based one the story to the left answer q1 and q6... Please and thank you rt sc d
ID: 256246 • Letter: B
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based one the story to the left answer q1 and q6... Please and thank you
rt sc delete home DO uP pn 8 9 Case Studies, Activities, and Testlets 133 CASE 23 Fitting In Pamela Overman University of Missouri-Kansas City Sarah is happy to have a job as a dental hygienist for Today you see a treatment plan presentations on Dr. D Stanley Dard. Sarah who is a newly divorced Dard's schedule and when you walk by the treatment mother of two teenagers has to stay in this area as a room, the door is closed. After the final patient of the old of the divorce settlement. Dr. Dard is a member da Dr. Dard asks you to stop by his office for a of the state dental board, and he really values the discussion about your performance in his ntal aspect of care. He serves as a state dlinical patients very meticulously to not sure you are fitting in. Sarah is panicked and not sure what to do next examiner, and he checks make sure everyone receives the best of care. Recently you have seen a side of Dr. Dard that has you con Questions cerned. You walked by his operatory as he was present ing a proposed treatment plan to a new patient. The 1. What action, if any, should Sarah take imme- patient was devout Muslim women, wearing tradi diately? tional loose fitting dress and a scarf covering her hair. 2. What ethical standards might have been violated When discussing the fees with the patient, Dr. Dard 3. What legal principles might be at risk? quoted fees that were considerably higher than those 4. How might Dr. Dard view this situation? he typically presented. You assume you misheard until 5. Is there some way Sarah could have avoided being it happens again. This time it is a Hispanic man, who placed in this situation? has limited English speaking skill. You wait for an 6. Using the ethical decision-making model, analyzue opportune moment and ask Dr. Dard about how he sets fees for services when presenting treatment plans. He says he sets fees based on difficulty of the treatment and seems disinclined to go into much more depth. this case.Explanation / Answer
1. Sarah should immediately be reporting to department that handles doctors. The first has to be to the institute of medicine followed by providing an executive summary and evidences of these disparities.
2. Ethical standards violated are the right to justice, right to equality, right to non maleficence as the doctor is not physically harming the patient but is harming by extracting extra money, on a financial front. Also, right to informed consent is violated, as the patient is not informed about what should be the actual cost and they are taken extra Money.
3. The legal principle at risk is the right to equality or right to equal consideration. Further, the right to non discrimination, and equal treatment are what is violated here. This is because Dr. Dard is charging people extra on the basis of their ethnicity. This equal treatment falls under the right to equality as presented by the equal rights amendment.
4. Dr. Dard might consider Sarah’s questions as potentially threatening. His business was going in smoothly with other staff “fitting in” as they would ask no questions and let the doctor charge extra fees as he was. Sarah coming in and asking new questions has hinted the doctor that it might be threatening to him as if she could find out with some concrete evidences, he might get reported.
5. Sarah could have avoided being placed in this situation if she could have kept her morals aside and not got involved in trying to look for just and equal practices for all the patients. Her morals are what have brought her in this situation.
6. Ethically, for the doctor, each and every patient should be same irrespective of the ethnicity of the patient. In fact, the doctor should be culturally competent, where he would be understanding the culture of all the patients hailing from different ethnicities and treat them with respect. Ethically, the doctor is not just to the patients and does not display fidelity.
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