Case 4: Cover-up by Arosha Weerakoon https://padlet.com/arosha33/9shuo9irruhq While you were away, Tina, one of your regulars, saw another dentist working in your practice for an emergency extirpation of her 11. The tooth is asymptomatic, but she has returned to you for the completion of her RCT. A PA of the 11 reveals the tip of a broken file in the apical third of the tooth. There is no mention of a broken file in your colleague's notes, and vague questioning reveals that the patient is unaware of the situation. Consider the ethical principles in your management of this situation. en-us 2018-02-27 04:15:15 UTC 2019-03-04 04:13:15 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Bigthunderstorm.png Tina has the right to know what has happened/is going to happen to her teeth https://padlet.com/arosha33/9shuo9irruhq/wish/337332300 2019-03-04 03:44:35 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337332300 Informed consent about available options to rectify the problem, and consequences of no action https://padlet.com/arosha33/9shuo9irruhq/wish/337333144 2019-03-04 03:49:04 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337333144 https://padlet.com/arosha33/9shuo9irruhq/wish/337333491 Need to write it in notes. Trying to cover it up may cause legal repercussions. ]]> 2019-03-04 03:51:13 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337333491 https://padlet.com/arosha33/9shuo9irruhq/wish/337333535 Whether insurance is covered and the previous doctor will pay for the tx option]]> 2019-03-04 03:51:27 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337333535 https://padlet.com/arosha33/9shuo9irruhq/wish/337333950 Pt should be told about what happened during tx including accidents, they should be aware]]> 2019-03-04 03:53:21 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337333950 https://padlet.com/arosha33/9shuo9irruhq/wish/337334406 How will you fix it - reimburse pt for specialist tx maybe. 
Explain to pt the situation and consequences. ]]> 2019-03-04 03:55:35 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337334406 https://padlet.com/arosha33/9shuo9irruhq/wish/337334570 Show the PA to pt]]> 2019-03-04 03:56:40 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337334570 https://padlet.com/arosha33/9shuo9irruhq/wish/337334956 Not doing any treatment at the moment as it may cause more harm to the pt (taking cases above scope of practice)]]> 2019-03-04 03:59:17 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337334956 Consult endodontic specialist for opinion and management (referring when you are not confident in treating) https://padlet.com/arosha33/9shuo9irruhq/wish/337335026 2019-03-04 03:59:46 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337335026 https://padlet.com/arosha33/9shuo9irruhq/wish/337335298 Not necessary to put blame on your colleague/any other dentist. 
Just explain to the pt what the situation is ]]> 2019-03-04 04:01:25 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337335298 collect information about prognosis/success rates of different options https://padlet.com/arosha33/9shuo9irruhq/wish/337335418 2019-03-04 04:02:21 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337335418 https://padlet.com/arosha33/9shuo9irruhq/wish/337335554 Offer the same tx plan to other patients that have the same situation/scenario]]> 2019-03-04 04:03:13 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337335554 https://padlet.com/arosha33/9shuo9irruhq/wish/337335622 Should check for other existing PA]]> 2019-03-04 04:03:36 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337335622 consider pt's SES when offering tx options (e.g. affordability) https://padlet.com/arosha33/9shuo9irruhq/wish/337335804 2019-03-04 04:04:42 UTC https://padlet.com/arosha33/9shuo9irruhq/wish/337335804