Case 5: No Money by Arosha Weerakoon https://padlet.com/arosha33/dinn90ctsdj4 Your patient Huy has gross decay and multiple infected teeth. He has reformed his sugar and coke consuming habits and wants to save all of his teeth. Your treatment plan is estimated to cost $12,000. In addition to restorations and preventative care, this cost includes several root canals, crowns, and a bridge. Huy tells you that he only has $3000 saved towards his treatment. Consider the ethical principles in the management of this patient. How could you help Huy reach optimal oral health? en-us 2018-02-27 04:24:49 UTC 2026-02-27 09:44:30 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Dootheets.png Autonomy - free to make own choices Huy can decide which treatment he consents to https://padlet.com/arosha33/dinn90ctsdj4/wish/337332293 2019-03-04 03:44:32 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332293 Huy decides which treatments https://padlet.com/arosha33/dinn90ctsdj4/wish/337332503 he wishes to have.]]> 2019-03-04 03:45:41 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332503 https://padlet.com/arosha33/dinn90ctsdj4/wish/337332533 Can decide which Tx he wants to prioritise within his budget. ]]> 2019-03-04 03:45:49 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332533 Rejecting Tx https://padlet.com/arosha33/dinn90ctsdj4/wish/337332582 Pt has right to not consent to a cheaper treatment plan]]> 2019-03-04 03:46:06 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332582 Huy decides if he wants to continue with treatment https://padlet.com/arosha33/dinn90ctsdj4/wish/337332692 2019-03-04 03:46:43 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332692 Non-maleficence - do no harm Huy should be advised which treatments are urgent/would pose danger to his health if not done https://padlet.com/arosha33/dinn90ctsdj4/wish/337332725 2019-03-04 03:46:57 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332725 Incomplete tx https://padlet.com/arosha33/dinn90ctsdj4/wish/337332806 Initiated tx cannot be left incomplete if it leaves pt exposed to greater health risks, on the basis that he cannot afford it ]]> 2019-03-04 03:47:06 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332806 https://padlet.com/arosha33/dinn90ctsdj4/wish/337332875 Ensure that benefits of tx outweighs possible risks.
Eg for the root canals that have to be done, if the tooth has very poor prognosis, the patient might be better off not restoring that tooth and saving the money.
Also consider cost of not having money left for other aspects of his life (SOL lol) Imagine if he has a cardiac surgery to be done but he chooses to spend his money on RCT instead LOLOL. just an example.


]]> 2019-03-04 03:47:25 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332875 https://padlet.com/arosha33/dinn90ctsdj4/wish/337332907 Referring Huy to public health services if he has the appropriate concession or providing Huy with discounts for the treatment he needs]]> 2019-03-04 03:47:36 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337332907 No tx https://padlet.com/arosha33/dinn90ctsdj4/wish/337333084 Just because the pt cannot afford the complete tx plan, the pt should not be told that there is no tx available. ]]> 2019-03-04 03:48:39 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333084 Consequences of not treating without exaggerating https://padlet.com/arosha33/dinn90ctsdj4/wish/337333091 2019-03-04 03:48:43 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333091 Needing that many RCT + bridge or to meet KPI? https://padlet.com/arosha33/dinn90ctsdj4/wish/337333270 2019-03-04 03:49:46 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333270 https://padlet.com/arosha33/dinn90ctsdj4/wish/337333293 Treating Huy with the same amount of respect and care as you would with a patient who can fully afford treatment. ]]> 2019-03-04 03:49:57 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333293 treatment/partial tx should not leave him in a worse condition than before tx. https://padlet.com/arosha33/dinn90ctsdj4/wish/337333338 2019-03-04 03:50:12 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333338 Over-tx https://padlet.com/arosha33/dinn90ctsdj4/wish/337333362 Tx plans should not be inflated to achieve monetary aims]]> 2019-03-04 03:50:23 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333362 Being upfront with the patient about the condition of his teeth and what needs to be done https://padlet.com/arosha33/dinn90ctsdj4/wish/337333625 2019-03-04 03:51:52 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333625 Dentist opinion https://padlet.com/arosha33/dinn90ctsdj4/wish/337333938 The dentist opinion should be separated from the evidence. For example, from experience, the dentist may believe that RCT is best but objectively exo may be more appropriate for pt.]]> 2019-03-04 03:53:17 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337333938 understand Huy's social background https://padlet.com/arosha33/dinn90ctsdj4/wish/337334095 2019-03-04 03:53:47 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337334095 evidence may point to success/failure/expected benefit/necessity of certain tx, however may differ from dentist opinion, due to differing conditions/different factors in play. https://padlet.com/arosha33/dinn90ctsdj4/wish/337334744 2019-03-04 03:57:44 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337334744 alternative treatment https://padlet.com/arosha33/dinn90ctsdj4/wish/337335346 2019-03-04 04:01:49 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337335346 subsidised treatment https://padlet.com/arosha33/dinn90ctsdj4/wish/337335373 2019-03-04 04:02:00 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337335373 payment plan https://padlet.com/arosha33/dinn90ctsdj4/wish/337335380 2019-03-04 04:02:05 UTC https://padlet.com/arosha33/dinn90ctsdj4/wish/337335380