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Ethics and Law in Dental Hygiene E Book 3Rd Edition PDF Full Chapter PDF
Ethics and Law in Dental Hygiene E Book 3Rd Edition PDF Full Chapter PDF
Ethics and Law in Dental Hygiene E Book 3Rd Edition PDF Full Chapter PDF
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Ethics and Law
in DENTAL HYGIENE
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3RD EDITION
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center
and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information or
methods they should be mindful of their own safety and the safety of others, including parties for whom they
have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
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administered, to verify the recommended dose or formula, the method and duration of administration, and
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To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any
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otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Printed in China
Contributors
v
vi Contributors
Reviewers
Ann E. Curtis, RDH, RD, MS, CAS Judith Frerichs Mayfield, RDH, MS
Associate Professor Dental Hygiene Instructor
Dental Health Programs El Paso Community College
University of Maine at Augusta El Paso, Texas
Bangor, Maine
Dr. Jodi Olmsted, RDH, PhD
Melissa Deyo, RDH, MAEd Assistant Professor
Past President School of Health Care
Wisconsin Dental Hygienists’ Association College of Professional Studies
University of Wisconsin
Erica L. Little, RDH, MPH Stevens Point, Wisconsin
ix
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Ancillary Writers xi
Ancillary Writers
xi
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This book is dedicated to my husband,
Joseph R. Jedrychowski,
and
the Beemsterboer/Jedrychowski families
who mean everything to me.
PLB
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Preface xv
Preface
From its early beginnings in the twentieth century, has given way to more specialized titles and to groups
dental hygiene has enjoyed a rapid growth, as both a that work toward increasing the social responsibility
profession and a field of health care science. Dental and ethical conduct of oral health care professionals.
hygiene students no longer have to rely on one text- The importance of ethics is also evidenced by the
book to provide all the materials and references from many dental hygiene educators who are active in the
which to study and learn. Today, numerous textbooks American Society for Dental Ethics (ASDE), an asso-
and online resources, on a wide variety of subject ciation of educators, philosophers, and practitioners
content, are available to dental hygiene educators and who are dedicated to the ongoing study of ethical
students. As the study of dental hygiene has evolved, issues and education with the goal of promoting pro-
so has the world surrounding it. The ongoing develop- fessional responsibility and conduct for the public we
ment of health care law, the growing awareness of serve. The third edition of Ethics and Law in Dental
improving access to oral health care, and the emphasis Hygiene provides up-to-date ethics coverage for dental
on social justice have interwoven themselves into the hygiene students and practitioners.
processes and procedures of dental hygiene. The com-
plexity of the modern world has increased the chal- Audience
lenges of providing ethical care in the daily functioning
of the dental hygienist. Advanced education and train- This text is devoted to the topic of ethics and law for
ing in ethics and legal issues has never been more the dental hygienist, a professional who has a unique
important to help students navigate today’s health care place in the provision of oral health care services. The
realities. Ethics and law now require a dedicated title book provides information and guidance for entry-
that addresses the subject in the proper scope and level dental hygiene students as well as experienced
depth for the dental hygiene student. Ethics and Law practitioners looking to continue their professional
in Dental Hygiene meets this need in both the educa- development.
tional and professional markets, serving as a valuable
tool for new and practicing dental hygienists. Organization
This textbook is organized into three sections, with
Background and Importance the first two sections focusing on content and the
to the Profession third devoted to application. The first section presents
the foundational aspects of ethics and introduces an
Dental ethics as an area of study came into its own in ethical decision-making tool for the analysis of ethical
the 1980s as the result of the efforts of a group of schol- dilemmas. Legal concepts are discussed in the second
ars at Georgetown University in Washington, DC. section and provide information on state practice acts
From this small visionary group came an ethics study and risk management.
network organization, several workshop and consensus The third section provides 32 case scenarios
activities, and ultimately three dental ethics textbooks. authored by various contributors with expertise in
All three textbooks addressed the role of the dental dental and dental hygiene ethics for the reader to
hygienist in some way in the provision of dental health discuss and analyze. Questions to stimulate thought
care to the public. An increased emphasis on and and discussion are included as well, and the ethical
awareness of ethics in the various dental professions decision-making model can be applied to each of the
xv
xvi Preface
cases. Although hypothetical cases, the situations pre- often challenging language used within ethics
sented are a culmination of many years of experience and law.
in dentistry and dental hygiene and provide a variety
of material for lively and fruitful discussion sessions. New to This Edition
Ten “testlets” are also included to help prepare
students for the National Board Dental Hygiene • Returning chapters are fully revised and ex-
Examination (NBDHE). A testlet is a short clinical panded, including coverage of key topics such as
scenario with a series of associated test items that focus the Health Insurance Portability and Account-
on critical thinking and problem-solving skills. Lastly, ability Act (HIPAA), health disparities, and
a listing of suggested activities and projects helps interprofessionalism.
expand upon the topics presented in the textbook and • Additional case scenarios written by experts within
encourages additional thought and discussion. dental and dental hygiene ethics are provide for
discussion, analysis, and application.
Key Features • Increased number of “Testlets” are available to
encourage critical thinking, challenge problem-
• Coverage of ethics and law is balanced equally solving skills, and help prepare students for the
throughout and presented in a clear and concise case-based National Board Dental Hygiene Exami-
manner to assist in understanding these often nation (NBDHE).
complex topics. • The most recent editions of the American Dental
• Concepts are discussed in the context of real world Hygiene Association (ADHA) and American
relevance to help readers apply the knowledge to Dental Association (ADA) codes of ethics are pro-
everyday situations. vided in full.
• A six-step decision-making model equips readers • For instructors, there is a brand new online Evolve
with a framework to tackle ethical situations. website with teaching resources to work in coordi-
• Contributors include educators and practitioners nation with the book. Chapter-by-chapter Power-
who are renowned leaders in the ethics of dentistry Point slides, case study answers and rationales, and
and dental hygiene. a test bank using NBDHE exam-style questions
• A wealth of case studies and additional activities with answers referencing textbook page numbers.
cover a wide range of situations and provide readers Whatever point you are at in your dental hygiene
with opportunities to hone their ability to make career, Ethics and Law in Dental Hygiene is an excellent
sound ethical and legal decisions. foundation and a valuable reference to guide you
• Chapter key terms and a back-of-book glossary through this complex subject matter with ease and
help ensure content mastery of the unique and understanding.
Acknowledgments xvii
Acknowledgments
The collaborators for this edition are dental profes- I am grateful to my colleagues at the Center for
sionals who are devoted to the education of dental Ethics in Health Care at Oregon Health & Science
hygienists. My deepest appreciation goes to Cheryl University, especially Susan Tolle MD and members
Cameron and Pam Zarkowski, dental hygiene educa- from the American Society for Dental Ethics who
tors and administrators who also are attorneys. Bio- work tirelessly to advance the discipline of dental
ethics experts David Ozar and Frank Catalanotto were ethics. It is the friends who walk the journey with you
most generous with their time and expertise in chapter that bring joy and inspiration.
revisions. Phyllis L. Beemsterboer
xvii
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Contents xix
Contents
xix
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Kawelo then looked towards
Wailua and saw that the sands
were in disorder and were
hollowed out in places, leaving
little gulches here and there, with
the rocks exposed. And when he
saw the people like the bending
of the surf, he chanted:
How numerous are the high He mea e nei la kaikoo nui o kai,
surfs today below! Ke auau nei ka moana,
The ocean is bathing in foam. He kai paha no Kahinalii,
Is it the sea of Kahinalii? 37 Ua ku ke a, ka halelo,
For the rocks are exposed and Ke ahua pohaku i Wailua nei la,
the sand is in hollows, O ua one maikai nei,
And the rocks are in heaps in Ua malualua, ua kahawai,
Wailua. I ka pohaku o Kauai,
The sands that once were level O Kauai nui moku lehua,
Are cut up and are in gulches; Aina make kau aloha ole,
Cut up by the rocks of Kauai, Pili makamaka ole ia Kawelo nei
Great Kauai, isle of lehua; 38 la.
Land of death and lacking in
love,
Whose people are not the
friends of Kawelo.
At the close of this chant, A pau keia paha ana, paha hou
Kawelo paused awhile and then aku la no o Kawelo:
continued:
All the people who were not O ka poe a pau i makau ole ia
afraid of Kawelo that held their Kawelo, pau loa lakou i ka make
ground were killed by the use of i ka laau palau a Kawelo, ia
his war club Kuikaa. As one side Kuikaa. A make kekahi aoao ia
was killed by Kawelo, the canoe Kawelo, hio ae la na waa, ia hio
leaned over on that side; Kawelo ana, e hahau hou iho ana o
then swung his club along the Kawelo i kana laau palau i
other side killing all the men kekahi aoao, pau loa i ka make.
there. In this slaughter, the two Ma keia make ana, ua make na
officers who were stationed at pukaua elua e noho ana i
Wailua were also slain. Kawelo Wailua. Ia wa, hoouna o Kawelo
then sent Kamalama and his ia Kamalama, ke kaikaina, na
adopted sons, Kaeleha, keiki, o Kaeleha, Kalaumeki, o
Kalaumeki and Kauluiki and his Kauluiki ma.
companions, after the fleeing
enemy.
When Kauluiki and the others A lohe o Kauluiki ma, pane aku
heard this, they said: “How much la lakou: “Ka! E aho no ka hoi ka
better our conditions would have noho ana me Kakuhihewa, he ai
been had we stayed with i kalo moa, he ole loa ka hoi ka
Kakuhihewa; we would surely holo ana mai nei me Kawelo. Ua
have eaten of the cooked taro, pau ka aina i na koa, o ke aha la
while in following Kawelo we get ka kakou?” Nolaila, manao iho la
nothing, for the lands will be lakou e hoi i Oahu nei.
given to the brave soldiers only,
and what will we get?” They then
thought of returning to Oahu.
kaihupepenuiamouo kaihupepenuiamouo a
and muno. me muno.
Why not take my sister as your Aia hoi ha kau wahine o kuu
wife, kaikuahine,
The ward of Malaiakalani, O ka hanai a Malaiakalani,
Take her as your wife? O kau wahine ia, e—a?
Why don’t you throw your spear E o la hoi e hou mai ua ihe au,
at me then? A kai ae i ka pola o ka malo,
When I shall let it pass at the A ku aku i ka lepo nui,
end of my loin cloth, Hoi aku a lohe o Aikanaka,
Where it will glance to the great Kahi i noho ai ia Kauai nei,
earth. He mai nui nou ka hilahila.
Then when it is reported to
Aikanaka,
Under whom you are living in
Kauai,
Shame, like sickness, will
overcome you. 45
When the man heard this, he A lohe ua wahi kanaka nei, hou
threw his spear at Kawelo. When mai la ia i kana ihe, a ike o
Kawelo saw the spear coming, Kawelo, hoaka ae la ia i ka ihe i
he struck it with his hand making ka pola o ka malo, a ku aku la ka
it touch the end of his loin cloth, ihe i ka lepo, aole ia Kawelo,
then it glanced to the earth, [49]hilahila iho la, a holo aku la.
missing Kawelo. This so shamed Ma keia holo ana o Walaheeikio,
the man that he immediately mai ke alo aku o Kawelo, hahau
[48]turned and started to run aku la o Kawelo i kana laau ia
away. At this attempt on the part Kuikaa, a make iho la o
of Walaheeikio to escape, Walaheeikio.
Kawelo struck him with his war
club, Kuikaa, killing him instantly.
CHAPTER V. MOKUNA V.
Relating to No Kahakaloa.—Kona
Kahakaloa.—His Death Make ana ma o Kawelo
by Kawelo. Ala.