of justice is envisaged in the Quran. – “O you who believe, be upright for God, and (be) bearers of witness with justice!...” (Quran 5:8) – “God commands justice and fair dealing...” (Quran 16:90) Conclusion The primary obligation of a dental practitioner is the patient. Dental practitioners cannot refuse treatment on the grounds of human right. There are circumstances, such as incapacity of the dental practitioner, that allows refusal for treatment. Under such situation, the patient must be referred, nation uncunited who tation consis fo HA ot - come

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